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Thread: Prostate Biopsy Tomorrow- PLEASE READ

  1. #1
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    Question Prostate Biopsy Tomorrow- PLEASE READ

    I am a 47 year old who 2 years ago had a normal PSA level. Just recently my PSA came back at 9.8. My medical doctor was very concerned that it had elevated so fast. I was sent to a urologist who performed a rectal exam. He said I was swollen on the right side and he was concerned because he felt something hard. My grandfather died of prostate cancer in his 50's. I have had no symptoms whatsoever of a sore prostate, trouble urinating or ejaculating, with the exception of urinating a little more than normal at night. i have had stomach pain from acid reflux (I think). More recently I have had bone pain....but I think it is probably arthritis (not sure). My question is this: When a hard nodule, mass or whatever you want to call it is felt by the doctor....is it most often prostate cancer or could it be benign? I am worried because of the family history of prostate cancer. Also, how long does it take to get biopsy results back?

  2. #2
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    While an elevated PSA, "something hard" on the DRE are certainly not encouraging, it doesn't necessarily mean you have PCa. PSA could be eleveated due to inflammation and what the doc felt could be calcification. The biopsy is the typical, next step. (Wish the color doppler were more readily available.)

    My husband's case (see recent thread "MRI/MRSI..") is somewhat different because his PSA has always been normal, but as you read more on the LINK DELETED PER FORUM POSTING POLICIES. PLEASE REVIEW AND COMPLY. THANK YOU. you'll surely find men with cases similar to yours. And you'll probably learn that you have many options, and that rarely is there a need to rush in making a decision.

    My DH is wimpy when it comes to medical procedures, and for him the biopsies were nothing. Of course, there are some risks but they are minimal with experienced urologists and generally healthy patients. I went along for his first one, but not for the next two after which, both times, he went to work in the afternoon.

    Hope you get good news after your biopsy, but if you don't, you'll find plenty of cyberbuddies here.
    Last edited by pbj11; 02-21-2011 at 12:47 AM.
    Husband's (Bob's) DRE in late 2008 at age 60: Elongated nodule, L side
    PSA: 1998, 2003, 2008, 2009, 2010, 4/11, 10/11 --- 0.4 0.4 0.5 0.6 0.4 0.5 0.6
    2009: 1/12, R lat apex, G6, 5%
    2010: no Gleason, R mid, HGPIN; R lat mid, atypical
    2011: 2/12, R lat apex, G6, 2% and R mid, G6 2%
    Prostate size: normal @ 25 g
    After Dr. Fred Lee's opinion in 11/2011, decided to stop annual biopsies unless there's a jump in PSA level. Will continue semiannual PSAs.

  3. #3
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    My last biopsy was collected on 12/13 and the pathologist dated his report on 12/15.
    Prepare for the worst and hope for the best. PCa is very treatable.

  4. #4
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    Hi bobbyo, - One of 4 Biopsies performed ONLY because of an elevated PSA reading, produce a Prostate Cancer (PCa) diagnosis. Adding a positive (abnormal) DRE (Digital Rectal Exam) increases that figure to about 50%. Depending on where it is done Biopsy results should be available in 2 to 7 days.

    Don't be surprised if you find blood in your urine and/or semen for some time following the Biopsy. IF it occurs, it can last from hours to weeks depending on the individual. Do not have another PSA for at least 6 weeks, to ensure that the Prostate has had time to heal, allowing for reliable results. Good luck with your procedure and its results. - John@newPCa.org (aka) az4peaks

    Quote Originally Posted by bobbyo View Post
    I am a 47 year old who 2 years ago had a normal PSA level. Just recently my PSA came back at 9.8. My medical doctor was very concerned that it had elevated so fast. I was sent to a urologist who performed a rectal exam. He said I was swollen on the right side and he was concerned because he felt something hard. My grandfather died of prostate cancer in his 50's. I have had no symptoms whatsoever of a sore prostate, trouble urinating or ejaculating, with the exception of urinating a little more than normal at night. i have had stomach pain from acid reflux (I think). More recently I have had bone pain....but I think it is probably arthritis (not sure). My question is this: When a hard nodule, mass or whatever you want to call it is felt by the doctor....is it most often prostate cancer or could it be benign? I am worried because of the family history of prostate cancer. Also, how long does it take to get biopsy results back?

