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

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@oct172024

handera, you're an amazing wealth of info!
We apparently have similar perspectives regarding avoiding a needless biopsy -I need my urologist to provide a very good reason to endure another before that 2-5yr NCCN timeline.
Your NCCN link requires creating an account -assume no privacy issue/etc doing that?
Also appreciate MPS2 test link. Rather than proceed with a biopsy with MRI/PSA results that don't seem to require one, I'd prefer more tests (ie: aforementioned free PSA/MiPS, etc.)
Hope that my urologist will adopt your urologist's requirement for "clear non-invasive evidence demonstrating the need for a follow-up biopsy". I like that policy.
You and jeffmarc have made me glad that I selected this forum after looking at my options.
Thanks-

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Replies to "handera, you're an amazing wealth of info! We apparently have similar perspectives regarding avoiding a needless..."

A good urologist should work shared decision making, especially when one is in the "low risk" PCa stage.

Did you obtain a Decipher Score from your first biopsy? That report, especially the accompanying Decipher GRID report, was extremely informative and a decision confirmer for my case.

If not, you may want to ask your doc if he can have that done with the 3+3 core taken from your 1st biopsy....assuming there was even enough cancer to test...in your case....