It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Cancer: Prostate Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 05-17-2007, 09:58 AM   #1
Newbie
(male)
 
Join Date: May 2007
Location: Sacramento
Posts: 1
ehelp HB User
Questions/Concerns Prior to Biopsy

I am scheduled to have Prostate Cancer Biopsy on 05/24/07. However, I had some concerns and I am hoping someone (perferrably a urologist) can assist in me making an informed decision.

Here is a brief history of events up till now:
My vital statistics and hx are as follows: Age: 38; Sex: Male; Ht: 5' 5"; Wt: 162 lbs; Father: recently passed away at the age of 73 2ndry Prostate Cancer which got metastasized and as a result he had bone cancer as well; Mother: has diabetes and previously has had benign tumor removed; Older Brother: Healthy; Race: Asian-Indian.
On 04/23/07 as part of routine check-up had blood test done and the results indicated PSA level of 3.5, subsequent to this at the request of my doctor had lab work done for FreePSA on 05/04/07, and results were as follows: PSA level: 3.68 and based on some some chart scoring had a value of 8 indicative that I probably have a 24% chance of having prostate cancer. The normal range is 0-2.5

Visited Urologist on 05/16/07 and was advised PSA level of 3.68 is not much relevant unless the Free PSA value was between 4 to 10. The urologist also showed me a chart stating for Asians even though 38 is not an age group on the chart as it begins from 40, the normal value range is 0-2. A Digital Rectum Exam was conducted and I was advised it felt normal; however; the Urologist still recommended a Biopsy.

My concerns are:
1) Would you agree with the conclusion to proceed with a biopsy? Or should I wait for 7-8 weeks and get another blood PSA lab test done and then proceed for Biopsy if needed. Will the wait of 7-8 weeks detriorate my condition (that is only if I have one) and is better spent in getting the biopsy out of the way right now than later.
2) Since I am having my biopsy at a young age of 38, will it impact the prostate in terms of scar tissue formation that subsequent biopsy attempts may be harder?
3) Does the prostate regenerate tissue following a biopsy?
4) Any complications or signs I should be prepared for or be on the look out for post biopsy.
5) How long does it take to heal from the biopsy and what to avoid during the healing period?
6) If biopsy is negative - what kind of future follow-up would be prduent course of action?

Given the above I would just like an independent opinion of another doctor from this forum. I am just slightly hesitant to get myself sliced and diced if it is not necessary. Of course, I do believe in prevention and pro-active approach, and I do understand the tissue sample is microscopic in nature.

I thank you in advance for your assistance and look forward to your feedback.
Sincerely, Concerned Patient

 
Sponsors Lightbulb
   
Old 05-17-2007, 01:19 PM   #2
Inactive
(male)
 
Join Date: Apr 2005
Location: The Sonoran Desert
Posts: 209
All_Sevens HB User
Re: Questions/Concerns Prior to Biopsy

So far, I haven't met any urologists on this forum. Have you thought about going to a research center for a second opinion?

 
Old 05-17-2007, 03:58 PM   #3
Junior Member
(male)
 
Join Date: Mar 2007
Location: NY
Posts: 38
verdi HB User
Re: Questions/Concerns Prior to Biopsy

I believe that given your family history and your PSAs, which are higher than would be anticipated for your young age, most urologists would probably agree with your urologist that a prostate biopsy should be performed.

 
Old 05-18-2007, 02:08 PM   #4
Member
(male)
 
Join Date: May 2007
Location: CA, USA
Posts: 80
jj1963 HB User
Re: Questions/Concerns Prior to Biopsy

Quote:
Originally Posted by ehelp View Post
I am scheduled to have Prostate Cancer Biopsy on 05/24/07. However, I had some concerns and I am hoping someone (perferrably a urologist) can assist in me making an informed decision.

