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Good PSA/MRI active surveillance results still require fusion biopsy?

Prostate Cancer | Last Active: Oct 25 2:40pm | Replies (30)
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@oct172024

jeffmarc, thanks for your reply-
Yes: "confused" is where I'm at trying to understand all this.
This progressing could require far more invasive procedures than a biopsy, but recent PSA's of 3.7 then 1.9 along with my stable/unchanged MRI after 14mos lead me to question whether wanting another biopsy regardless of the good results is an extremely conservative decision by my urologist, possibly driven by desiring protection against malpractice litigation(?) I need a better understanding of the risk rolling with current results and avoiding the biopsy -and also don't understand why other less invasive testing (free PSA, MiPS, etc) not considered first, to collaborate the good results.
Not cool with having another biopsy just to check that box when everything else indicates no advancement -unless for some reason that's justifiable regardless of my good test results.

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Replies to "jeffmarc, thanks for your reply- Yes: "confused" is where I'm at trying to understand all this...."
jeffmarc | @jeffmarc | Oct 17 12:01pm

With your PSA down to 1.9 it does seem like a biopsy could be delayed. Have you asked your doctor why with a 1.9 PSA he doesn’t think you could wait, at least until your PSA starts rising again.

I think his concern is about this “ 19% likelihood of adverse pathology at Radical Prostatectomy". He might want to check other areas of the prostate to see if there is an issue.

It’s always your decision, see what he has to say about the fact that your PSA has dropped so much.

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