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Thanks Willian and Joe for your suggestions. 6 months later and PSA still bopping up and down within my range 9.6 to 7.1 to 9.1 so I consulted with 2 different cancer centers since and they both say the only way to really know what is going on is with a biopsy so I agree and will have a 12 core done in 2 weeks. I am now OK with the biopsy idea as my older brother had one and his experience was comparable to a colonoscopy. There are more options available now to treat Pca than say 12 years ago and I rather know now in the early stages. Problem is, even a 12 core biopsy may miss cancer cells and give false results.
Finally got my Biopsy done. Honestly, the after effect of the antibiotic needle hurt more than the biopsy itself. The pathology report says I have a Gleason score (3+3) 6. 12 Cores biopsy. Number of cores positive = 3. There was high grade PIN in 3 cores. Will be meeting with Urologist to discuss but I would truly appreciate comments from the fine folks here at YANA.