Here is a brief history of events up till now:
My vital statistics and hx are as follows: Age: 38; Sex: Male; Ht: 5' 5"; Wt: 162 lbs; Father: recently passed away at the age of 73 2ndry Prostate Cancer which got metastasized and as a result he had bone cancer as well; Mother: has diabetes and previously has had benign tumor removed; Older Brother: Healthy; Race: Asian-Indian.
On 04/23/07 as part of routine check-up had blood test done and the results indicated PSA level of 3.5, subsequent to this at the request of my doctor had lab work done for FreePSA on 05/04/07, and results were as follows: PSA level: 3.68 and based on some some chart scoring had a value of 8 indicative that I probably have a 24% chance of having prostate cancer. The normal range is 0-2.5

Visited Urologist on 05/16/07 and was advised PSA level of 3.68 is not much relevant unless the Free PSA value was between 4 to 10. The urologist also showed me a chart stating for Asians even though 38 is not an age group on the chart as it begins from 40, the normal value range is 0-2. A Digital Rectum Exam was conducted and I was advised it felt normal; however; the Urologist still recommended a Biopsy.

My concerns are:
1) Would you agree with the conclusion to proceed with a biopsy? Or should I wait for 7-8 weeks and get another blood PSA lab test done and then proceed for Biopsy if needed. Will the wait of 7-8 weeks detriorate my condition (that is only if I have one) and is better spent in getting the biopsy out of the way right now than later.
2) Since I am having my biopsy at a young age of 38, will it impact the prostate in terms of scar tissue formation that subsequent biopsy attempts may be harder?
3) Does the prostate regenerate tissue following a biopsy?
4) Any complications or signs I should be prepared for or be on the look out for post biopsy.
5) How long does it take to heal from the biopsy and what to avoid during the healing period?
6) If biopsy is negative - what kind of future follow-up would be prduent course of action?

Given the above I would just like an independent opinion of another doctor from this forum. I am just slightly hesitant to get myself sliced and diced if it is not necessary. Of course, I do believe in prevention and pro-active approach, and I do understand the tissue sample is microscopic in nature.

I thank you in advance for your assistance and look forward to your feedback.
Sincerely, Concerned Patient
Heres what i think:
1) clinically; get a bioposy: mentally; you need to be ready to hear an answer. remember, they take multiple core samples primarily depending upon the volume of the prostate. i had a very small prostate so they only had to stick me 6 times. i have heard of many men giving up 25 plus cores....yikes.
2) no, scar tissue will not prohibit future biopsies.
3) the prostate does not 'regenerate' tissue but it may enlarge. it will seal but you will have blood in your semen for about a month (depends how often you ejaculate).
4) blood in your semen for a while but it does clear up.
5) see above. and nothing to avoid.
6) thats for your doc and you to decide. i had two positive cores with only 1mm cancer in each. WAY WAY early stage. my psa was only 1.45. they recommended a follow up biopsy at 12 months. needless to say, i got a second opinion. the second uro advised removal. i decided to have it removed now at age 43 rather than later (say 55).
__________________
laparoscopic RP at UCSF, Mar 29, 07. T2c, 3+3, neg margins, neg lymph nodes, catheter out Apr 10, 07.

 
Old 05-20-2007, 02:14 PM   #5
Inactive
(male)
 
Join Date: Apr 2007
Location: Virginia
Posts: 139
CRS907 HB User
Re: Questions/Concerns Prior to Biopsy

i'm with jj regarding his point number 1. if a positive biopsy would solidify your thinking and change your course of action, certiainly have one. [like most of theother stuff in this arena, dreading the biopsy is much worse than the biopsy itself. my doc prescribed one sedative pill for me.] if you would still wait even if you see the type of positive result that has been reported here, the decision is tougher.

before my biposy, i had pretty much decided that if the results were postive in any way or degree, i'd move out with treatment. i guess like many others here, my biopsy was sort of minimally positive: just seven cores, one of which was i think 2% or 7% or something, gelason 3+3. once you have a biopsy, second opinions are -- in my case -- second examinations of the original slides. no one suggested a second immediate biopsy. also, i got the advic that there's no point in waiting a while and taking a second biopsy.

thoughtout my journey, i inferred that regarding additional testing the idea is that if additional results won't change your course of action or alleviate your concern, . . .

