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How many cores are reasonable?

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ES28567
ES28567

I have a PSA of 18.5. I insisted on having an MRI done before I would agree to a biopsy. The MRI came back showing two areas with a PI–RADS 5 (very likely cancer) One area with a PI-RADS 4 (very likely cancer), One area with restricted diffusion and abnormal signal One area with restricted diffusion and abnormal signal ADC. Originally, the urologist wanted to do a 12 core random biopsy ( this was before I insisted on the MRI) Now he wants to do two cores for each suspicious area PLUS the 12 core random biopsy.

My original plan was if there were no areas of concern, and I would not move forward with the biopsy. Unfortunately, there are several areas of concern based on the MRI. So, my next plan was to just have him do targeted biopsies only in the areas of concern.he said that the T3 MRI could have missed some areas that may contain cancer and so he wants to do 12 random cores plus two biopsies in each of the areas of concern. That's going to be 18 to 20 biopsy Cors!

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  • ES28567
    ES28567

    Posted

    Has anyone heard of 3D Prostatitis Treatment? It is done only in China. (That scares me). But sometimes conventional treatments (by European/ Western standards) such as acupuncture have proven over time to have merit. I can not put the website address on or it will get edited but if you search "3D Prostatitis Treatment" it will bring it up. The procedure is performed by two physicians. One is Dr. Song. I don't recall the other.
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