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Very High PSA, 6 biopsies What is this ?
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tyler
New User


Joined: 24 Sep 2008
Posts: 1

PostPosted: Thu Sep 25, 2008 9:18 am    Post subject: Re: Very High PSA, 6 biopsies Reply with quote

To Hawk and others:

There seems to be a very high # (from this and other forums) that show little or no signs of cancer on biopsy(ies) but path report from prostatectomy reveals advanced stage cancer.

Here's my experience:

PSA 2.5 2005
PSA 3.8 2006
PSA 5.9 2007 Had biopsy #1, 12 needles, with one suspicious sample; so had 2nd biopsy: clean
PSA 14 2008 Had 3rd biopsy; only 1 needle of 12 showed cancer, it a gleason 6
2 months later (9/15/0Cool has da Vinci robotic prostatectomy; path report shocked me: Gleason 8 all over my prostate and into 2 margins; surgeon (not from my original urology team that did biopsies) said this cancer, to be so aggressive, had to have been there at least as far back as 2007 when original biopsies performed.

I have no confidence in biopsies: 35 of 36 needles showed no cancer and the one showed a Gleason 6...yet 2 months later I have a Gleason 8 that consumes my prostate??? Beware: if PSA is increasing drastically, assume negative biopsies to be suspect!

That said, I go back in 8 weeks to have my PSA checked....hoping that cancer does not remain.
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brainman
Site Admin


Joined: 13 Oct 2005
Posts: 4214
Location: Tennessee

PostPosted: Thu Sep 25, 2008 11:38 am    Post subject: Re: Very High PSA, 6 biopsies Reply with quote

Tyler, I am sorry about your moderately aggressive Prostate Cancer. Biopsies for Prostate Cancer are, unfortunately, well know for false negatives (not showing cancer that is really there) and for giving false Gleason Scores. You are very right about PSA. It is not so much the raw number that matters but a trend.
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Jim
Site Administrator and long-term cancer survivor
1992 Astrocytoma grade 2, left motor strip
2005 Recurrence this time said to be an Oligodendoglioma grade 3, same location.
My Story Part 1: http://cancerforums.net/viewtopic.php?p=7350
My Story Part 2: http://cancerforums.net/viewtopic.php?t=8029
Blog http://jimhawkinsport.blogspot.com/
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chrisz
Regular


Joined: 09 Apr 2007
Posts: 42

PostPosted: Thu Sep 25, 2008 5:54 pm    Post subject: Re: hi urology doc here Reply with quote

[quote="goruck"]Hi,

I have patients just like you. Once I prove they dont have cancer, I focus agressively on prevention.

I can give you some ideas if you like.
feel free to email me at

george rucker[/quote]


What method do you do to "prove" you don't have cancer ?

Reading this forum, there is no proof you don't have cancer !

Chrisz
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brainman
Site Admin


Joined: 13 Oct 2005
Posts: 4214
Location: Tennessee

PostPosted: Fri Sep 26, 2008 1:53 pm    Post subject: Re: Very High PSA, 6 biopsies Reply with quote

Chrisz, goruck (the urologist) has not logged in to the forum for a very long time and Richard, the guy who started this thread has not logged in for even longer. I would not hold my breath on getting a response but many times when I send a reply like this I am proven wrong Laughing. If you would like to start a topic of your own about the possibility of proving or not that one has cancer, I suggest that you start a new topic Wink. This topic has already been hijacked enough Laughing.
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Jim
Site Administrator and long-term cancer survivor
1992 Astrocytoma grade 2, left motor strip
2005 Recurrence this time said to be an Oligodendoglioma grade 3, same location.
My Story Part 1: http://cancerforums.net/viewtopic.php?p=7350
My Story Part 2: http://cancerforums.net/viewtopic.php?t=8029
Blog http://jimhawkinsport.blogspot.com/
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camedia
New User


Joined: 18 Sep 2008
Posts: 3
Location: California

PostPosted: Thu Oct 09, 2008 1:28 pm    Post subject: Urologist arrested Reply with quote

The pepper-eating urologist got into some legal trouble back in March. Maybe that's why he hasn't been posting. Just google "George Bino Rucker restaurant arrest."
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brainman
Site Admin


Joined: 13 Oct 2005
Posts: 4214
Location: Tennessee

PostPosted: Thu Oct 09, 2008 11:29 pm    Post subject: Re: Very High PSA, 6 biopsies Reply with quote

WOW, camedia. Very interesting. It did happen around the time of his last post.
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Jim
Site Administrator and long-term cancer survivor
1992 Astrocytoma grade 2, left motor strip
2005 Recurrence this time said to be an Oligodendoglioma grade 3, same location.
My Story Part 1: http://cancerforums.net/viewtopic.php?p=7350
My Story Part 2: http://cancerforums.net/viewtopic.php?t=8029
Blog http://jimhawkinsport.blogspot.com/
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interval
Regular


Joined: 11 Apr 2008
Posts: 37

PostPosted: Fri Oct 10, 2008 1:39 am    Post subject: Re: Very High PSA, 6 biopsies Reply with quote

In a study published in the April issue of the journal Urology, a team of Jons Hopkins researchers introduces evidence in support of EPCA-2 testing as a more accurate way to identify cancer in the prostate. (EPCA-2 is a blood protein recently identified at Johns Hopkins). According to researchers, a blood test based on EPCA-2 may greatly improve urologists' ability to accurately detect prostate cancer early and minimize the number of false positives, therefore lowering the number of unnecessary biopsies.

Read more about this new prostate cancer blood test
http://www.prostate-report.org/__a_better_blood_test_for_prostate_cancer.php
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