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  • Results from my Seventh Prostate Biopsy

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    Old 04-07-2021, 01:50 PM   #1
    ASAdvocate
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    Results from my Seventh Prostate Biopsy

    Last Friday I had biopsy number seven as part of my twelve years in Johns Hopkins’ Active Surveillance program. This biopsy was different, as I requested the imaging be done in real time using the ExactVu micro-ultrasound. After nine previous MRI’s with gadolinium contrast, I didn’t want any more of those chemicals. The cores were taken with the Precision Point transperineal access system, under local anesthesia. No antibiotics necessary.

    Just got the report on MyChart. No cancer found. Twelve systematic cores plus two identified as targets by the micro-ultrasound PRIMUS software (similar to PIRADS). One core had HGPIN, but that is a non-concerning typical finding for me.

    I have had Gleason(3+3)=6 cores found on several previous biopsies. But, subsequent negative biopsies are apparently common for men on AS.

    For a prostate cancer patient, I am very fortunate. My wish is for all of you to see encouraging results in your future.

     
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    Old 04-07-2021, 03:14 PM   #2
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    Re: Results from my Seventh Prostate Biopsy

    Congratulations now, and keep those grand reports coming!

    Jim

     
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    Old 04-09-2021, 10:27 AM   #3
    DaveinMaryland
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    Re: Results from my Seventh Prostate Biopsy

    You are the poster person for AS.

    I was not a candidate for active surveillance. Even if I was, I'm not sure I would have opted for it. I don't think I have the personality to accept living with a disease that can be removed.

    It takes a certain personality to be able to accept living with cancer in your body. It also takes an understanding that active surveillance is ACTIVE. Regular PSA checks (no big deal) and annual or every other year biopsies (bit of a deal - it is an invasive procedure). It is not a forget about it and ignore it treatment with zero after affects.

    I've seen you warn guys that active surveillance is ACTIVE.

    Keep up the good work in informing folks about it and exactly what it involves.
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    Old 04-09-2021, 11:41 AM   #4
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    Re: Results from my Seventh Prostate Biopsy

    Quote:
    Originally Posted by DaveinMaryland View Post
    You are the poster person for AS.

    I was not a candidate for active surveillance. Even if I was, I'm not sure I would have opted for it. I don't think I have the personality to accept living with a disease that can be removed.

    It takes a certain personality to be able to accept living with cancer in your body. It also takes an understanding that active surveillance is ACTIVE. Regular PSA checks (no big deal) and annual or every other year biopsies (bit of a deal - it is an invasive procedure). It is not a forget about it and ignore it treatment with zero after affects.

    I've seen you warn guys that active surveillance is ACTIVE.

    Keep up the good work in informing folks about it and exactly what it involves.
    Thanks, Dave,

    I have been with groups of long time AS men in various Zoom sessions. When some of them say that they haven’t seen a doctor in years, have Gleason 7, and rely on diet and supplements to protect them, I have to take a deep breath and shake my head.

    They boast that they are on AS, but not to my thinking 🤔

    The living with cancer part is not hard for me, but I realize that some just can’t be at peace, or sleep at night, thinking about it. I have actually told a few like that to request surgery, if that is what will calm them. No sense living in a mental Hell.

     
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    Old 04-10-2021, 06:26 PM   #5
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    Re: Results from my Seventh Prostate Biopsy

    Congratulations on another good result, ASA. May this trend continue on forever more.

    Chuck

     
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    Old 04-23-2021, 01:31 PM   #6
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    Re: Results from my Seventh Prostate Biopsy

    Not knocking what your are doing. I'm probably there and do not know it but 7 biopsies. Looks like it would be easier to just take the damn thing out or zap it and forget about it.

     
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    Old 04-23-2021, 04:46 PM   #7
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    Re: Results from my Seventh Prostate Biopsy

    Quote:
    Originally Posted by coupe35 View Post
    Not knocking what your are doing. I'm probably there and do not know it but 7 biopsies. Looks like it would be easier to just take the damn thing out or zap it and forget about it.
    No way. I have participated in many forums over many years. The tales of woe from men who are suffering with serious quality of life issues have convinced me to never consider treatment unless there is a significant change in my pathology.

     
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    Old 04-24-2021, 02:05 AM   #8
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    Re: Results from my Seventh Prostate Biopsy

    I understand what Coupe is saying, but I have to agree with you ASA. You are a prime example of why AS is a viable option in so many cases.

     
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    Old 04-24-2021, 04:44 AM   #9
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    Re: Results from my Seventh Prostate Biopsy

    Quote:
    Originally Posted by HighlanderCFH View Post
    I understand what Coupe is saying, but I have to agree with you ASA. You are a prime example of why AS is a viable option in so many cases.
    Thanks, Chuck.

     
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    Old 04-25-2021, 12:24 AM   #10
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    Re: Results from my Seventh Prostate Biopsy

    Quote:
    Originally Posted by ASAdvocate View Post
    Thanks, Chuck.
    You're welcome, my friend.

     
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    Old 04-25-2021, 09:45 AM   #11
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    Re: Results from my Seventh Prostate Biopsy

    The 6 previous biopsies removed the cancer.

     
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    Old 04-25-2021, 10:14 AM   #12
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    Re: Results from my Seventh Prostate Biopsy

    Insanus, while subsequent negative biopsies are not uncommon with AS men, your suggestion is possible, at least in theory.

    I maintain a list of PCa treatments (34 entries) that I paste in some discussions. Maybe “needle surgery” is a possible addition😀

     
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    Old 04-26-2021, 03:10 AM   #13
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    Re: Results from my Seventh Prostate Biopsy

    Quote:
    Originally Posted by ASAdvocate View Post
    Insanus, while subsequent negative biopsies are not uncommon with AS men, your suggestion is possible, at least in theory.

    I maintain a list of PCa treatments (34 entries) that I paste in some discussions. Maybe “needle surgery” is a possible addition😀
    I did have that 90 core saturation biopsy about 2 years ago for my third biopsy. There was someone that suggested needle surgery as one possible way to remove the prostate completely. The 4th one finally found my cancer and I'm cancer-free for now.

     
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    Old 04-26-2021, 12:08 PM   #14
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    Re: Results from my Seventh Prostate Biopsy

    I wonder if there is some truth in this. Not that the biopsies removed the cancer but that inflammatory effects of the biopsy caused a significant increase in antibodies and white blood cells in the prostate that may have reduced the amount of cancer in the gland. Any thoughts on this?
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    Old 04-26-2021, 12:17 PM   #15
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    Re: Results from my Seventh Prostate Biopsy

    Quote:
    Originally Posted by guitarhunter View Post
    I did have that 90 core saturation biopsy about 2 years ago for my third biopsy. There was someone that suggested needle surgery as one possible way to remove the prostate completely. The 4th one finally found my cancer and I'm cancer-free for now.
    90 times. Is that a misprint. I cannot imagine laying on the table and being stab 90 times. Were you awake.

     
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