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

Cancer: Prostate Message Board

Time for another biopsy?

Post New Thread   Closed Thread
LinkBack Thread Tools Search this Thread
Old 08-23-2009, 08:02 AM   #1
Join Date: Apr 2003
Location: ELizabeth City NC USA
Posts: 68
KennyHR6 HB User
Time for another biopsy?

Have not been to this site in quite a while but it has always been helpful. I am very concerned with my PSA test. However maybe I am not being objective. My first PSA was at 52 and it was 4.6. My familty doctor sent me to a urologist and after retesting he scheduled me for a biopsy. The first biopsy found nothing. He immediately recomended a second biopsy. His results here were more worrysome as he indicated he found some precancerous cells. He continued to monitor my PSA and a year or so later he did a third biopsy. PSA was still around 5. This biopsy produced no results again. It is now some 10 years later and I am 66 years old. My doctor/urologist has monitered my PSA. It has slowly risen. He thinks I have BPH. I recently tried to get additional life insurance and was turned down because of a PSA test of 10.1. My urologist says it can vary with labs and his test shows it less than 10. Since it has taken about 15 years to double my PSA he seems to not be worried. However I am worried. I am thinking it is time for another Biopsy. Anyone seen a simular situation that justifies this testing? Thanks for any help!

Sponsors Lightbulb
Old 08-23-2009, 01:52 PM   #2
Join Date: Feb 2009
Location: USA
Posts: 9
Flygeeser HB User
Re: Time for another biopsy?

I have an earlier post on this board titled "One Man's Story" which lays out my experience dealing with BPH and subsequent PC. I've extracted the portion dealing with elevated PAS which may answer some of your questions.

"... I've been dealing with prostate issues for 16 years having my first biopsy in 1992 ...

...Over the next several years my DRE was always negative and my PSA ranged from 4.5 to 12.5. During this period I had three more biopsies with 8 to 18 cores - all negative. My prostate was very large and for about 2 years I was on Proscar and Flomax...

...Then in 2001 my PSA spiked to 18.5 and a fifth biospy was necessary. This one was a bit different. I was sedated and about 28 cores were taken concentrating in the transrethal area of the prostate. They too were negative...

Over the next few years I continued semiannual trips to urology for DRE and PSA tests. DRE still negative and PSA ranging from 9.8 to 12.5. I was in a gray zone. My urologist said that I could request a biospy if I wanted one, but the elevated PSA was most likely due to my enlarged prostate. The best course was to monitor the trend of PSA readings and do biospy if there was an uptick....

...Then in June 2008 my PSA reading was 9.8 (on proscar) which was a true value of 19.6. So on to a sixth biopsy. DRE was still negative. Cancer was detected in one of the 18 cores. Pathology report showed Gleason of 3+3 and T category of T1c. I then had a bone scan and CT scan to see if cancer had spread. Both were negative (and painless).

...He (urologist) said a normal prostate is about 25 grams. Mine was 119 grams and would be sent for pathelogical analysis. He later told me that the margins were clean and that no cancer was found. Evidently the biopsy was a lucky shot..."

As you can see I went several years with elevated PSA and no biopsies because the rate of increase of PSA was slow. It is important to continue monitoring PSA so a biopsy can be taken if the PSA rate increases significantly. After all the objective is to catch PC early to assure the best outcome.

If PC is detected in the future, you will have plenty of time to evaluate treatment options.

There is lots of help on this board. Best of luck to you.

Old 08-23-2009, 02:39 PM   #3
Join Date: Apr 2003
Location: ELizabeth City NC USA
Posts: 68
KennyHR6 HB User
Re: Time for another biopsy?

Thanks for your quick reply. I feel much better with the path my urologist is taking and will continue my regular 6 months visits with PSA and DRE to continue to monitor my situation. Thank again!

Old 08-24-2009, 09:13 AM   #4
Senior Veteran
Join Date: Jul 2007
Location: North Carolina
Posts: 575
daff HB User
Re: Time for another biopsy?

Originally Posted by KennyH View Post
... I am thinking it is time for another Biopsy. ...
I'd err on the side of caution and consider another biopsy. I might also want to see a different urologist to get another opinion-- perhaps you could start with that and see what he or she would recommend.

Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
skin biopsy result time bavarianwench Cancer: Skin 12 04-16-2009 08:10 AM
Please Help, Dr sent me for another thyroid ultrasound deirdre8256 Thyroid Disorders 2 03-12-2009 03:02 PM
Chronic Red Burning Scrotum oreo19 Men's Health 84 12-26-2008 06:39 PM
100 posts...time for an introduction !! mano2008 Addiction & Recovery 8 01-21-2008 11:24 AM
Getting close to the time clayduport Cancer: Prostate 75 04-04-2007 10:00 AM
Saw yet ANOTHER doc, guess what he told me...... enigmatics Thyroid Disorders 19 12-06-2006 08:04 AM
Lump.. time frame between tests needtoescape Cancer: Breast 3 09-26-2006 02:48 AM
Worried about lung mass DaveInVA Cancer: Lung 53 04-19-2006 10:46 AM
Another nodule question. mbmb1212 Thyroid Disorders 11 04-21-2005 11:24 AM

Thread Tools Search this Thread
Search this Thread:

Advanced Search

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

Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 09:08 AM.

Site owned and operated by HealthBoards.comô
© 1998-2018 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!