After thinking about
MSKCC's protocol over the weekend, I decided that I was not comfortable with the elimination of the confirmatory biopsy. I contacted the doctor directly after taking the weekend to think rationally and ensure that I approach him with reason and facts (and leave all emotion out of the phone call).
I presented the doctor with the protocols from other hospitals, and with some great help from Tall Allen, I referenced and questioned an article he had a hand in composing about
the elimination of confirmatory biopsies for specific patients. After a rational discussion we agreed to a confirmatory biopsy within three months from now as that is the protocol I am most comfortable with...
For those interested in MSKCC's procedures -- They are now classifying all AS patients in two groups: "Low-risk" and "very low risk." As I fall into the latter category, the doctor wanted to follow the newer protocol for this group.
In addition, he mentioned that although he will indeed perform the confirmatory biopsy, it won't be a true mpMRI-targeted biopsy because my MRI from June showed no distinct lesions and my current two G6 cancer cores are 1% and 3%, respectively.
Age 52 at Dx - 8/17 (5th biopsy); MSKCC - NYC
2/14 cores: Right base medial, G6 (3+3), 1%, 0.1mm; Right apex medial, G6 (3+3), 3%, 0.5mm
6/17, Pre-biopsy: Prostate MRI - PI-RADS 3 - hypointensity in peripheral zone; no dominant lesion or adenopathy
Prostate vol. = 43cc
PCA3 = 29
PSA at Dx: 6.19, fPSA = 23%
On MSKCC's Active Surveillance (AS) program
PSA, 2/18 -- 6.06
Post Edited (Hope4Happiness) : 2/27/2018 10:58:27 AM (GMT-7)