Dr. Erik Castle and Dr. Scott Cheney discuss and answer questions about prostate cancer.
I have a very high PSA and symptoms consistent with BPH, and was told by my doctor that I should have a cancer biopsy, which was negative. I subsequently read that biopsy is not always indicated with high PSA. What is the current Best Practices standard regarding the use of PSA in determining treatment? What other causes might there be for high PSA? Thank you.
I had the same: PSA 11, then needle biopsy, negative. PSA kept rising, doubling in 18 months so went to MRI guided biopsy which showed lesions in hard to find places.
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Due to changes in the physicians' schedules, this Video Q&A will be rescheduled for next week. The new date is tentatively Oct. 2. Once confirmed, I will post it here. I apologize for any inconvenience this may have caused. FYI – @colleenyoung, @horace1818, @healthier, @vickiekay.
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@marko1, Mayo Clinic has 3 campuses in Arizona, Florida and Minnesota.
In this article about prostate cancer treatments that I sent to you https://www.mayoclinic.org/diseases-conditions/prostate-cancer/care-at-mayo-clinic/mac-20353097 Mayo Clinic describes advances in treatment in the section title "The latest treatment options".
What treatment options are you and your cancer team considering at this time? What would you like to know more about?
Hi @marko1. You can find Mayo Clinic clinical trials on this page: https://www.mayo.edu/research/clinical-trials.
@marko1 If you have questions about a specific study, please use the study contact listed at the bottom of the page describing that study.
If you have general questions regarding research at Mayo Clinic or would like assistance searching for clinical studies that match your interests, please contact our staff:
Non-cancer clinical studies questions
Phone: 800-664-4542 (toll-free). This number is answered from 8 a.m. to 5 p.m. CST, Monday through Friday.
Cancer-related clinical studies questions
Phone: 855-776-0015 (toll-free). This number is answered from 7 a.m. to 6 p.m. CST, Monday through Friday.
International patient clinical studies questions
Phone: 507-284-8884. This number is answered from 7:30 a.m. to 5 p.m. CST, Monday through Friday.
Email: intl.mcr@mayo.edu
Liked by Colleen Young, Connect Director
This Video Q&A has been rescheduled for Thursday, Oct. 3 at 1:30 CT. FYI @colleenyoung
Liked by Colleen Young, Connect Director, dandl48 Dave
I'm 71 years old and In May, my PSA numbers were PSA TOTAL-7.8, PSA FREE 0.5 and PSA % FREE was 6. Since I'm on MG of Finasteride it was explained to me that my PSA TOTAL is really 15.6. In July I had a needle Core Biopsy that showed HGPIN on both sides. Last week I again had my PSA ran with PSA TOTAL up to 8.4 that supposedly translates to 16.8, PSA FREE remained at 0.5 and PSA % FREE remained at 6. My father and one of my grandparents both died on Prostate Cancer, father at 90, grandfather unknown age. My questions are as follows.
Is it normal to only take 4 biopsies from each side?
What would you suggest for my next steps, closely monitor my PSA, another Needle Core Biopsy, a MRI guided Biopsy or something else? Thanking you in advance.
Dave
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@vickiekay
Does my husband's risk at 55 years of age increase for prostate cancer since 1) his father had stage 4 prostate cancer at age 76 and 2) his grandfather died from prostate cancer at age 54? Currently his PSA is in the middle range of normal. Thank you in advance for the information.
Liked by Colleen Young, Connect Director, Audrey Laine Seymour