PSA & MRI suspicious but biopsy benign

Posted by lyricw @lyricw, Oct 5, 2023

I am 66 & asymptomatic but PSA has been rising 2014-2,2, 2017-2.6, 2019-3.8, 2022–3.6, 2023-5.0 with 16% free. DRE negative & MRI revealed pirad 4 0.6 X 0.9 lesion of left posterior apex intracapsular & LN negative. 12 core grid biopsy & 1 core of lesion benign inflammation.

I definitely feel relieved, but wonder if there is any chance PC present. I will see doc & discuss future monitor.

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@seb2023

How big is your prostate? What is your PSA density?

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39ml & density was not listed

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Actually PSA was 5,0 with free PSA .82ng/ml & %freePSA 16 norm >25. New PSA drawn 6 months later 1/24/24 was 4.1 ng/ml & they did not order free PSA & % free.

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@bjroc

@lyricw Was your biopsy transperineal or transrectal? They can not reach apex transrectally.

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Trans rectal

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@seb2023

How big is your prostate? What is your PSA density?

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Hi @seb2023, have you been diagnosed with prostate cancer? How is your PSA?

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@colleenyoung

Hi @seb2023, have you been diagnosed with prostate cancer? How is your PSA?

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Yes. PSA is 6.5. Receiving treatment at UCSF.

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@seb2023

Yes. PSA is 6.5. Receiving treatment at UCSF.

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What treatment has been recommended for you?

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