i was also very fortunate in having a foward thinking GP. he has in the past treated me for many conditions that were affecting my quality of life, conditions that he could have easily told me to grin and bear. after i told him that worring about my slightly elevated PSA was bothering me, he said that further [after 3 in six months] PSA tests would likely not alleviate my worry, and he'd send me to a urologist to discuss a biopsy if i wanted. well, the rest is history. PS: i'm no longer worried about an elevated PSA -- but i am waiting for my six week PSA now. :-)

 
Old 05-26-2007, 07:53 PM   #6
Junior Member
(female)
 
Join Date: Jun 2005
Posts: 19
Pitszal HB User
Re: Questions/Concerns Prior to Biopsy

Quote:
Originally Posted by CRS907 View Post
i'm with jj regarding his point number 1. if a positive biopsy would solidify your thinking and change your course of action, certiainly have one. [like most of theother stuff in this arena, dreading the biopsy is much worse than the biopsy itself. my doc prescribed one sedative pill for me.] if you would still wait even if you see the type of positive result that has been reported here, the decision is tougher.

before my biposy, i had pretty much decided that if the results were postive in any way or degree, i'd move out with treatment. i guess like many others here, my biopsy was sort of minimally positive: just seven cores, one of which was i think 2% or 7% or something, gelason 3+3. once you have a biopsy, second opinions are -- in my case -- second examinations of the original slides. no one suggested a second immediate biopsy. also, i got the advic that there's no point in waiting a while and taking a second biopsy.

thoughtout my journey, i inferred that regarding additional testing the idea is that if additional results won't change your course of action or alleviate your concern, . . .

i was also very fortunate in having a foward thinking GP. he has in the past treated me for many conditions that were affecting my quality of life, conditions that he could have easily told me to grin and bear. after i told him that worring about my slightly elevated PSA was bothering me, he said that further [after 3 in six months] PSA tests would likely not alleviate my worry, and he'd send me to a urologist to discuss a biopsy if i wanted. well, the rest is history. PS: i'm no longer worried about an elevated PSA -- but i am waiting for my six week PSA now. :-)

In my opinion, it is better to be safe than sorry. My advice to you would be to take the biopsy. If you have any concerns the best way to deal with it, would be to discuss it with your Doctor. Good luck!

 
Old 06-07-2007, 02:45 AM   #7
Newbie
(male)
 
Join Date: Jun 2007
Location: Perth, WA, Australia
Posts: 2
sand_groper80 HB User
Re: Questions/Concerns Prior to Biopsy

Here is a short chronicle of PSA - Biopsy story - 53 years old
1) PSA 3 in Dec 06
2) PSA 6.5 in Apr 07 with free to total ratio of 8% (oops!)
3) Visit Urologist - DRE (finger up bum) showed slight firmness on one side - "must have biopsy and ultrasound"
4) Biopsy and Ultrasound on May 10, 07 under mild anesthetic - remember nothing! No pain! 12 total samples taken - prostate vol 40cc.
5) Ultrasound showed nothing suspicious
6) Biopsy did not prove existence of Pc - hey!! All readings etc consistent with prolonged inflamation of the prostate. 5-10% chance of false negative means follow up PSA at 6 and 12 months and follow up visit to urologist at 12 months.
7) After biopsy .....
a) Some dull pain 1 on the 1-10 scale - persisted for 2 weeks
b) Blood and clots in urine ...persisted for a few hours only
c) Red then brown the black semen - still persisting after 3 weeks, but obviously this is just dead blood that will eventually clear up.
d) I was scared to do a first ejaculation after the biopsy - as someone on the Internet said it hurt like hell for 15 minutes after. I waited 3 days before the first "jack-off" and no pain whatsoever. (I preferred this to possibly stressing the wife)

8) Comment - The urologist generally gave me the impression - perhaps unwittingly - that there was a very high chance of Pc given the PSA increase and Free ratio. In fact it was probably about 30% and no more than 50%. I worried a bit more than I needed as did my wife.

I post the above because it might comfort others with these types of readings to know that Pc is not inevitable. Also the post biopsy symptoms may be helpful in case questions of what is normal arise. I know I had questions and who really wants to call the doc over every little thing.

