Re: Meaning of a "clear" biopsy
To be frank, your biopsy report, based on the information provided, means that no cancer was found in the cores taken thru the biopsy. On the other hand, an elevated PSA doesn't mean you have PCA.
If your physician hasn't told you, there are a number of reasons for elevated PSA and enlargement. One diagnosis may have been BHP.. or merely an enlarged prostate. Another reason may be prostatitis or an infection of the prostate. I am surprised your physician hasn't said this to you or perhaps you haven't shared your physician's comments on the board.
In any event, your pathology says no cancer was found, so be happy with the pathology report. If you're still concerned, then get another opinion.