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Basic PSA Question for anxious person.

Prostate Cancer | Last Active: May 23, 2023 | Replies (13)

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@madisonsmiley

First, prostate cancer is very treatable, especially if diagnosed early. The 5-year relative survival rate for most people with local or regional prostate cancer is nearly 100%. I am 66, my PSA prior to treatment was >200.0, and I have Stage III prostate cancer . One of the physicians on my team said that they expect to see me in 15 years, and chances are I'll die from something else before I die from prostate cancer.

Second, do some research on prostate cancer, PSA tests and systemic TRUS guided biopsies, and their reliability so you have a better understanding of this diagnostic technology. I was having negative biopsies (3) with a PSA well into double digits with the systemic TRUS guided biopsy method. If you have a biopsy, an MRI Fusion Guided Biopsy appears to be the current best practice.

Here are a couple of good consumer friendly articles from the NY Times on the efficacy of the diagnostic methods.
https://www.nytimes.com/2020/02/24/well/live/prostate-testing-PSA-cancer-screening.html
https://www.nytimes.com/2023/05/08/health/prostate-cancer-screening.html
Also, here is an excellent consumer friendly books on prostate cancer by Mayo staff.
https://mcpress.mayoclinic.org/product/mayo-clinic-on-prostate-health-3rd-edition/
Stay away from websites that are not .org. Here are a few good ones:

cancer.gov

cdc.gov

pcf.org

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Replies to "First, prostate cancer is very treatable, especially if diagnosed early. The 5-year relative survival rate for..."

I agree as long as the biopsy in a transperineal fusion guided biopsy under a local.