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Thread: What I Need to Know About About Prostate Biopsy

  1. #1
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    What I Need to Know About About Prostate Biopsy

    Did not find a post about "What I Wish I Knew About Prostate Biopsies" before I had one. If there is one, can anyone direct me to it. If not, would anyone care to provide comments?

  2. #2
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    Quote Originally Posted by glr3 View Post
    Did not find a post about "What I Wish I Knew About Prostate Biopsies" before I had one. If there is one, can anyone direct me to it. If not, would anyone care to provide comments?
    I knew all about them by researching them carefully, so it was just about what I expected.

    It was somewhat painful, somewhat degrading and annoyed me with a little bleeding and little pains for about six weeks.

    But once you have established (preferably with a state of the art MRI) that you need one......there is no choice. You "Just Do It."

    One can only hope that better options will come along soon.
    I will resume more active participation when the bellicose forum culture improves.

  3. #3
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    Thanks for your input! I appreciate it.

  4. #4
    Quote Originally Posted by glr3 View Post
    Did not find a post about "What I Wish I Knew About Prostate Biopsies" before I had one. If there is one, can anyone direct me to it. If not, would anyone care to provide comments?
    My biopsy was painless. First one did not detect anything, the second one six months later did...

    It did feel weird when the needle(?) was pushed up there but since I had nerve blockers it didn't hurt at all. For some reason during my two biopsy visits the Dr had the most beautiful assistants that day... It was almost like he planned it

    The urine may have blood for the next week or so, the semen definitely will.

    The "standard" biopsy is 12 "cores". There are different types of biopsies, such as a "saturation biopsy" and a "guided biopsy", which can be used if the PSA level continues to rise to hopefully detect if there's cancer cells... I believe these "special" biopsies are usually used for people on AS or where the PSA continues to rise.

    There's also a limit to the number of biopsies one can have (3 or 4 I believe) before the scar tissue becomes an issue
    Last edited by ddayglo; 04-10-2014 at 07:38 PM.
    BD: 1959 PSA 4.9 11/2012 (no symptoms)
    Biopsy 12/2012 Negative
    PSA 5.9 05/2013 (still no symptoms)
    Biopsy 6/2013 3+4 (thank goodness for PSA tests)
    1 core positive (upper left), 1 suspicious (lower left) out of 12
    DRE: bump right side T1c; PCA-III = 20 (normal)

    Da Vinci 7/18/2013: Invasive carcinoma involves left lobe of prostate only, extends from left apex to posterior mid region of left lobe Gleason 7/10 (4+3); G4 tumor comprises 75% of invasive carcinoma present
    Estimated total volume of carcinoma in entire prostate gland: 10%
    TNM: T2b NX MX (Stage IIA)

    8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA undetectable
    3/19: .1 (damn), 4/19,6/29 retests: .1 (damn)


    My Story:
    T-Minus-36-Hours-until-da-Vinci...
    Catheter is Out!

  5. #5
    Moderator Top User HighlanderCFH's Avatar
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    What I Wish I Knew About Prostate Biopsy

    Hard to believe we did not have a sticky for this topic before.
    But we do now.
    July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA 9/ 2011 = 5.7.
    Local uro DRE revealed significant BPH, no lumps.
    PCa Dx Aug. 2011 age of 61.
    Biopsy DXd adenocarcinoma in 3/20 cores (one 5%, two 20%). T2C.
    Gleason 3+3=6. CT abdomen, bone scan negative.
    DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
    Surgeon was Dr. Matthew Tollefson, who I highly recommend.
    Final pathology shows tumor confined to prostate.
    5 lymph nodes, seminal vesicules, extraprostatic soft tissue all negative.
    1.0 x 0.6 x 0.6 cm mass involving right posterior inferior, right posterior apex & left
    mid posterior prostate. Right posterior apex margin involved by tumor over 0.2 cm length,
    doctor says this is insignificant.
    Prostate 98 grams, tumor 2 grams.
    Catheter out in 7 days. No incontinence, minor dripping for a few weeks.
    Seven annual post-op exams 2012 through 2018: PSA <0.1
    Semi-firm erections without "training wheels," usable erections with 100mg Sildenafil.
    NOTE: ED caused by BPH, not the surgery.

  6. #6
    Moderator Top User HighlanderCFH's Avatar
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    Good point, glr3,

    I never noticed that we did not have such a sticky. So I created one a few moments ago. I'll probably transfer these posts to that one and let the conversation -- and information for those interested -- develop.

    Thanks,
    Chuck
    July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA 9/ 2011 = 5.7.
    Local uro DRE revealed significant BPH, no lumps.
    PCa Dx Aug. 2011 age of 61.
    Biopsy DXd adenocarcinoma in 3/20 cores (one 5%, two 20%). T2C.
    Gleason 3+3=6. CT abdomen, bone scan negative.
    DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
    Surgeon was Dr. Matthew Tollefson, who I highly recommend.
    Final pathology shows tumor confined to prostate.
    5 lymph nodes, seminal vesicules, extraprostatic soft tissue all negative.
    1.0 x 0.6 x 0.6 cm mass involving right posterior inferior, right posterior apex & left
    mid posterior prostate. Right posterior apex margin involved by tumor over 0.2 cm length,
    doctor says this is insignificant.
    Prostate 98 grams, tumor 2 grams.
    Catheter out in 7 days. No incontinence, minor dripping for a few weeks.
    Seven annual post-op exams 2012 through 2018: PSA <0.1
    Semi-firm erections without "training wheels," usable erections with 100mg Sildenafil.
    NOTE: ED caused by BPH, not the surgery.

