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MRI before biopsy, & then fusion biopsy if targets found (?)
Prostate Cancer | Last Active: Jan 23 2:26pm | Replies (24)Comment receiving replies
Agree strongly. I had two 12 core needle biopsies over two years apart which showed nothing despite an advancing PSA. DRE was normal. When 24 core was suggested, I insisted on an MRI, which showed the lesion to the anterior part of the prostate, which I like to call "the dark side of the moon" This allowed for a targeted biopsy. When discovered, PSA was over 17 and I had extracapsular extension and Gleeson 4-3. Can't help but think had the CX been discovered 2-3 yrs earlier, might not now be dealing with BCR. This was 11 yrs ago, so perhaps getting an MRI at outset is now standard of care?
Replies to "Agree strongly. I had two 12 core needle biopsies over two years apart which showed nothing..."
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Likely even now a patient has to really push to get pre-biopsy MRI, fusion biopsy, and probably push even harder to get a trans perineal fusion biopsy.In Australia, all of this is apparently standard practice. Also new is perineal RALP.
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| Comment posted by @squash05 on discussion "MRI before biopsy, & then fusion biopsy if targets found (?)".
Agree strongly. I had two 12 core needle biopsies over two years apart which showed nothing despite an advancing PSA. DRE was normal. When 24 core was suggested, I insisted on an MRI, which showed the lesion to the anterior part of the prostate, which I like to call "the dark side of the moon" This allowed for a targeted biopsy. When discovered, PSA was over 17 and I had extracapsular extension and Gleeson 4-3. Can't help but think had the CX been discovered 2-3 yrs earlier, might not now be dealing with BCR. This was 11 yrs ago, so perhaps getting an MRI at outset is now standard of care?
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