I'm having a prostate MRI at Duke next week, and I was told if the MRI indicates cancer, they still do a 12 core biopsy. I was surprised and asked why and was told that they didn't consider the MRI to be accurate enough on its own. Makes me wonder if they will still want to do a biopsy even if MRI is negative. Anyone else have a 12 core biopsy after MRI?
I think my current PSA was 7.1, but the % free PSA indicated a likelihood of less than 20% of cancer. I have about
15 years of PSA jumping around from a little over 5 to as high as 16. It tends to cluster around 6 - 6.5. The one consistency is that my free PSA always indicates about
20% probability of cancer regardless of how high or how low PSA is. The other thing I have going for me is current urologist did a very aggressive dre and couldn't find anything that indicated cancer. Five years ago, a urologist and pc doc both said they felt a firm spot on prostate. The current urologist did his best to find it and said he didn't feel any firm spot.
6/13/18 PSA 11.84. free psa 4.19, %fp 35.39
MRI - 1/14 Negative
PSA: 4.6 (6/2011), 6.6 (4/2012), 5.3 (8/2012), 5.2 (12/2012), 4.9 (6/2013), 6.0 (7/2013), 6.0 (9/2013), 4.6 (1/2014)
Free PSA: 7/2013 - 1.13, % Free 18.20%, Probability Cancer 17%
Free PSA 1/2014 - .98, % free 21.3%, Prob Cancer 10%
PCA3 6/2013 - 12, Probability of Cancer - Low
DRE: 2 out of 3 doctors identified small hard spot. 7/2
Post Edited (richh) : 10/3/2018 2:13:00 PM (GMT-6)