It seems shortsighted to take cores from only the MRI-identifed target area(s).
You've taken the antibiotic, you're on the table, the doc is there with all the equipment and specimen cups, one end of his magic wand in hand, the other end ... you know where. Does anyone have a train to catch?
Your doc might see other areas that look suspicious on the US screen ("random" cores aren't really entirely random). PCa is a heterogeneous, mutifocal disease. It's fairly common to have lesions with differing Gleason scores. Your MRI lesion(s) may not be the worst. A random core may hit a higher-grade lesion too small to be revealed by the MRI.
I've seen signatures of Forum Brothers whose PIRADS lesions resulted negative but whose random cores found even high-grade cancer.
Most of the studies I've seen advise adding the standard cores to the MRI targets. If you like, I can post links.
Dr. Epstein will have nothing to review unless the cores find cancer.
If the target cores come back negative or low-grade cancer, won't you wonder what cores in other zones might have found?
IMO logic tells you this is a no-brainer, and to discuss this with your doc beforehand.
Post Edited (DjinTonic) : 1/11/2020 2:23:48 PM (GMT-7)