  7. #7
    Moderator Top User HighlanderCFH's Avatar
    Join Date
    Nov 2011
    Posts
    7,206
    Okay, now it's a sticky. I'll close out the original thread and we can do our replies to this one.
    July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA 9/ 2011 = 5.7.
    Local uro DRE revealed significant BPH, no lumps.
    PCa Dx Aug. 2011 age of 61.
    Biopsy DXd adenocarcinoma in 3/20 cores (one 5%, two 20%). T2C.
    Gleason 3+3=6. CT abdomen, bone scan negative.
    DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
    Surgeon was Dr. Matthew Tollefson, who I highly recommend.
    Final pathology shows tumor confined to prostate.
    5 lymph nodes, seminal vesicules, extraprostatic soft tissue all negative.
    1.0 x 0.6 x 0.6 cm mass involving right posterior inferior, right posterior apex & left
    mid posterior prostate. Right posterior apex margin involved by tumor over 0.2 cm length,
    doctor says this is insignificant.
    Prostate 98 grams, tumor 2 grams.
    Catheter out in 7 days. No incontinence, minor dripping for a few weeks.
    Seven annual post-op exams 2012 through 2018: PSA <0.1
    Semi-firm erections without "training wheels," usable erections with 100mg Sildenafil.
    NOTE: ED caused by BPH, not the surgery.

  8. #8
    Interesting thread here about possible alternatives to biopsies: http://www.cancerforums.net/threads/...Determining-PC
    BD: 1959 PSA 4.9 11/2012 (no symptoms)
    Biopsy 12/2012 Negative
    PSA 5.9 05/2013 (still no symptoms)
    Biopsy 6/2013 3+4 (thank goodness for PSA tests)
    1 core positive (upper left), 1 suspicious (lower left) out of 12
    DRE: bump right side T1c; PCA-III = 20 (normal)

    Da Vinci 7/18/2013: Invasive carcinoma involves left lobe of prostate only, extends from left apex to posterior mid region of left lobe Gleason 7/10 (4+3); G4 tumor comprises 75% of invasive carcinoma present
    Estimated total volume of carcinoma in entire prostate gland: 10%
    TNM: T2b NX MX (Stage IIA)

    8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA undetectable
    3/19: .1 (damn), 4/19,6/29 retests: .1 (damn)


    My Story:
    T-Minus-36-Hours-until-da-Vinci...
    Catheter is Out!

  9. #9
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    Interesting article from Bloomberg.

    http://www.bloomberg.com/news/2013-0...-concerns.html

    Clip from the article:

    “Given the recent spike in infection complications after prostate biopsy, the ideal method to diagnose prostate cancer must be pondered,” Matthew Gettman, professor of urology at the Mayo Graduate School of Medicine in Rochester, Minnesota, wrote in an editorial in the journal European Urology last May. “Despite local anesthetics, the whole procedure is barbaric, and it is surprising that the issue of infection has not come to light years ago.”
    I will resume more active participation when the bellicose forum culture improves.

  10. #10
    Quote Originally Posted by Walnut View Post
    Interesting article from Bloomberg.

    http://www.bloomberg.com/news/2013-0...-concerns.html

    Clip from the article:

    “Given the recent spike in infection complications after prostate biopsy, the ideal method to diagnose prostate cancer must be pondered,” Matthew Gettman, professor of urology at the Mayo Graduate School of Medicine in Rochester, Minnesota, wrote in an editorial in the journal European Urology last May. “Despite local anesthetics, the whole procedure is barbaric, and it is surprising that the issue of infection has not come to light years ago.”
    Knowing what I do now (hindsight is always 20-20), knowing that...
    • Biopsies do have a risk, such as infections
    • You can't have an infinite number of biopsies without issues such as scarring
    • Biopsies can miss PCa
    • Biopsies may catch PCa but miss the higher Gleason Grade


    Until an MRI is found to be as accurate or more accurate than a biopsy, biopsies are the "Gold Standard" and will continue to be used. Therefore, I would do my best to ensure that each biopsy has the best chance being accurate. Therefore, I'm wondering if one should always have an MRI Guided/Targeted biopsy instead of a "blind", 12-core standard biopsy...

    For example, see this article:
    http://www.nwhroboticsurgery.org/def...lay/news_id,10. (This was my surgeon, who I do recommend. He did not do my biopsies)
    Last edited by ddayglo; 04-13-2014 at 11:11 PM.
    BD: 1959 PSA 4.9 11/2012 (no symptoms)
    Biopsy 12/2012 Negative
    PSA 5.9 05/2013 (still no symptoms)
    Biopsy 6/2013 3+4 (thank goodness for PSA tests)
    1 core positive (upper left), 1 suspicious (lower left) out of 12
    DRE: bump right side T1c; PCA-III = 20 (normal)

    Da Vinci 7/18/2013: Invasive carcinoma involves left lobe of prostate only, extends from left apex to posterior mid region of left lobe Gleason 7/10 (4+3); G4 tumor comprises 75% of invasive carcinoma present
    Estimated total volume of carcinoma in entire prostate gland: 10%
    TNM: T2b NX MX (Stage IIA)

    8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA undetectable
    3/19: .1 (damn), 4/19,6/29 retests: .1 (damn)


    My Story:
    T-Minus-36-Hours-until-da-Vinci...
    Catheter is Out!

 

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