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PSA & MRI suspicious but biopsy benign

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

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@bjroc

@lyricw I had lesion on right anterior apex, they can't reach that well with trans-rectal. Only transperineal biopsy can you properly sample. Is that what you had?

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Replies to "@lyricw I had lesion on right anterior apex, they can't reach that well with trans-rectal. Only..."

I am not OP but from my other thread, this is my data:
"I was tested with PSA 5.3 on November 2023, and 3T MRI shows 2 lesions (6 x 9 mm and 5 x 3 mm). Both PI-RADS 4. The locations are:

T2 signal 4 o'clock left lateral lower mid peripheral zone.
T2 signal right 7 o'clock upper mid peripheral zone.

I had a MRI fusion transperineal Prostate Biopsy few days ago. The pathology report shows all 13 diagnosis benign. The detail of diagnosis shows each diagnosis with the corresponding number of cores. (See attached). Total number of cores added up to 26."
To answer your question: in my case, it is a MRI fusion transperineal Prostate Biopsy. So, this is very puzzling, though I read that up to 40% of biopsies did not capture the cancer. It may require a second, or even a third biopsy to really find it, if the PSA is elevated. I intend to find a center of excellence to do a second biopsy when my prostate is healed.