Biopsy in week

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

New Member

Date Joined Jun 2009
Total Posts : 8
   Posted 6/7/2009 8:48 PM (GMT -6)   
New to the forum.  I am 45 and went to the urologist for increased frequency in urination and  somewhat week stream. Had PSA of 0.8 in 8/07, 0.9 4/09 and 0.9 in 6/09.  DRE showed a small lump in the right apex.  Transrectal untrasound revealed nothing.  Prostate was just slightly larger than normal, unremarkable. Urologist waited a month, did another DRE and now has me going for na biopsy in a week.  Can lumps revealed in DRE's be benign? Was feeling good about my low PSA until I read some of the cases on this forum.

Veteran Member

Date Joined May 2009
Total Posts : 2692
   Posted 6/7/2009 9:00 PM (GMT -6)   
I had a lump on my prostate for 2 years. Biposied it in 2006, anf showed no cancer, but some pre-cancerous cells. Biopsies are like sticking a needle in a haystack, and hoping you hit the tumor, blindly.

Last March 2009, I had a another biopsy and they found an agressive cancer. PSA is not an exact indicator either. It seems that rate of change is as important as the actual number itself, Your numbers sure do look good tho.

Even if the biopsy comes back good, hopefully you will continue to watch this. You are having some kind of symptoms, but most of us didn't have any symptoms.

Good luck, and keep in touch !
Age 58
PSA 4.47
Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09
Nerves spared
0/23 lymph nodes involved
pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks due to anatomical issues with location of ureters with respect to bladder neck.
Try 3 tubes where no tubes are supposed to be for 2 weeks !
Neg Margins, bladder neck negative
Thankful for early diagnosis, and U.S. healthcare
Living the Good Life, cancer free
6 week PSA undetectable. 

Regular Member

Date Joined Apr 2009
Total Posts : 55
   Posted 6/7/2009 10:48 PM (GMT -6)   
bates: good luck with the biopsy - as I posted on Friday (June 5), my biopsy was not nearly the ordeal I had anticipated. I think it helped greatly that I took one hydrocodone an hour before the procedure and also took a 5 mg. valium as I entered the clinic. The lidocaine shots were not painful at all - and the needle biopsies were absolutely painless. If I were you, I would verify with my uro that pain management is planned and also see if a prescription for lortab or hydrocone as well as valium can be prescribed.
Current age 50
Married - 4 children, 2 grandchildren
General health good - meds for hypertension; mitral valve prolapse (no meds)
No known family history of PCa
PSA 10/2005 = 1.2 (free testing site)
PSA 10/2006 = 1.22 (urologist)
PSA 12/2007 = 1.68 (urologist)
PSA 08/2008 = 1.5 (family doc)
PSA 12/2008 = 1.93 (urologist)
PSA 04/2009 = 2.9 (family doc - routine physical)
PSA 04/2009 = 3.4 (family doc sent in to different lab)
PSA 05/13/09 = 3.17 (urologist)
%fPSA 04/2009 = 15% (family doc)
4 DREs over the years - all unremarkable

New Member

Date Joined Jun 2009
Total Posts : 8
   Posted 6/8/2009 4:47 AM (GMT -6)   
Thanks OK boy.   Will call to ask about the pain management.  I am much more woried about the results than any pain.

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4848
   Posted 6/8/2009 5:28 AM (GMT -6)   
Finding lumps/nodules with a PSA of 1.3 is what started my journey. I was told the lumps could be a build up of calcium but that only the biopsy could telll for sure. Hope you get more lucky then I did..

Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
10/03/08 - 1st Quarter PSA -> less then .01
01/16/09 - 2nd Quarter PSA -> less then .01
xx/xx/xx   - 3rd Quater skipped
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.

Veteran Member

Date Joined Feb 2008
Total Posts : 655
   Posted 6/8/2009 9:31 AM (GMT -6)   
Greetings, Bates.  I also recommend taking something as you get ready for the biopsy.  I wouldn't say it was nothing but it was easily manageable.  I hope you don't have PCa but if you do I trust they will find it - some guys go several biopsies before they find anything.  We'll trust you'll get a good result.  Keep us posted. David

Age 55
Diagnosed Dec 2007 during annual routine physical
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 positive with 2 marginal
Gleason 3 + 3 = 6
RRP 4 Feb 08
Both nerves spared
Good pathology - no margins - all encapsulated - Gleason 4 + 3 = 7
Catheter out Feb 13 - wore pad for couple of days - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me

Regular Member

Date Joined May 2007
Total Posts : 338
   Posted 6/8/2009 11:44 AM (GMT -6)   
Goodlife hit it right on the money.  The rate of change of your psa is probably the best indicator of what is happening.  I went from a PSA of 1 to 4.5 a year later.  A biopsy found only one "precancerous" sample.  Due to serious health issues with elderly parents I waited about four months to have the surgery, which was my choice of treatment because I simply didn't want to worry about it in the future.  Pathology report, according to the doc, showed "really bad" cancer throughout the prostate.  He told me later that chemo or radiation wouldn't have done the job and I would have had 4-5 years.  All PSA's since surgery have been undetectable.  Have that lab work done guys and if they recommend a biopsy the very slight pain is nothing compared to the risk you are taking without it.  If any cancer at all is found, someone may advise you not to do anything about it, which is like telling a woman that she is just barely pregnant. 

New Member

Date Joined May 2009
Total Posts : 6
   Posted 6/8/2009 2:20 PM (GMT -6)   
found that the biopsy wasn't a problem, but I have an aversion to needles so that I had them do the same kind of twilight procedure as they do to check your colin.  I also had no symptoms, a PSA less than 4.0 but a Gleason of 8.  It was caught early and am 7 weeks out with a post-operation PSA of 0.014.  My doctor didn't like the velocity of the rise of my PSA and that's what saved me.  Make sure that you are your own advocate, it's also one of the few diseases where everyone asks your decision, surgery, watching, radiation, etc.  Good luck.

