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Doctor insights on: A Psa 69 Is Biopsy Needed

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A psa 6.9 is biopsy needed?

A psa  6.9 is biopsy needed?

Maybe: While a psa level of 6.9 might suggest the need for a biopsy, factors such as a patients age, other medical conditions, life expectancy, previous psa values, the presence of lower urinary tract symptoms that might suggest prostate infection or inflammation, feel of the prostate on palpation, family history of prostate cancer and patient desire to have the biopsy all factor into this decision. ...Read more

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Dr. James Chapman
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Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


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High psa 9.0 biopsy negative .What now?

High psa 9.0 biopsy negative .What now?

Common situation: Everyone seems to agree that psa is not a "perfect" cancer screening test. If it was everyone with psa elevation would be found to have cancer upon biopy and that isnt the case. It is still the only way of selecting men for biopsy. Continue to have semi-anual psa tests. A second biopsy my be indicated at some future time if it continues to rise over time. ...Read more

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My psa is between 8 and 9 but biopsies are negative - why?

My psa is between 8 and 9 but biopsies are negative -  why?

That is what it's...: Clinical significance of psa can widely vary among individual men: high psa doesn't mean we always can find prostate cancer in biopsy; low psa doesn't guarantee no prostate cancer either. More detail on psa-related subjects? To http://formefirst.Com/freeinfoprostate.Html and http://formefirst.Com/newauapsa.Html ...Read more

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PSA reading was 8.6. If biopsy is negative, what might the next step be?

Here are some: The option may be: do nothing and watch, but do T/F PSA in 6 mo; repeat biopsy in 4-6 months. However, age, personal risk factors such as family Hx of prostate cancer (PCa), being blacks, & Agent Orange exposure.), PSA moving pattern over the years, DRE finding, etc. together play important role to decide what is the reasonable step. More detail? To http://formefirst.com/FreeInfoProstate.html. ...Read more

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Trying to decide if I should get another biopsy since my PSA went from 2.6 to 17.6?

Trying to decide if I should get another biopsy since my PSA went from 2.6 to 17.6?

See urologist: It would be prudent to consult a urologist so that you can explore all options. You need to ask yourself what will you do if it is cancer. Will you be willing to undergo surgery and/or radiation treatment. If you are not willing to do that, there is no need for biopsy. Going just by the numbers, a biopsy is warranted. ...Read more

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Psa 5.2 - 5.8 for 1yr. Three yrs ago psa 3.9 two biopsies -neg. Psa dropped to 3.1 later. Do i wait and see, or do another biopsy?

Probably wait...: Psa elevation with no prostate cancer found in 2 p-biopsies is nothing unusual at all. Finding no cancer doesn't guarantee no cancer. The described drastic drop in psa may suggest either being after antibiotic rx if prostatitis was sucpected and treated, or simply after taking 5-alpha reductase inhibitor such as Finasteride resulting in an expected drop by about 50%. So, continue dre and decide... ...Read more

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I am 54 and see that my psa has increased over the years from 1.7 in 2008 to currently 3.39. I've been advised to have a biopsy. Do you agree?

I am 54 and see that my psa has increased over the years from 1.7 in 2008 to currently 3.39. I've been advised to have a biopsy. Do you agree?

Yes: You are young enough to have this investigation to check for prostate cancer. Only about 25% of people with similar data have prostate cancer, but it would be prudent to undergo biopsy. I trust you told your doctor about your use of androgel. ...Read more

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What is the cutting edge of imaging in a high PSA differential? Pt refuses to have biopsy and PSA has been 10-12 over 7 years, but now has PSA 15.

What is the cutting edge of imaging in a  high PSA differential? Pt refuses to have biopsy and PSA has been 10-12 over 7 years, but now has PSA 15.

Can't force him: Patient seems to have been told hat a definite diag.can only be by biopsy.Imaging will not give definite diagnosis.Free & total PSA would help:High free PSA(above 25%) is usually BPH(enlarged benign prostate).Low freeP more favors cancer:below 15%,below 7% is v. likely cancer >If biopsy is negative for cancer but stays low or is lower,repeat Biopsy. PSA velocity is also a factor but space limited. ...Read more

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PSA 2014=0.6; PSA 2016=7.4; repeat 1 week later = 4.8 and free psa =4%; indicative of CaP ? or could there be other causes? next steps versus biopsy?

PSA 2014=0.6; PSA 2016=7.4; repeat 1 week later = 4.8 and free psa =4%; indicative of CaP ? or could there be other causes? next steps versus biopsy?

Biopsy is right...: Your clinical scenario as described urges urologists' mind to proceed with prostate ultrasound + biopsy unless being in extremely poor health. To learn and clear conflicting information on PSA and prostate cancer, please peruse articles as listed in http://formefirst.com/FreeInfoProstate.html; thereby you know to make right decision. More? Contact www.HealthTap.com/dr-Lin with RQPWJC to login... ...Read more

Dr. James Lin
258 doctors shared insights

Prostate Specific Antigen (Definition)

Psa is a protein made in the prostate gland that functions to liquefy sperm. It is a serine protease made by both normal and malignant prostate glands. Commonly used as a screening test for prostate cancer, the psa test is widely used to detect which men would benefit from a prostate biopsy as well as detect cancer recurrence in men who have been ...Read more