← Return to Multiparametric MRI (mpMRI) over diagnosis?

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Multiparametric MRI (mpMRI) over diagnosis?

Prostate Cancer | Last Active: Dec 14, 2023 | Replies (32)
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@pablo81

Pandora's box. I believe that PSA is not well understood by the medical profession and in many cases leads to numerous tests, which can add confusion. I have no magic answers but in my case I am being very cautious relative to testing with firm understanding of why and what follows. We do the best we can. I have one 7 mm lesion PIRADS4 that has not changed in 13 months. Resisting biopsy.

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Replies to "Pandora's box. I believe that PSA is not well understood by the medical profession and in..."
michaelcharles | @michaelcharles | Dec 6, 2023

Layman question would be why resist the biopsy?
Biopsy is the only way to identify PCa and you can have a more targeted fusion guided biopsy since you have had the MRI.
I resisted seeing a Urologist after my PSA rose, but it was the right thing to do. It allowed me to treat aggressive cancer before it spread further.
IF you have a threatening cancerous lesion after biopsy, then you can decide on treatment or active surveillance, but at least you are making a more informed decision.
Best wishes to you and everyone.

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