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prostate biopsy

Posted , 7 users are following.

john80670
john80670

Do i need a prostate biopsy to tell me if i have cnacer ? hospital said that's the only way to know.

0 likes, 66 replies

66 Replies

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  • ayman78787
    ayman78787 john80670

    Posted

    In my case, the doctor opted for an MRI to identify which part, if any, of the prostate is suspicious, then zoomed in with a biopsy.

    Biopsy was positive.

  • husni31313
    husni31313 john80670

    Posted

    If you want to be sure have rectal exams first  it wil give indication of possible cancer,

    then if the doc.advice you to have biopsy go for it ,but remamber TRUS biopsy dose not cover most of the prostate, the template biopsy covers more but it is not pleasant,

    • john80670
      john80670 husni31313

      Posted

      I have doc said can't feel sulcus of prostate and uneven that's why he sent me to hospital.

  • craig84609
    craig84609 john80670

    Posted

    That isn't really true. You can have a 3T MRI done and it will show if there is something to worry about or to biopsy. Don't be roped into a blind biopsy. I would insist on an MRI for myself, before ever going through a biopsy. Just my two cents.

    • leonard42141
      leonard42141 john80670

      Posted

      PSA checks are worthless so do not base your chances of having prostate cancer on a PSA check.   All men at some time in  their life will have prostate cancer, which is slow growing.    Doctors try to scare you into a quick treatment and are losing money when you say NO.   My dad had Prostate cancer for 10 years and did nothing and when pain in bones arrived the last year he took pain killer.  Lived to almost 90 years old.  I at  near 85, also do nothing for the cancer and it has not moved to any bones after 6 years. My youner brothers ,  one had died after he took radiation and hormone tratments for a very low grad prostate cancer, The raidiation caused him  to gain weight,over 40 pounds last year.Other borther had his prostate removed (also a low grade cancer) and now it has come back in other areas.  My doctor says to keep my weight at over 215 lbs so can hold off problems when I don't want to eat much.  

    • john80670
      john80670 leonard42141

      Posted

      I am 144 lbs not sure what i will do yet i know some do spread fast so will have to wait and see.
    • Roger2Dodger
      Roger2Dodger leonard42141

      Posted

      I disagree that PSA tests are worthless. The Prostate Specific Antigen PSA blood test together with the DRE is best for early detection of cancer in men. If PSA is suspected after a PSA test and a DRE , then futher steps needs to be taken to determine if ONE HAS  PCa and find out if cancer is present.. PSA tests is just a tool to detetct that cancer could be present. It does not tell you that you do have cancer. The test is not worthless my no means!

      Not all men will get prostate cancer, But THEY  are at risk for developing prostate cancer. (About one man in six will be diagnosed with prostate cancer during his lifetime.)

      It is true some prostate cancer is slow growing, but some are agressive and and will kill you!

      Every one is different, so you cannot just say do nothing when PSa is detected. Some will have non aggressive cancer, some will have agressive cancer. You can tell your story to others, but you cannot expect every one with PCa to be the same.

      We are not Doctors in here, we can give advice from our own experiences, share information etc...So, my advice is do your own research, and determine what best for you on an individual basis.

       

    • husni31313
      husni31313 Roger2Dodger

      Posted

      I agree with you it is important to determine what is going on in your prostate. The upnormal PSA is first indictation some thing is not right do your biopsy. Act upon results if it is none aggressive PC go for active surveillance like I did .

      .i

    • barney34567
      barney34567 craig84609

      Posted

      You are spot on!

      A biopsy should follow a 3T MRI because the MRI will, without any discomfort at all, indicate if there is anything to worry about.

      A good prostate specialising radiologist studying the MRI images will assign a PIRADS score to any area of suspicion. If your score is low eg 2 then don't bother with a biopsy, which should never be considered without understanding what can go wrong with it.

  • leonard42141
    leonard42141 john80670

    Posted

    My PSA was at 65 and at age79   I let a doctor confince me to get a Prostate biopsy.   Checked 12 cores and found cancer in one corner in4 cores.  Sent out for stage report.  Came back stage 4 and I cancelled any treatments as they wanted radiation and hormone treatments.   Doctors unhappy and did not see me again.  Today at age almost 85, 6 years later,  I have the Travis AFB doctors monitoring me on an annual basis.  No movement to bones and PSA is now 11  and said do not take any more PSA checks as it goes up and down with my large prostate.  I have self cath for over 20 years and if have infection the PSA goes up.    I take Keflex 500 if get infection and kills it in 24 hours.   Keep a supply of antibotics Keflex on hand
    • john80670
      john80670 leonard42141

      Posted

      My PSA test come back 3.4  doctor said he can't feel sulcus of prostate and it felt uneven

    • romneyj
      romneyj john80670

      Posted

      John, my thoughts are as follows for what they are worth:

      1. There is a strong indication that you have PCa (not to be able to feel the median sulcus differentiates PCa from benign hyperplasia as does unevenness)

      2. Your PSA is low, but that in itself means nothing

      3. A blind biopsy is crazy nowadays - even if you hve a sizeable tumour it can be missed.

      4. A 3T mpMRI should be the next step. It will confirm (or otherwise) the presence of a tumour; it will also stage it; it will form the template for a successful biopsy.

      5. If MRI confirms PCa you should have the biopsy (based on the MRI template) - this will give you a Gleason score and tell you how aggressive the cancer is (ie how fast to act or whether to watch and wait)

      6. Note that if you delay the MRI by a year or so and the cancer is alreasy growing out of the capsule (prostate) the delay may regrettably limit your options - it is worth getting the MRI done soon. The earlier you catch it, the more options you have.

    • leonard42141
      leonard42141 john80670

      Posted

      John,

          When doctors check my  prostate by feel they say it is fine.  Has grown all into the bladder.so check my bladder inside to check it.   The 12 cores began to bleed after 3 months so they went in the bladder and carterized them, no problems since over 5 yars.

    • john80670
      john80670 romneyj

      Posted

      I can't just ask for an MRI it's up to the hospital if i have one or not.

    • john80670
      john80670 romneyj

      Posted

      I can't just ask for an MRI it's up to the hospital if i have one or not.

    • romneyj
      romneyj john80670

      Posted

      No, you ask your GP for a second opinion and request that the second opinion is at a hospital that always first does mpMRI first (my hospital is Brighton and does that)
    • john80670
      john80670 romneyj

      Posted

      My GP is the one who sent me to the hospital but when i called they said when you first arrive you take a antibiotic tablet ready for when you have the biopsy
    • romneyj
      romneyj john80670

      Posted

      I understand that, but you can still go back to him and ask for a second opinion - the hospital/urologist you are seeing is the first opinion.
    • barney34567
      barney34567 leonard42141

      Posted

      Your decision making process in my opinion is perfect.

      The chance that at 79 a recently discovered potential prostate problem will lead to cancer and will be the reason you did is remote.

      A host of other ailments and circumstances will most likely get you before the cancer does. To subject a person say aged 75 or so to major treatment  is in my opinion, scandalous. As is some doctors' insistence on regular PSA checks for men who never exhibited prostatic problems.

      Keep well. You are doing what I believe the best doctors would recommend.

       

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