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Stage 4 prostate cancer treatment options
Prostate Cancer | Last Active: May 4 8:39am | Replies (128)Comment receiving replies
Hi everyone. I'm 58, got a PSA result 2 days ago of 5.2 and the urologist-oncologist informed be that a biopsy was required in coming weeks to confirm or not prostate cancer. He did not say much more, I was stunned by the news and had no questions. After much reading on several sites including Mayo Clinic, seems to me I should be waiting another 4-6 weeks and take another PSA test. Another point of interest is that I train a lot and had done 1.5 hours of cross fit the day before and the day of the blood sample to later read that I should have had 2-4 days without physical activity before the blood sample as it affects PSA test upwards by about 50-60%. Comments anyone... and thank you.
Replies to "Hi everyone. I'm 58, got a PSA result 2 days ago of 5.2 and the urologist-oncologist..."
This is just my experience so you can make your own decision, but I wish my urologist had done a biopsy on me when I was being treated for what he assumed was bladder cancer. Turns out the cancer was primary prostate. I was 62 at the time. My brother had a prostatectomy at age 58 and is now 86. I on the other hand have mcrpc and have recently failed my second chemo drug. That was after bracytherapy and 18 months of Lupron. Also failed on Casodex and abiraterone. Not a candidate for Pluvitco. I recently had another prostate biopsy 5 + 5 and the cancer has spread to the left side which was clear 4 years ago. I had the biopsy in the doctor's office. Prostate cancer has ruined my life. Take early action. Good luck to you.
There is some discussion about factors which may impact the results of PSA tests, exercise is one of them. Others are hydration, sex...you nay want to discuss with your medical team repeating the test and then 24-48 hours out light exercise (I usually just walk), hydrate, no sex...
If that comes back elevated, you will want to consider a biopsy but should be ultrasound and MRI guided, not just the blind TRUS - https://www.radiologyinfo.org/en/info/prostate-biopsy
Kevin
Have you researched “ Watchful Waiting”? With a low PSA you may want to wait 3 months…I would also do a MRI first then a biopsy. But i would not rush into anything at this point…
I can give you my experience. I am 69 and December 2021 had a psa of 5.34 compared to my 3.15 psa 2 years earlier. My Urologist recommended an MRI and scheduled me for a second psa. The second psa test was 5.45. The MRI showed a 2.5 cm lesion in with a high likelihood of being significant cancer. They performed a biopsy and also targeted the lesion and I had Gleason 7 3+4 cancer.
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An option for you is an MRI, which is far less invasive than a biopsy. An MRI can help determine if a biopsy is warranted.