Posted 10/23/2017 8:34 PM (GMT -6)
Thanks to everyone for the very informative posts. I have been lurking since my latest PSA (10.5) a few weeks ago, but on this journey for several years.
High PSAs since 2013, but stable enough to make me comfortable with no treatment after extensive reading and research. I have no symptoms and am in very good health. Urologist told me about a new test (4k) on 12/2015. The 4K Score spooked me - 40% risk of high grade PCA. I got the Biopsy, which showed 4 positive cores, 20%, 10% and 2 < 5%, all G6. I chose Active Surveillance.
PSA continues to rise, and I have a fusion biopsy scheduled in 2 weeks.
Questions: My first biopsy had 12 cores, but I only got 6 scores. Is this unusual? It appears that the pathologist grouped them for scoring.
I will be getting a 3T MRI (new GE system - no endorectal coil) shortly. If the MRI is clear should I proceed with the fusion biopsy? My guess is yes, or this would not really be active surveillance. I think most treatment options would want to see a current biopsy, correct?
I did have significant pain on my first biopsy - last 3 cores felt like a taser. But I will do it again if I need to.
Thanks again to all of you.