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Continued Monitoring or Biopsy?

Prostate Cancer | Last Active: 1 hour ago | Replies (21)

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@jeffmarc appreciate your response. I tried that but did not qualify because I have not been diagnosed with cancer yet. On my pirads two MRI there are no lesions so my urologist said there would be nothing to target. Essentially what he offered was a standard 12 core transrectal essentially blind,

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Replies to "@jeffmarc appreciate your response. I tried that but did not qualify because I have not been..."

@ezupcic
The only way you can get a PIRADS Score is if there is a lesion, they are scoring. Very weird.

It sounds to me like he Is unable to do a fusion biopsy, which would use your MRI to direct the ultrasound to find that lesion and at least get three samples from it.

@ezupcic

In terms of the PSE blood test, It may not be standard of care yet, but with a 94% accuracy vs 55% for PSA alone, it may be worth considering. It's just an additional component in your toolbox to make a more informed decision with your doctor, whether they use it or not. Here is a link to the product page at Oxford Biodynamics:
https://www.94percent.com/

@ezupcic so let’s just go in BLIND and see if we find something?? Is he playing Pin the Tail on the Donkey?
If anything, do a targeted transperineal fusion biopsy aimed at that PIRADS lesion, whatever size it is…or just wait until your PSA rises consistently and then you’ll have more to go one.
Maybe it’s just me, but someone offering to do something ‘blind’ to MY body just doesn’t inspire confidence and that warm, fuzzy feeling…. Best,
Phil