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Good PSA/MRI active surveillance results still require fusion biopsy?
Prostate Cancer | Last Active: Nov 26 2:56pm | Replies (31)Comment receiving replies
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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jeffmarc, thanks for your reply -and I agree w/your recommendation.
Based on the good results, I was disappointed at the MRI follow-up appt. when my urologist said the biopsy was still necessary and passively let them know that. I was surprised, and therefore not prepared to ask for details regarding the basis for their decision to proceed with scheduling the biopsy -I let it roll.
Then, after the 2nd PSA test for my annual GP physical lowered from 3.7 to 1.9, I have messaged the office twice in the past 2wks regarding that and asking for a "shared decision-making" explanation for why the biopsy is still necessary: No response. First biopsy appt. is soon, therefore plan to call the office tomorrow -and the reason why I came here for more perspective.
I greatly appreciate the prompt responses - impressed with this forum so far!