  5. #5
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    While you are waiting for your biopsy results, (most big cities, 2 days) pick up a copy of Patrick Walsh's book, "Guide to surviving prostate Cancer", any bookstore or library..Hopefully, you will not need the information it contains, but with the information you posted, it won't won't hurt to get ahead of the learning curve..Good luck tomorrow...
    PSA at age 55: 3.5, DRE negative.
    65: 8.5, DRE " normal", biopsy, 12 core, negative...
    66 9.0 DRE "normal", BPH, (Proscar)
    67 4.5 DRE "normal" second biopsy, negative.
    67.5 5.6, DRE "normal" U-doc worried..
    age 68, 7.0, third biopsy (June 2010) positive for cancer in 4 cores, 2 cores Gleason 6, one core Gleason 7. one core Gleason 9. RALP on Sept. 3, 2010, Positive margin, post-op PSA. 0.9, SRT , HT. Feb.2011 PSA <0.1 Oct 2011 <0.1 Feb 2012 <0.01 Sept 2012 0.8 June 2013 1.1, Casodex added, PSA 0.04 10/2013. PSA 0.32 1/14. On 6/14 PSA 0.4, "T"-5. 10/14 PSA 0.6, T-11. 1/2015 PSA 0.106

  6. #6
    Senior User
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    Tell your doc you want an actual copy of the detailed report (in your hands). Has alot of information that you can learn from and others can maybe answer questions for you, when the information is known up front. This information is also useful plugging in numbers into nomograms and PCa models to compare on generalizations made about prognosis for successful surgery or other treatments.

    Cyber PCa Universities (lol): www.yananow.net www.prostate-help.org www.prostate-pointers.org
    "Youth is wasted on the Young"-W.C. Fields

  7. #7
    Experienced User
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    I Bobbyo,
    I didn't have any warning signs either. When my urologist checked my prostate he said the dreaded uh-oh. I was booked for a biopsy and my lab results came back within a week.
    The proceedure itself isn't all that bad, just remember to check your modesty at the door. When I had my biopsy I had a colonoscopy in the morning and the prostate biopsy early in the afternoon. This did lead to a rather embarrasing moment during the biopsy as I was still full of air from the earlier procedure.
    If the results do come back positive there are a variety of effective treatments. If you have a family history of PC ( I do as well) then you may want to act fairly quickly as opposed to watchful waiting. We're all with you.

  8. #8
    Experienced User eyetat's Avatar
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    South East WI
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    Welcome to the place no one wants to be.
    You are on the correct track with family history Just take it easy and look at all your options.
    Age 55
    PSA
    11/08-3
    12/09-3.5
    7/10-4.75
    8/1-4.6
    Gleason score 6
    lt lobe 2 of 5 C
    rt lobe 4 of 5 C
    tc2

  9. #9
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    good luck with your results. in my country, it takes 2-3 weeks to get a biopsy result back. its quite important that youll get it earlier. prostate cancer is a treatable cancer and you'll need to remain calm and fight it; as its what cancer hates. PSA 9.8 is not THAT high. My dad's PSA is 10 and the biopsy didnt show any cancer signs (yet..the docs told us its probable to early to find the cancer so he will need to go thru another biopsy in 3 months). But even if its cancer its usually only a surgery be positive

  10. #10
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    I got my biopsy results back on Friday. Not good news. I was diagnosed with Prostate cancer.....T2C. The pathology report was 4+3 in left lobe, 3+3 on right....which he says is a Gleason score of 7. 12 samples submitted. I went for a second opinion today to another urologist. He did another DRE, and read the pathology report and told me that it would probably end up being a Gleason score of 8 on the left side and 7 on the right. He said that they usually find out after surgery that the gleason scores are higher. I am being sent for bone scans, MRI. cat scans and to an oncologist. Does anyone know the chances that this has spread outside the prostate? He suggest the Divinci Robotic prostatectomy if this has not spread. Any advice welcome.

 

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