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Atypical prostate test results.

Prostate Cancer | Last Active: Nov 26, 2023 | Replies (11)

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@jbmck

Sorry. The editor here was acting hinky and kept dropping my detailed posts. The biopsy was a MRI targeted biopsy so the entire prostate was scanned. That was 3 lesions. Biopsy showed 2 indeterminate and one Gleason 3+3. Subsequent MRI (about a year later) showed nothing (No PI-RADS >= 3). And that's the question. All problems seem to have vanished except the PSA is way up. Doctor is a bit confused.

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Replies to "Sorry. The editor here was acting hinky and kept dropping my detailed posts. The biopsy was..."

jbmck, I can see on your original post you did mentioned intermediate cancer found on biopsies but did not list the numbers. That is what I saw only the numbers for the 3+3=6Thanks for feedback. So you had 2 biopsies classified as indeterminate and one at the 3+3=6.

I had one biopsy at 3+4=7 and all the others were 3+3=6. When I had my proton pencil beam therapy they did the whole prostrate and margins. This (explained to me) was to treat any area not found during the biopsy which can happen a lot and thus still have active cancer in the prostrate.

Did you have the PSMA test. This would have looked at entire body to see if the cancer had spread to other areas of body and could explain increasing PSA. Keep asking questions and asked about the PSMA and bone scan. The prostrate and prostrate cancer is the only things that make PSA so a high number would indicate inflammation/infections in prostrate or cancer that was missed.
Good luck, it was my oversight that did not see the intermediate biopsies you listed.