U.S. doctors online nowAsk doctors free
Santa Clara, CA
A 28-year-old female asked:

My father-in-law had a recent ultrasound of prostate and psa test. his ultrasound showed enlarged prostate 104grams and psa 6.7. is biopsy needed?

2 doctor answers2 doctors weighed in
Dr. Ronald Holzman
Mammography, Breast Ultrasound 47 years experience
If first PSA-yes. : If there have been prior psas, biopsy determination will be made depending upon extent of increase. If first psa, biopsy is indicated. Biopsy is usually performed when psa is 4 or greater, or when serial increase is considered significant.
Dr. Michael Michaels
Urology 53 years experience
No: Short ans is no.Your fa-in-law's PSA density is 0.064(6.7 divided by 104)..We do biopsies if 0.15 or more assuming there are no suspicious nodules seen on u.sund or felt by digital exam. I am assuming that the 104 "grams" you refer to is "ccs" which is the volume on the sonogram.A 104 size prostate usually gives symptoms but I am sure this is addressed by his urologist.Hope this answ yr question

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership
Last updated Aug 11, 2014

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.