Prostate 4Kscore TEST

That is a relatively good 4K score.

Have you had a 3T parametric MRI done ? If not, that is what should be done next before rushing into having a random biopsy. Make sure it is done at a top notch teaching institution so you can have a radiologist experienced in reading prostate MRI's render an evaluation. If they see something of signicance you would then want a targeted fusion biopsy of the lesion along with random cores taken of other areas.

Don't rush into anything before you have knowledge of all your options.

Hope this helps and good luck.

4Kscore test isn't available as far as I know in the UK. I asked for it and got 3 out of the 4 tests done with a result of 9.5 - which I thought was very positive. However although my psa was only 8.8 an MRI showed lesions across half of my prostate and a Biopsy showed the Gleason pattern to be 4 + 4. Three months after that I had a RARP and the removed prostate analysis showed the presence of Gleason Grade 5+4 tumour of 26mm dia. Fortunately no cancer in the lymph nodes, seminal vesicles, or anterior fat. If I were you I would have a Biopsy - (Transperineal Template to avoid infection.) I had two in the past three years with considerable after effects with the first which was 55 cores (I have not heard of anyone else having that many cores taken) but I think that it was simply the number of cores that was the problem. The second Biopsy with 13 cores was a breeze, with no after effects.

David, You PSA does not sound too bad, though, your PSA history is flopping back and forth, maybe a sign of prostatitus. Anyway, I had similar issues(my psa all upwards...too quickly) and had a mpMRI done, which cleared me of any lesions and meaningful cancer. So, my uro guy backed off a biopsy. Until some one can see lesions, it is a stab in the dark, with many risks with it. My suggestion, if you can aford it, get an mpMRI.

Geoff