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PSA & MRI suspicious but biopsy benign

Prostate Cancer | Last Active: Mar 1 7:18pm | Replies (36)
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@frank1956

Thanks for the reply.

I am 68 years old. I only tracked my PSA from February, 2022. It was 3.9. By November, 2023, it jumped to 5.3.

I am meeting with my Urologist next Tuesday to discuss biopsy results. I will request he send the slides and MRI to John Hopkins for a second opinion pathology. I hope he is willing to help me.

From my last PSA test in November, 2023. PSA is 5.3. Free PSA is 31.3%.
From my MRI: PSA density: 0.12. Prostate is 47cc. There is no PSA Velocity data.

As part of the biopsy, there is a request to do Polaris test, but I do not have that report now. I will ask Urologist next week.

Thanks again for your suggestion. I will report back what my Urologist recommend next week.

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Replies to "Thanks for the reply. I am 68 years old. I only tracked my PSA from February,..."
trusam1 | @trusam1 | Feb 18 8:54am

You may have already researched this...back when I was getting diagnosed, I learned (from WebMD):

• For PSA between 4 ng/mL and 10 ng/mL, about 25% of men in this group likely have cancer.
• For Free PSA concentration of more than 25%: about 1 in 10 men ages 50 to 59 will have cancer. For those 70 and older, it’s 16%

You might also ask the urologist about the Prostate Health Index (PHI). It's a number calculated from the total, free, and p2 PSA levels, and is a bit more predictive than the free PSA % by itself.

This is an example of why it's called the Art AND Science of medicine...

VIEW AND REPLY