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Cancer: Prostate Message Board


Cancer: Prostate Board Index


I am scheduled to have Prostate Cancer Biopsy on 05/24/07. However, I had some concerns and I am hoping someone (perferrably a urologist) can assist in me making an informed decision.

Here is a brief history of events up till now:
My vital statistics and hx are as follows: Age: 38; Sex: Male; Ht: 5' 5"; Wt: 162 lbs; Father: recently passed away at the age of 73 2ndry Prostate Cancer which got metastasized and as a result he had bone cancer as well; Mother: has diabetes and previously has had benign tumor removed; Older Brother: Healthy; Race: Asian-Indian.
On 04/23/07 as part of routine check-up had blood test done and the results indicated PSA level of 3.5, subsequent to this at the request of my doctor had lab work done for FreePSA on 05/04/07, and results were as follows: PSA level: 3.68 and based on some some chart scoring had a value of 8 indicative that I probably have a 24% chance of having prostate cancer. The normal range is 0-2.5

Visited Urologist on 05/16/07 and was advised PSA level of 3.68 is not much relevant unless the Free PSA value was between 4 to 10. The urologist also showed me a chart stating for Asians even though 38 is not an age group on the chart as it begins from 40, the normal value range is 0-2. A Digital Rectum Exam was conducted and I was advised it felt normal; however; the Urologist still recommended a Biopsy.

My concerns are:
1) Would you agree with the conclusion to proceed with a biopsy? Or should I wait for 7-8 weeks and get another blood PSA lab test done and then proceed for Biopsy if needed. Will the wait of 7-8 weeks detriorate my condition (that is only if I have one) and is better spent in getting the biopsy out of the way right now than later.
2) Since I am having my biopsy at a young age of 38, will it impact the prostate in terms of scar tissue formation that subsequent biopsy attempts may be harder?
3) Does the prostate regenerate tissue following a biopsy?
4) Any complications or signs I should be prepared for or be on the look out for post biopsy.
5) How long does it take to heal from the biopsy and what to avoid during the healing period?
6) If biopsy is negative - what kind of future follow-up would be prduent course of action?

Given the above I would just like an independent opinion of another doctor from this forum. I am just slightly hesitant to get myself sliced and diced if it is not necessary. Of course, I do believe in prevention and pro-active approach, and I do understand the tissue sample is microscopic in nature.

I thank you in advance for your assistance and look forward to your feedback.
Sincerely, Concerned Patient
[QUOTE=ehelp;2989017]I am scheduled to have Prostate Cancer Biopsy on 05/24/07. However, I had some concerns and I am hoping someone (perferrably a urologist) can assist in me making an informed decision.

Here is a brief history of events up till now:
My vital statistics and hx are as follows: Age: 38; Sex: Male; Ht: 5' 5"; Wt: 162 lbs; Father: recently passed away at the age of 73 2ndry Prostate Cancer which got metastasized and as a result he had bone cancer as well; Mother: has diabetes and previously has had benign tumor removed; Older Brother: Healthy; Race: Asian-Indian.
On 04/23/07 as part of routine check-up had blood test done and the results indicated PSA level of 3.5, subsequent to this at the request of my doctor had lab work done for FreePSA on 05/04/07, and results were as follows: PSA level: 3.68 and based on some some chart scoring had a value of 8 indicative that I probably have a 24% chance of having prostate cancer. The normal range is 0-2.5

Visited Urologist on 05/16/07 and was advised PSA level of 3.68 is not much relevant unless the Free PSA value was between 4 to 10. The urologist also showed me a chart stating for Asians even though 38 is not an age group on the chart as it begins from 40, the normal value range is 0-2. A Digital Rectum Exam was conducted and I was advised it felt normal; however; the Urologist still recommended a Biopsy.

My concerns are:
1) Would you agree with the conclusion to proceed with a biopsy? Or should I wait for 7-8 weeks and get another blood PSA lab test done and then proceed for Biopsy if needed. Will the wait of 7-8 weeks detriorate my condition (that is only if I have one) and is better spent in getting the biopsy out of the way right now than later.
2) Since I am having my biopsy at a young age of 38, will it impact the prostate in terms of scar tissue formation that subsequent biopsy attempts may be harder?
3) Does the prostate regenerate tissue following a biopsy?
4) Any complications or signs I should be prepared for or be on the look out for post biopsy.
5) How long does it take to heal from the biopsy and what to avoid during the healing period?
6) If biopsy is negative - what kind of future follow-up would be prduent course of action?

Given the above I would just like an independent opinion of another doctor from this forum. I am just slightly hesitant to get myself sliced and diced if it is not necessary. Of course, I do believe in prevention and pro-active approach, and I do understand the tissue sample is microscopic in nature.

I thank you in advance for your assistance and look forward to your feedback.
Sincerely, Concerned Patient[/QUOTE]

Heres what i think:
1) clinically; get a bioposy: mentally; you need to be ready to hear an answer. remember, they take multiple core samples primarily depending upon the volume of the prostate. i had a very small prostate so they only had to stick me 6 times. i have heard of many men giving up 25 plus cores....yikes.
2) no, scar tissue will not prohibit future biopsies.
3) the prostate does not 'regenerate' tissue but it may enlarge. it will seal but you will have blood in your semen for about a month (depends how often you ejaculate).
4) blood in your semen for a while but it does clear up.
5) see above. and nothing to avoid.
6) thats for your doc and you to decide. i had two positive cores with only 1mm cancer in each. WAY WAY early stage. my psa was only 1.45. they recommended a follow up biopsy at 12 months. needless to say, i got a second opinion. the second uro advised removal. i decided to have it removed now at age 43 rather than later (say 55).





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