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Re: Biopsy wisdom

I'm glad to hear that. On second thought, I decided sooner would be better, and returned to the thread to suggest that, but you beat me to it. Good call.

"I am getting a free psa test tomorrow then will get results probably 4 days later. If it is low I will definitely get the biopsies. If it is high - over 25 then I have to decide."

When I researched it back in 2009, I found that a very low free PSA ratio correlated highly with a higher grade tumor. I don't recall anything about the probability of any tumor, but I might have missed that or forgotten it.

"Even a low PSA does not really say much I guess."

One PSA doesn't say much. But a change from an established baseline is significant. If you've been bumping along between 3.5 and 3.8, 4.7 is a spike above an established baseline. I am less concerned with free PSA ratio than if the 4.7 repeats. If PSA repeats at 4.7, I think a biopsy is probably advisable, regardless of free PSA.

Re: Biopsy wisdom

yes - it seems repeated over 4 and it is time to decide for biopsies.

The repeated psa may be helpful before biopsy - seems half of the psa jumps come down again. But if it doesn't go down - it is time for some real information.

Over all my trend is in one direction - which means probably a biopsy for me soon.

Thanks for the info. Not sure if I am making sense right now.

I think this is a really good site too:

http://www.uptodate.com/contents/screening-for-prostate-cancer

Re: Biopsy wisdom

Brooke - do you know if the free psa includes the total figure? So it might come back free over 25% but total psa of 4.7 again?

By the way I went to high school with Dana Jennings - the guy who chronicled his prostate cancer surgery on the NY Times. No relation I am sure - but had to add that.

Re: Biopsy wisdom

Free PSA came back as 13% = 28 percent chance of cancer. Biopsy scheduled for May 7th.

Re: Biopsy wisdom

Finally got the details

Total PSA went down to 4.3 - from 4.7

Free PSA is 13.7%

Biopsies are May 7th, Results May 14th

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