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Atypical prostate test results.

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

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@jc76

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.

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Replies to "jbmck, I can see on your original post you did mentioned intermediate cancer found on biopsies..."

Thanks for your response but I need to correct one thing in your post for others reading this. Prostate cancer is definitely not the only thing that raises PSA. This is from 6 of my doctors over 15 years, 3 GP's and 3 urologists respectively. In addition, the literature on this is robust. UTI's are the best understood cause for this elevation but there are other "suspects" as well. PSA usually has an "idle" setting in most men, particularly men over 50. Large prostates often, even usually, produce more PSA. It is exactly because of the often random behavior of PSA levels that further testing is required.