New Member

Date Joined Apr 2009
Total Posts : 13
   Posted 6/8/2009 8:35 PM (GMT -6)   
Good luck with your biopsy.  I had mine just a little over a week ago.  I had a 10mg valium prior to the biopsy, then the shots of lidocane.  It really wasn't that bad, just a little uncomfortable and awkward.  My dr. was great through it, he showed me on the screen what he was looking at.  I go for my results this Thursday and I'm nervous but ready to get the answer no matter what it is. 
Age:  49
PSA 4/08:  1.7
PSA 3/09:  3.6
PSA 4/09:  6.0
Anxiously awaiting biopsy results on 6/11

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 6/8/2009 9:46 PM (GMT -6)   
Good luck on your upcoming biopsy, bates, I had 3 of them, and thinking about it is worse than doing it.
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 5/9 .10 doubled in 3 months, new test in six weeks, then possibly off for salvage radiation

DS Can
Regular Member

Date Joined May 2009
Total Posts : 195
   Posted 6/8/2009 10:49 PM (GMT -6)   

Welcome bates,

Everyone's symptoms and numbers are different.  I hope that you are one of the many guys that never has to experience prostate cancer. 

Just a question - Is there any history of PCa in your family?


PSA 01/07 was 1.2, PSA 01/08 was 1.9, PSA 01/09 was 2.5.
BIOPSY 02/24/09, adenocarcinoma DX at age 52
 Right:GS 3+3=6, tumor 3/6 cores, 10% involvement,PNI-Yes
 Left: GS 3+3=6, tumor 1/7 cores, <5% involvement,PNI-No
LARP 04/09/09,nerve sparing. Final pathology:
 GS 3+4=7, Margins uninvolved, 2 lymph nodes negative.
Catheter removed on 04/17. First no-pad day was 05/03.
ED treatment is 25 mg Viagra nightly.
First followup PSA results on 05/28/09: <0.1,undetectable!

New Member

Date Joined Jun 2009
Total Posts : 8
   Posted 6/9/2009 12:06 AM (GMT -6)   
DS  No history of PC in my family.  Daddied at 65 from other causes.  Mom died at 58 from Multiple Myloma cancer.

Regular Member

Date Joined Jun 2009
Total Posts : 292
   Posted 6/10/2009 5:25 PM (GMT -6)   
The time between meeting my urologist and a biopsy was about 10 minutes. He had PSA scores from my internist so all he did was grab a feel <g>, and off we went to the other room. Afterwords, I went to work. With the exception of trying to limp in the middle it was fairly straight forward without much anxiety. I was fairly sure I had PC so, now that the issue is in doubt, the wait for the next PSA result is a bit harder on the psyche.
Diagnosed at 54
PSA 8.7
Biopsy 1/7/09
4 of 6 cores positive, one at 90%
Gleason 3+4=7
Neg bone scan 1/15/09
One shot Lupron Depot 1/27/09
Tax Season
RP 4/29/09
Neg lymph nodes, postive seminal vesicle, neg margins
Gleason 3+4=7 with tertiary 5
Catheter out at 2 weeks no nighttime incontinence
Pad free week 5
PSA 6/6/09 <0.1

Regular Member

Date Joined May 2007
Total Posts : 338
   Posted 6/10/2009 7:30 PM (GMT -6)   
STW, They tell me that anything less than .1 is considered undetectable and you are doing great with the incontinence issue.  Congratulations.  Another life saved by giving the doc a few dops of blood.  Anyone reading this already knows this, but I tell anyone that will listen for a second.  Get that lab work done and, over age 50, twice a year if you can.  And also a colonoscopy every other year.  I laugh at the doc when he says "Ok.  You're good for ten years."

Veteran Member

Date Joined Dec 2008
Total Posts : 3149
   Posted 6/10/2009 8:01 PM (GMT -6)   
Bates, ask your uro-doc to send the biopsies to one of the experts (reknown types): Bostwick, Oppenheimer, Epstein so as to get the best rendering of what is your pathology to its highest level of accuracy, it is an art form. Check out Bostwicklaboratories (google) and read about pathology on his site or the other guys, sites. One of those also shows photos of the 18 variant types of PCa, it is far more complex than most people realize, after you see the photos you might understand the differences: PCa-variants, plodity tests=(aneuploid, diploid, tetraploid-?), gleasons scorings(3+4 vs. 4+3), perinureal invasion, low or high grade PIN, and more.
Knowledge is power and can only help you comprehend this new twilight zone.

(hey the lumps could go either way, you will find PCa lacks definitiveness big time)

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 6/10/2009 10:02 PM (GMT -6)   
Hey, lets not get ahead of ourselves. Given your stats there is a real good chance that the biopsy won't find anything. In that case you can just go away with a memory about your month of worry.

We are always happy to reach out to new members but we are even happier when someone is disqualified from membership!
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3 + 4 = 7
CAT scan 1/09 negative, Bone scan 1/09 negative

Robotic surgery 03/03/09 Catheter Removed 03/08/09
Post surgical pathology report. Lymph nodes negative, Seminal vesicles negative
Surgical margins positive, Capsular penetration extensive Gleason 4 + 3 = 7
At 6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.

New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, September 20, 2018 11:14 PM (GMT -6)
There are a total of 3,005,327 posts in 329,217 threads.
View Active Threads

Who's Online
This forum has 161771 registered members. Please welcome our newest member, Sandy1222.
270 Guest(s), 5 Registered Member(s) are currently online.  Details
logoslidat, paul_t, Sandy1222, Saipan Paradise, mufjem