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Prostate Cancer | Last Active: Feb 21, 2023 | Replies (25)
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@drj I'm proof that perineal biopsy is a thing. After having 3 transrectal biopsies that came back negative for cancer all the time having my PSA rising, Mayo Rochester did a perineal biopsy and found the cancer 4 - 3 Gleason score. had Proton SBRT 5 times over 10 days in September of 2020.
Replies to "@drj I'm proof that perineal biopsy is a thing. After having 3 transrectal biopsies that came..."
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Good to know. Thanks for passing this on.
This is a highly valuable site for helping the newly diagnosed and those facing treatment decisions, particularly with the sharing of direct patient experiences, and this was informative.
It might be helpful to provide more information on the transrectal biopsies. I assume they were 12 core needle biopsies? The 12 core biopsies really improved cancer detection, but they are far from perfect. Your experience will be very informative. Frankly, I'm somewhat shocked. In addition, I was unaware of the possibility of a perineal biopsy, so thanks.
In my case, they had found the main lesion by an MRI technic*. When it came to doing the biopsies, they had a good idea where to go, and they used that image, and real time ultrasound to guide the needle to that spot and others. I was able to watch the biopsies being done on a screen, with commentary by the doc doing the biopsies.
* I don't know if the MRI was something different from routine, but I do know that prostate MRI is getting better, and they are studying to see if it can become diagnostic almost like a biopsy.