PSA 30, 12 months ago PSA 25, but not informed; had biopsy today.. PLEASE ADVISE!!!

Euskal said:

Information
Hi, Did you take antibiotics? You should tell your doctor treatment for 4 weeks and repeat PSA, might be Prostatitis. Greetings

Paul M said:

Information
Thank you.. Because PSA was so high at my age, recommend was a biopsy right away. Thanks!

Beau2 said:

Stress
Yeah, the possibility of PCa brings a lot of stress to your life. I still get stressed waiting for my PSA test results.

Fortunately, you have a bunch of guys on this forum who have been where you are. Their understanding and advice can help you destress.

VascodaGama said:

Not yet diagnosed
Paul
You haven't been diagnosed with cancer yet. Only the biopsy can tell your fate.
The high PSA could be related to other causes so that you should wait. Sex the night before drawing blood or inflammation, etc., could cause a substancial rise in the PSA.

Usually doctors recommend antibiotics before the biopsy but yours did go straight to get a definite conclusion. The negative DRE and by the touch he may have the impression that BPH is not present. In any case, you are not alone. Many here will help you understanding facts. Just do not rush even if you unfortunatly get a positive result.
Do things timely and coordinatly.

Get second opinions on the cores of the biopsy and get image studies with 3-tesla MRI and Bone scyntigaphy scan. If cancer is the cause of the high PSA then it may be possible to detect something.

Wish for the best.

VGama

Swingshiftworker said:

Advice Pending
As Vasco said, no advice can be realistically suggested until you get your biopsy results back. Let us know what they are and you more and enough "advice" from us here.

Good luck!

hopeful and optimistic said:

diagnosis test
Confirming what VGama advised

"However, if metastases are present (extra capsular extensions) surgery would not cure you. In such a case radiotherapy got higher chances to lead you to a successful outcome.
In any case, for 100% assurance of success one needs to know exactly where cancer is set. You could not throw arrows in the dark and expect to hit the target.

Proper image studies become essential and you should try your best when choosing the equipment/methodology used. Old machines doing CT and bone scans are not that reliable in terms of resolution even with a PSA of 30 ng/ml that could be from a tumour big enough to be detected."

So the tests that you have scheduled for dec 7 are not the best, and can give you a false sense of security, not finding the cancer if there is extracapsular extension.

A much better diagnostic test is the following, usually found at major centers of excellence.

There is an MRI scan for prostate cancer that is done with a special coil in the rectum. This are certain major hospitals that have a Tesla magnet. There is a 1.5 Tesla magnet, the effective resolution is limited to tumors 0.5cc or larger. There is also a 3 Tesla machine which may have a bit finer resolution.

The most effective MRI for the prostate is called a MRSI (MRI/MRS) and includes the ability to identify cancer metabolites using spectographic analysis.....Basically using the spectoscopy with the MRI provides more accurate results, both the MRI and the spectroscopy are done at the same time.

The MRI is generally covered by insurance, however the spectroscopy is considered investigational and is not covered by medicare which I use.

The test indicates if there is any nodule involvement, if there is involvement in one or two lopes , wll show size of prostate, any evidence of extracapular extension, will stage your disease.



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