Here’s IIS’s initial post. It includes much of the information you’ve requested. He also has reported that his most recent DRE was normal.
I thought I had lucked out on this, but now my urologist is suggesting a biopsy based on my recent PSA.
DATE PSA LAB
02/18/16 3.1 SLU Lab
05/05/16 2.1 SLU Lab
11/01/16 3.0 SLU Lab
06/27/17 3.4 Doc Lab
10/17/17 5.7 Doc Lab
10/26/17 3.1 Quest
11/17/17 3.4 Quest *
11/17/17 4.2 Doc Lab *
02/23/18 5.4 Doc Lab # Eosinophils= 13.2 (high)
02/28/18 3.5 Quest # Eosinophils= 5.8 (normal)
Notice the results from the Lab at the Doc's office are always higher. (???) Esp the two tests performed on the same day with results of 3.4 vs 4.2.
CBC on 02/23 also showed a high Eosinophils which can be an indicator for cancer (from what I read -- doc did not emphasize this) but was normal level in Quest Lab test 5 days later.
The nurse who called did not indicate what type of biopsy the doc was recommending, but I see there are two types -- transrectal and transperineal.
Some months ago I notice blood in my semen and was prescribed an antibiotic for prostatitis. No further indication at this time.
I'd appreciate your advice as to whether it is time for a biopsy (or a 2nd opinion), and the (dis)advantages of each type.
Also, I'm not thrilled with this particular doc and I'm near St Louis, so I have many many choices and would appreciate referrals if you give your doc high marks.
Age 60 at dx
Dx July 2017 after biopsy G8 (4+4), 5/13 cores, bone scan clear
RARP Aug 11, 2017 (Dr Patel)
Post surgery pathology: pT3a, tumor 30% of gland; EPE+, SV- and 3 lymph nodes clear
PSA 1/2016, 2.9; 4/2017, 7.2; 9/2017 (first post-RARP), 0.13; 10/2017, <0.05, 1/9/2018, 0.09, 1/31/2018, 0.10, 2/9/2018, <0.05(!?), 2/23/2018, 0.08.