Looking for Opinions regarding high PSA biobsy etc.

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

Kimo_ie_Jim
New Member


Date Joined Apr 2011
Total Posts : 1
   Posted 4/26/2011 8:49 AM (GMT -6)   
I am a 63 year old man in good health. I exercise daily using a combination of walking, biking yoga and light weights. I eat a very health diet and people tell me I look as if I am years younger, Dr's have said the same. I am of average weight. I started monitoring my psa years ago and it has slowly risen over time. My prostate is swollen and I urinate slowly particularly at night. I have been taking a saw pawmento complex for years. Dr's have not felt anything abnormal besides the swelling on palpation. I have an active sex life which I enjoy.

Recent PSa
03/29/2011 Total 17.2 NG/ML no free done **
02/20/2006 Total 12.5 MG/ML Free 2.10 % Free PSA 17% lab results state about 20% chance of cancer*
9/21/2010 Total 13.3NG/ML Free 3.23 NG/ML % free 24% lab results state about 16% chance of cancer*

*Test Performed by: Beckman/Coulter access Chemilumineescent Assay
**Test performed by: Siemens Centaur Chemi luminescent Assay

I had a biopsy of the prostate in June of 2005
12 samples were taken
3 sites showed Benign prostate Tissue
2 sites showed Benign prostate tissue, with rare involuted glands
1 site showed Benign prostate tissue, showing focal involutional change
2 sites showed Benign prostate tissue showing prominent involutional change
1 site showed benign chronically inflamed prostate tissue
1 site showed benign prostate & hypertrophied stroma
1 site showed benign prostate & stromal tissue
1 site showed Focal high-grade prostatic intraepithelial neoplasia (HGPIN)

As a result of the recent psa total 17.2 NG/ML my Urologist is recommending another biopsies with 18 samples taken. He also stated that there is about a 35% chance that I have cancer but if it comes up negative he wants to put me on Avodent administered once a week.

I am wondering what if any of you would offer any suggestions or advice, I thank you in advance for you assistance.

BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 4/26/2011 8:52 AM (GMT -6)   
PCa is not some that you want to take lightly. With a 17.2 PSA and the HGPIN in 2005, I would take your drs recommendation and have the biopsy.
Dx PCa Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4) - 8 cores, 4 positive, 30% of all 4 cores.
Robotic RP March 2009
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes - tumor volume 9%, nerves spared, no negitive side effects.
PSA's < .01, .01, .07, .28, .50. ADT 3 5/10. IMRT 7/10.
PSA's post HT .01, < .01

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4848
   Posted 4/26/2011 10:55 AM (GMT -6)   

Welcome to the site and sorry you have to be here..

I agree that another biopsy would be a good thing at this point.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/26/2011 11:53 AM (GMT -6)   
Hello and welcome Jim,

I fully agree with the others, and would undergo a more extensive biopsy. The prescense of HGPIN before, can be a precursor to turning into cancer cells. This is what happened with me, and it took 3 biopsies to confirm the cancer.

Good luck and please keep us posted


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

Newporter
Regular Member


Date Joined Sep 2010
Total Posts : 225
   Posted 4/26/2011 1:04 PM (GMT -6)   
My situation:

2000: PSA=2+

2002: PSA= 4+, biopsy negative

Another negative biopsy in between.

2009: PSA=8.4, biopsy=some atypia (PIN), urologist said 40% chance PC, wanted another biopsy. I decided to wait a year

2010: PSA=10.7, biopsy=cancer+inflammation+atypia(PIN). chose robotic surgery, pathology: worst than what biopsy indicated.

In all cases, urologist started me with antibiotics (did not reduce PSA) then biopsy.

My opinion:

You should seek additional diagnostic/treatment options.
65 Dx June-2010 PSA: 10.7, biopsy: Adenocarcinoma, 1 core Gleason 6, 3 cores atypia; Clinical stage T2; CT, Bone Scan, MRI all negative

8-23-10 Robotic RP; Pathology: Organ confined, negative margins, Lymph nodes, Seminal Vesicle clear; PNI present; multiple Adenocarcinoma sites Gleason 3+3 with tertiary Gleason 4+. Stage: pT2,N0,Mx,R0

Catheter out 8-30-10 no incontinence, no ED. 3/2011 PSA: <.1
New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, September 20, 2018 11:10 AM (GMT -6)
There are a total of 3,005,088 posts in 329,197 threads.
View Active Threads


Who's Online
This forum has 161762 registered members. Please welcome our newest member, TruthSeekerSam.
300 Guest(s), 14 Registered Member(s) are currently online.  Details
SoMuchFun, snappy2000, suppwife, Rainy cloud, GoBucks, compiler, sebreg, Lymie24, Casey_LB, Fairwind, InTheShop, garyi, Woodduck12, suchatravesty