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Prostate lesions found, biopsy results, No symptoms

Prostate Cancer | Last Active: Jan 10, 2023 | Replies (54)
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@patof

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. Btw, I always have had lower urine flow for at least 25 years but never had any other urinal symptoms, always peed once or twice a night since my mid 20's...

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Replies to "Hi everyone. I'm 58, got a PSA result 2 days ago of 5.2 and the urologist-oncologist..."
patof | @patof | Oct 14, 2022

Something else I should add, DRE was done and prostate was totally normal... blood sample was done same day for PSA...

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web265 | @web265 | Oct 15, 2022

Given the info here, I'd probably schedule the biopsy for 2 ish mos out then take another Ultra Sensitive PSA test at the 6 week mark. Obviously, take the crossfit out of the picture for a few days prior, (although I've never heard that activity could raise the result by those numbers). If the result goes down significantly, you could always cancel the biopsy if that is no longer warranted.

Assuming your research is correct, you'd be within the normal range at a reduction of 45% would put you square in the normal category.

Also according to the NCRI ..."You should avoid sexual activity for 48 hours before a PSA test. This is because ejaculation can temporarily increase your PSA levels."

Although 5.2 is pretty high for a 58 year old, I think in those numbers trend is as / more important than the one reading itself. Had you had a test recently? Within the last couple years that you can compare this to?

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