1. < Prostate Cancer

Biopsy or not?

Posted by monteshark @monteshark, Jan 29 6:49pm

My PSA went from 2.2 to 2.3 over 5 years, which is nothing. I have chronic prostatitis and BPH. The velocity is very low

I’m 64 and in good health, no
Meds and physically active.

The VA ordered me to have a MRI with contrast. They rated my MRI at Bi-Rad 3. I had an MRI 5 years ago from a different source and they rated me Bi-Rad 2.

I’m arguing with myself to have a biopsy. Thoughts???

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heavyphil | @heavyphil | Feb 2 8:51am
In reply to @monteshark "It was some kind of high speed bio something test for high risk cancer. It’s brand..." + (show)
@monteshark

It was some kind of high speed bio something test for high risk cancer. It’s brand new and my urologist is all over this…my VA Doctor I credit for this opportunity to get ahead of this dragon. My urology team is rolling hard and not stalling. I’m thankful to all of them. And of course God.

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Might’ve been the new PSE test - a lot of drs aren’t even aware of it yet.

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gmr60 | @gmr60 | Feb 2 8:58pm

Hello.
I'm in the same boat, PSA 3.8 and a Pi rad 3 with contrast and a Pi rad 2 without, however, they also see one small lesion in the Peripheral zone.
My Dr suggested a targeted MRI guided biopsy with contrast.
He is very optimistic that if it is cancerous we caught it very early in his opinion.
I went in with BPH symptoms and then confirmed they BPH.
I'm just a bit nervous !!!

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1 reply
gmr60 | @gmr60 | Feb 2 10:50pm
In reply to @jeffmarc "Pi-Rads 3 only comes up cancerous in 20% of the cases. A PSE Test will give..." + (show)
@jeffmarc

Pi-Rads 3 only comes up cancerous in 20% of the cases. A PSE Test will give you a good chance of knowing whether or not you actually have cancer. There are other similar tests, Ask your doctor about it. This is a big thing now, having a test to tell you where you are at, to prevent you from having a biopsy you don’t need. The PSE test is 94% accurate.

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Can you share a link that sights that
''20 % of Pi Rads 3 are cancerous'' please.

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1 reply
gmr60 | @gmr60 | Feb 2 11:07pm
In reply to @monteshark "I stay on top of this constantly. I’ve tracked it for 15 years. I’ve had prostatitis..." + (show)
@monteshark

I stay on top of this constantly. I’ve tracked it for 15 years. I’ve had prostatitis numerous times with the BPH. I’ve always thought someday there’s a good possibility I’d have it.

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What kind of Prostatitis ? bacterial or non bacterial ?
Thanks

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1 reply
clandeboye1 | @clandeboye1 | Feb 3 9:05am
In reply to @monteshark "It was some kind of high speed bio something test for high risk cancer. It’s brand..." + (show)
@monteshark

It was some kind of high speed bio something test for high risk cancer. It’s brand new and my urologist is all over this…my VA Doctor I credit for this opportunity to get ahead of this dragon. My urology team is rolling hard and not stalling. I’m thankful to all of them. And of course God.

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@monteshark First " What is this test called ? There are numerous NEW ONES OUT THERE .
None can confirm you have any type of cancer . Only a Biopsy can .
Your MRI PI-RADS Score would typically indicate a low risk of cancer and no need for a Biopsy HOWEVER, FOLLOW YOUR UROLOGISTS ADVICE .
GOOGLE : WHAT DOES MY RADS SCORE MEAN .

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1 reply
monteshark | @monteshark | Feb 3 10:01am
In reply to @gmr60 "What kind of Prostatitis ? bacterial or non bacterial ? Thanks" + (show)
@gmr60

What kind of Prostatitis ? bacterial or non bacterial ?
Thanks

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Non bacterial, mine is stress induced most often. I have had several infections as well. Since age 52 (I’m 64 now) I’ve had these problems. BPH, UTIs, prostate infections, and prostatitis. I’m so over this prostate. I strongly believe that many of my problems are connected to topical & injectable testosterone therapy.

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1 reply
clandeboye1 | @clandeboye1 | Feb 3 10:07am

@monteshark I should have said " Google what your PROSTATE RADS Score means ?

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monteshark | @monteshark | Feb 3 10:15am
In reply to @clandeboye1 "@monteshark First " What is this test called ? There are numerous NEW ONES OUT THERE..." + (show)
@clandeboye1

@monteshark First " What is this test called ? There are numerous NEW ONES OUT THERE .
None can confirm you have any type of cancer . Only a Biopsy can .
Your MRI PI-RADS Score would typically indicate a low risk of cancer and no need for a Biopsy HOWEVER, FOLLOW YOUR UROLOGISTS ADVICE .
GOOGLE : WHAT DOES MY RADS SCORE MEAN .

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The urine test, called MyProstateScore 2.0, or MPS2, looks at 18 different genes linked to high-grade prostate cancer.

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jeffmarc | @jeffmarc | Feb 3 10:28am
In reply to @gmr60 "Can you share a link that sights that ''20 % of Pi Rads 3 are cancerous''..." + (show)
@gmr60

Can you share a link that sights that
''20 % of Pi Rads 3 are cancerous'' please.

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Do a search for Pirads 3 20%

Here’s one result. I’ve seen 21%.

Across a large regional collaborative, patients with PIRADs 3 lesions on mpMRI were noted to have clinically significant cancer in 20% of biopsies

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gmr60 | @gmr60 | Feb 3 11:58am
In reply to @monteshark "Non bacterial, mine is stress induced most often. I have had several infections as well. Since..." + (show)
@monteshark

Non bacterial, mine is stress induced most often. I have had several infections as well. Since age 52 (I’m 64 now) I’ve had these problems. BPH, UTIs, prostate infections, and prostatitis. I’m so over this prostate. I strongly believe that many of my problems are connected to topical & injectable testosterone therapy.

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I did TRT too but I dont think that it is the cause.
How was your non bacterial prostatitus treated ? and did said treatment clear it up ?
Im a stressful person too. My GP thought I had non bacterial prostatitis a few months ago when all this started, However, the ER Dr. and ultimately the Urologist didn't think so ...Im not so sure the Urologist and ER Dr are right.

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