7.1 PSA and negative byopsy what next

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jersey5
New Member


Date Joined Apr 2011
Total Posts : 1
   Posted 4/15/2011 7:33 PM (GMT -6)   
Hell,
Can some one help me understand I'm 45 years old my first  and only PSA is 7.1 had byopsy 12 samples all negative.
Doctor say s in six months another PSA what number should I expect.
Still feeling nervous and anxtious.
Thank You

davidg
Veteran Member


Date Joined Feb 2011
Total Posts : 4093
   Posted 4/15/2011 7:36 PM (GMT -6)   
be thrilled man! I wish I heard the word "negative" when my urologist called me.

We have a family friend with a PSA in the 18s who has been negative for years. Of course he has to keep checking but it's not inevitable that you'll he'll get it. And if he does, he will have delayed treatment anyway.

medved
Veteran Member


Date Joined Nov 2009
Total Posts : 1096
   Posted 4/15/2011 7:44 PM (GMT -6)   
Might try a PCA-3 test.  If your doctor doesn't know what that is, find another doctor.  What was your free psa? 
 
You might not have cancer.  But you are smart to be somewhat concerned -- that's not a normal psa score. 

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 4/15/2011 8:45 PM (GMT -6)   
Medved gave you the clues- the fPsa test (specialized testings), the PCA-3 urine testings, you could do color doppler ultra sound tests also, you could get a copy of the pathology and magnify the words...maybe it says HGPIN or PIN found...some docs do not mention that to patients...it is not PCa (yet)..but is a precursor. I have heard from patients whom were not told they had HGPIN by all knowing uro-doc (lol).

You also could have bph or even prostatitis, which he should know how to test for, but then again...you never know how immaculate the doc is.

www.marinurology.com  for all urinary issues and symptoms, PCa, etc..info.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25381
   Posted 4/15/2011 8:57 PM (GMT -6)   
Yes, the doctor should have tested you for any prostate area infections for starters.

It took 3 biopsies to find my cancer.

1st one, like you, 11 core, no cancer, but lots of PIN

A year later, 12 core, no cancer, but lots of HGPIN, and 2 suspicious shadow areas on the scan

6 weeks or so later, 7 core, 7/7 found with Gleason 7 cancer, up to 90% per core, and addtl. HGPIN

You may be dealing with an infection, easy enough to prove with the right meds, but if PSA stays that high, and its way high for your age for sure, another biopsy at some point might be due.

Good luck,

David in SC
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, 2/11 1.24, 4/11 3.81
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10
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