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Choosing Active Surveillance over any further treatment at this time
Prostate Cancer | Last Active: 1 day ago | Replies (52)Comment receiving replies
I’m 61. PSA Jan 17 was 8.1, Jan 20 was 7.8, March 20 was 5.4. MRI was PIRADS 3 with no focal lesions but an enlarged prostate (95ml). Radiologist said malignancy less likely. So do I proceed with additional PSA tests, MRI or biopsy? My thought was another PSA in 3 months. But over the last two months I’ve made significant changes to diet, exercise, lost 20lbs and take a prostate supplement. Thoughts?
Replies to "I’m 61. PSA Jan 17 was 8.1, Jan 20 was 7.8, March 20 was 5.4. MRI..."
While I would recommend a PSE test. If your doctor won’t do it your doctor may know of another test that works to let you know if you have cancer before a biopsy. If you can’t get a PSE ask if they’ve got something else that’s similar.
The large prostate can be what was causing your high PSA. I know Someonewith exactly the same problem but his PSA was 50 and his biopsies were clear. The fact that it’s gone down could mean your prostate size is reduced as well. Were you taking any drugs for BPH like finasteride ot Dutasteride?
That big drop in PSA Is really positive, Keep it up. 😀
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More tests will confirm things for you. I would ask for a PSE test, as it is 95% accurate for detecting prostate cancer. If that shows something then it goes to a biopsy and additional tests to determine what's going on. It sounds like, from your description, that it may simply be an enlarged prostate rather than cancer, but better safe than sorry. You're still young enough to take care of this.