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Continue PSA surveillance or have a Prostate MRI?

Prostate Cancer | Last Active: Oct 28, 2023 | Replies (42)

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@jc76

The information from wellness100 is right on. When doing biopsies they will reveal if the biopsy taken is cancerous or not. Problem is that you cannot biopsy the entire prostrate. When I was found to have prostrate cancer from 20 biopsies taken 5 areas were identified as cancer (all different Gleason Scores) my radiologist/oncologist told me the plan was to treat my entire prostrate.

Why I asked not just treat the known areas with cancer. He stated it would be so easy to miss an area that did have cancer and not treat it only to have the cancer continue to grow. So treat the whole prostrate. I have some post where the specific area is treated though versus all prostrate.

The PSMA test mentioned by wellness100 is a great test. It will show if cancer has spread outside of prostrate. I had the PSMA, bone scan, and Decipher tests done to get the most accurate information to provide a specific treatment plan for me.

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Replies to "The information from wellness100 is right on. When doing biopsies they will reveal if the biopsy..."

PSMA Pet scan is the best so far but still misses some cancer (10% ?). It is not perfect but about as good as you get today.

Thanks, very helpful, makes sense to me but will discuss with my urologist. When I had a percutaneous biopsy on my kidney years ago, the needle device failed to get a proper sample, so I had to either repeat it later or have open surgery. I repeated. They got the sample and a diagnosis was made. Thanks again.

Best wishes.