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Replies to "@charlesprestridge I suppose we all have numbers in our heads that if and when we hit..."
Prostate Cancer | Last Active: 1 day ago | Replies (27)
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@charlesprestridge
I suppose we all have numbers in our heads that if and when we hit them then it's time to do something more than active surveillance. I track prostate density and if that goes beyond 0.15, PSA above 10, Free PSA below 10%, Pirads scores between 3-5 with suspicious areas, then an MRI guided transperineal biopsy is the next step. I think for me I really need to argue for the PSE and the MPS2 more persuasively because I find that some PCP's and Urologists are just not interested in utilizing tests that are not standard of care yet even though they have been shown to be effective.
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@ezupcic
You’re exactly right!
Being your own advocate means insisting (or being thoroughly convinced otherwise) of what you have learned through your own research and experience as to next steps.
Many simply go with SoC advice because they don’t know of any viable alternative. It’s also the safest path for the physician who isn’t receiving any pushback from a patient.
I won’t even consider another biopsy until or unless I have a MPS2-AS test ….or my doc convinces me of an even better predictive biomarker test for an AS man wanting to know the odds of his PCa being upgraded upon submitting to another biopsy.
…but that’s just me….