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Prostate Health Index (PHI) results: Time for a second opinion?

Prostate Cancer | Last Active: Jun 27 3:51pm | Replies (35)
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Hi Gentlemen,

Hubby’s biopsy, MRI Fusion transperineal, is tomorrow. After a week or so, we should have results that tell us what we are dealing with.
I thought my husband had the Episwitch test, but it was the IsoPSA. It came back with a level or score of 6.7.
With an IsoPSA level of 6.7, a PHI score of 89.2, three lesions of which two are Pirads 4, and one is Pirads 5, are we likely looking at PCa? Could BPH, with a prostate volume of 157.6 skew results, resulting in false positives?

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Replies to "Hi Gentlemen, Hubby’s biopsy, MRI Fusion transperineal, is tomorrow. After a week or so, we should..."
jeff Marchi | @jeffmarc | Jun 24 10:11am

Absolutely a large prostate, And your husband’s is huge, Can create high PSA levels along with BPH.

Has he been put on antibiotics to try to resolve the BPH? Have they ever said he actually had it?

The thing is, he’s got a Pirads 5 lesion, Which usually means that there is cancer. So in this case, a biopsy is very desirable. Those Pirads 4 lesions could be cancerous as well, They have to be tested to see.

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