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At 81, high PSA: I don't think I want a prostate biopsy
Prostate Cancer | Last Active: Sep 5 11:22am | Replies (67)Comment receiving replies
Im 79. Excellent health. Had a PSA, 88, on Medicare Annual and was referred to Urologist. The Urologist ordered an MRI. Results: PI-RADS 3, Wedge shaped signal 5mm along posterior, midline peripheral zone, could reflect prostatitis or low grade neoplasm, Density.212. Urologist ordered ISO PSA which came at 8, PSA was 10. Wants Guided biopsy ASAP. He eventually conceded to my wishes of a ISO PSA retest in 5 months - results now pending. Really don't want a biopsy at all. Is there any other option?
Replies to "Im 79. Excellent health. Had a PSA, 88, on Medicare Annual and was referred to Urologist...."
@14810eshimmering, the only really great thing about a biopsy is that it can save you from a lot of other situations that you really don't want. 70 to 75 % of cancers develop from this zone. It is also the main area where cancers escape the prostate with the capability of metastasis.
You really have the opportunity to catch this early and preserve important physical functions.
I'd bet you good money that there isn't a man alive who would want to have a prostate biopsy.
I hope you decide to have the biopsy and respond furiously (to me) that you didn't need it at all.
@14810eshimmering
Having to have a biopsy is not something anyone wants to have. But in my opinion and what I did was to have it done when I was 76.
I insisted on the transperineally with anesthesia. I don't remember a thing and had no discomfort afterward. Would not know I even had the biopsy if did not know I did.
By having the biopsy we caught the P.C. early. When I had it done my PSA was only 3.75. My treatment plan from two major medical institutions (Mayo and UHFPTI) was radiation with no hormone treatments.
The biopsy will help diagnose why your PSA is so high and getting a treatment play to help prevent if from getting worse regardless of being prostate irritation or P.C.
@14810eshimmering
What about a PSMA Petscan? That is how they spotted my PC Metastasis 2 months ago, PSA was 4.21 and I've had Radical Prostatectomy 10 years ago - no prostate! Does that work for prostate? Ask your urologist asap. Best thoughts & hopes to you.
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@14810eshimmering
You could get a PSE test, which could give you a 94% accurate reading of whether or not you need a biopsy.
I actually wouldn’t even think twice about having a biopsy at this point. The readings you are seeing point to a problem. It is not infrequent that the cancer is in a spot that is not showing up in the MRI as a lesion, Happens a lot.
I’ve had three biopsies, No big deal. Drove home after and really didn’t feel much of anything. You could make sure you get a transperineal biopsy instead of a transrectal which has less chance of infection, But the chance is very low either way. They can put you under for the biopsy.