BC

Last edited by sand_groper80; 06-07-2007 at 02:50 AM. Reason: typo

 
Old 06-07-2007, 02:51 AM   #8
Newbie
(male)
 
Join Date: Jun 2007
Location: Perth, WA, Australia
Posts: 2
sand_groper80 HB User
Re: Questions/Concerns Prior to Biopsy

Here is a short chronicle of PSA - Biopsy story - 53 years old
1) PSA 3 in Dec 06
2) PSA 6.5 in Apr 07 with free to total ratio of 8% (oops!)
3) Visit Urologist - DRE (finger up ther bum) showed slight firmness on one side - "must have biopsy and ultrasound"
4) Biopsy and Ultrasound on May 10, 07 under mild anesthetic - remember nothing! No pain! 12 total samples taken - prostate vol 40cc.
5) Ultrasound showed nothing suspicious
6) Biopsy did not prove existence of Pc - hey!! All readings etc consistent with prolonged inflamation of the prostate. 5-10% chance of false negative means follow up PSA at 6 and 12 montsh and follow up visit to urologist at 12 months.
7) After biopsy .....
a) Some dull pain 1 on the 1-10 scale - persisted for 2 weeks
b) Blood and clots in urine ...persisted for a few hours only
c) Red then brown the black semen - still persisting after 3 weeks, but obviously this is just dead blood that will eventually clear up.
d) I was scared to do a first ejaculation after the biopsy - as someone on the internet said it hurt like hell for 15 minutes after. I waited 3 days before the first "jack-off" and no pain whatsoever. (I prefered this to possibly stressing the wife)

8) Comment - The urologist generally gave me the impression that there was a very high chance of Pc given the PSA increase and Free ratio. In fact it was probably about 30% and no more than 50%. I worried a bit more than I needed as did my wife.

I post the above because it might comfort others with these types of readings to know that Pc is not inevitable. Also the post biopsy symptoms may be helpful in case questions of what is normal arise. I know I had questions and who really wants to call the doc over every little thing.

BC

 
Old 06-07-2007, 08:02 AM   #9
Inactive
(male)
 
Join Date: Feb 2007
Location: Memphis, Tn, USA
Posts: 146
Flyfisher HB User
Re: Questions/Concerns Prior to Biopsy

Very similar history to yours, with slightly less velocity increase in PSA. PSA prior to second biopsy had fallen .4 and Free PSA was 35%, both indicating a negative biopsy probably to come. I was a false negative, with cancer. Now seven weeks post-surgery with robot, continent, and with six weeks PSA being undetectable.
This is not meant to suggest you will eventually be found to have PC, but is to say that if that unwanted finding should occur, it will have been identified early. With your young age, you should do even better than I at age 65, though the surgical outcome is never certain until the results are in. What I'm trying to communicate is that no one can tell you not to be concerned, but that your prognosis is good whether you develop PC or not. Most folks who do well probably don't hang around here that much after they improve, so there is a select group that primarily posts. For example, there is some question in my mind about posting as I debate the positive of being encouraging others vs. the negative of being seen as different from most who post or, even worse, someone flaunting their recovery. Any comments from others about reactions are welcome.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
AGUS/AGC pap results - questions about ECC & endometrial biopsy angel4747 Cancer: Cervical & Ovarian 38 04-11-2012 11:21 AM
PSA Concerns rondoggy Cancer: Prostate 3 04-19-2010 08:59 AM
Husband Just Diagnosed: Questions, Questions mediamom Cancer: Prostate 16 07-21-2007 01:44 PM
dad has been diagnosed, i have questions! moth Cancer: Prostate 3 01-04-2007 04:57 PM
consult questions.. dlock Cancer: Lung 4 08-23-2006 10:36 AM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Casodex
Cialis
Cipro
Flomax
Levaquin
  Levitra
Morphine
Proscar
Tylenol
Viagra




TOP THANKED CONTRIBUTORS



Tall Allen (174), IADT3since2000 (148), Baptista (97), Gleason9 (28), harpman (27), Johnt1 (22), honda50 (9), tumbleweed (6), flyfisher37 (6), bharlan (5)

Site Wide Totals

teteri66 (1180), MSJayhawk (1013), Apollo123 (909), Titchou (857), janewhite1 (823), Gabriel (763), ladybud (755), midwest1 (671), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 05:21 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!