We need even better testings and assessments still in PCa...you could have PCa but missed biopsies that could miss detection even more than once, seen this happen in cases over the years on patients. You could combine the overall weight of these types of tests before getting a biopsy:
1) PCA-3 test (urine test method)
2) fpsa test (unbound psa antigens low percentages have high risk for PCa)
3) psa tests (psadt or psav) changes and your history (red flags on velocities)
4) ultrasound findings for size and psa density, what is your non-PCa psa #
5) color doppler ultrasound testings (can detect suspecious blood flow areas)
6) DRE (with 2nd opinions added by qualified docs)
7) CTC test (might not be worthy) circulating tumor cells specialized testings (new)
8) PCa sniffying dog (does exist-see inside of on line Newsletter from www.paactusa.org one of the past two issues had an article on the dog, approx. 90% detection rate)
9) (for likely advanced PCa in ones system) PAP, pyrilinks-D or similar testings, CGA, NSE, CEA, chemistry panel on kidney-liver-bone and electrolyte status, cbc (blood counts)
10) compare family history and risk factors probablities
Any other ideas could be added .....
Just throw out some ideas, kind of like talking about Shrimpin' in the Forest Gump movie and how many ways one can serve Shrimp. (humor intended...I live best w/humor).
That's all I have to say about that (lol). F.G.
Post Edited (zufus) : 5/17/2011 6:19:25 PM (GMT-6)