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PSA increase: Should I be concerned?

Prostate Cancer | Last Active: 1 day ago | Replies (34)

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@jc76

I had the so called normal PSA 3.75. However my PCP did not like the continued rise in my PSA over the years and referred me to urologist.

Urologist did a DME and was normal. I want to mentioned the normal finding now as it turned out I did have prostate cancer and a normal DME cannot rule out that you do not have cancer. It is looking for noctuals and hard spots but prostate cancer is a cellular cancer and can still be at cellular level.

Urolgist ordered MRI with some type of special contrast. MRI showed suspicious areas. Urologist ordered biopsies. Done transpernial with MRI/Fusion. Gleason came back 3+4=7. Referred to R/O.

R/O went over options and asked if I wanted Decipher which was first time I had heard about it. I said yes. It came back as low risk. My recommended treatment was changed from radiation with hormone to radiation only.

A normal prostate DME does not rule out having prostate cancer. Also insist on tests like Decipher and PSMA that can help define your cancer far more than just biopsies.

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Replies to "I had the so called normal PSA 3.75. However my PCP did not like the continued..."

What Does your DME refer to? DME usually means durable medical equipment. Don’t see any explanation for what it means with a prostate cancer test.

Did you mean DRE?