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PSA 12 after 12 year of prostate removal

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tanios57343
tanios57343

My father had a prostate removal from 12 years. After peeing problem he did a PSA test and the score is 11.94 . the doctor suggeestt an MRI and the score was pirads 4 in the region in contact with.vesicul seminal and pirads 3 in 3 other regions. After that we did a transrectal biopsy echo guided and the result shows no cancer. The doctor is confused and he gave him antibiotic and to redo the psa test after 6 weeks .is that good for now? What do you ssuggest ? Im freaking out do we have to do anytging else?

0 likes, 5 replies

5 Replies

  • Davey22
    Davey22 tanios57343

    Posted

    HE SHOULD OF HAD A 3T MUTI-PARAMETRIC MRI before the biopsy. Then use this MRI along with a biopsy.

    I would also recommend a Axumin PET Scan, this will see if any prostate cancer cells have spread to any other parts of the body

  • barney34567
    barney34567 tanios57343

    Posted

    Davey is correct. He should have a 3T MRI which should be used in conjunction with an ultrasound to guide the biopsy to those areas wheee cancer is believed to be. I had such a MRI and the biopsy needles targeted the suspicious areas. If a biopsy is not guided by the MRI and infrasound then the urologist is NOT targeting the suspected areas.

    i suggest you find another urologist who ideally automatically recommend such a MRI and biopsy. I also suggest a transperennial biopsy and not the usual trans rectal biopsy as the former has a. U have lower risk of infection.

    as for a scan, Davey mentions an Axium PET scan. I can also suggest a PSMA PET CT scan whi I have had a few and are very reliable in identifying the cancer.

  • tanios57343
    tanios57343

    Posted

    please can anyone help me replying ?? more suggsetion...
    • richard98806
      richard98806 tanios57343

      Posted

      Previous comments suggested a few options.

      For myself I am in the process of a PET Scan with axumen in 2 weeks. Tuesdays scan was cancelled because of the hurricane.

    • Davey22
      Davey22 richard98806

      Posted

      Richard,

      Could you let me know the results. I'll probably need a Axumin PET scan after I get a 3T multi-parametric MRI followed by a biopsy.

      I had HIFU treatment 2 1/2 years ago. The whole gland was treated but, I believe some must have been missed. My PSA is starting to rise. It's now at 5.3.

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