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Medical Forum / Diseases and Disorders / Prostate Cancer / July 2006

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biopsy okay/next steps ?

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Ed  Kratz - 08 Jul 2006 19:57 GMT
I've gotten great help from the group in the past, now I have a couple more
questions.
I'm 58. Based on a slightly rising PSA (with one inconsistent high reading),
eventually to 2.8,  I had a biopsy in April, part of a clinical trial of
directed biopsy -- along with a regular biopsy at the same time.
The pathology report described 14 specimens, it appears 4 were from two
directed biopsies, others were left base, mid,apex, upper and lower
transition zone, same for right.
All were benign, except the right upper transition zone prostate biopsy:
described benign tissue with mild inflammation with focal chronic
prostatitis.
I also believe my prosate was about 30 , units ?, which would make my PSA
density about .09

I wanted to give myself a little time off, but it's hard not to think of
next steps. I"m planning on seeing my internist in late August/ early
September for a repeat PSA.  My understanding is we'd have to wait six
months to do another biopsy, anyway -- hoping we won't.
Also should add I saw a urologist in  November of 2005. DRE was normal.

As ever, advice is appreciated.

Thanks,

Ed

PSA history is below:

PSA history

3/20/2006  2.8
1/11/2006 2.5
11/2005 1.9
9/2005 5.4
1/2004 1.6
2/2002 1.5
6/2001 1.2
10/2000 1.1
9/1999 1.0
Beverley - 08 Jul 2006 20:13 GMT
Sounds like a nice case of simple prostatitis, and hopefully it will be
managed and you'll never see prostate cancer. You are doing the right things
and diligently watching your prostate health. That's good. Prostatitis is
not a precursor to cancer, thank goodness.
Bev

> I've gotten great help from the group in the past, now I have a couple more
> questions.
[quoted text clipped - 35 lines]
> 10/2000 1.1
> 9/1999 1.0
Ed  Kratz - 11 Jul 2006 01:54 GMT
Thanks for your answer, and good luck to you.
Ed
> Sounds like a nice case of simple prostatitis, and hopefully it will be
> managed and you'll never see prostate cancer. You are doing the right
[quoted text clipped - 44 lines]
>> 10/2000 1.1
>> 9/1999 1.0
Steve Kramer - 08 Jul 2006 20:15 GMT
> I've gotten great help from the group in the past, now I have a couple
> more questions.
[quoted text clipped - 35 lines]
> 10/2000 1.1
> 9/1999 1.0

Are you still on antibiotics?  Wasn't it antibiotics that took you down to
1.9 in November?
Ed  Kratz - 11 Jul 2006 01:56 GMT
Steve,
 I only had a week or so of antibiotics that got me to the 1.9.
After the 2.5, I had six weeks, then had the 2.8 and the biopsy.
I'll see what my PSA is August/September and take it from there.
Thanks,
Ed

>> I've gotten great help from the group in the past, now I have a couple
>> more questions.
[quoted text clipped - 38 lines]
> Are you still on antibiotics?  Wasn't it antibiotics that took you down to
> 1.9 in November?
Leonard Evens - 09 Jul 2006 00:15 GMT
Ed Kratz wrote:
> I've gotten great help from the group in the past, now I have a couple more
> questions.
[quoted text clipped - 17 lines]
>
> As ever, advice is appreciated.

You seem to have been studied fairly extensively with nothing found.  If
your PSA continues to rise, you might ask you urologist about the use of
a free PSA test to see if further biopsies are merited.

> Thanks,
>
[quoted text clipped - 13 lines]
> 10/2000 1.1
> 9/1999 1.0
Ed  Kratz - 11 Jul 2006 01:56 GMT
Leonard,
Thanks. I'll go for the free PSA is my PSA continues to rise. Am also
considering Fred Lee in , I believe, Michigan.
Thanks again.
Ed

> Ed Kratz wrote:
>> I've gotten great help from the group in the past, now I have a couple
[quoted text clipped - 40 lines]
>> 10/2000 1.1
>> 9/1999 1.0
 
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