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Medical Forum / Diseases and Disorders / Prostate BPH / July 2005Number of prostate biopsies
If during an DRE the uro feels a nodule (firm, but not hard), is it really necessary to take more than one biopsy, right from the nodule? If there is cancer, it seems to me it would be centered in nodule, so 11 more jabs around the prostate seem unnecessary unless there is some kind of treatment that is highly localized. >If during an DRE the uro feels a nodule (firm, but not hard), is it >really necessary to take more than one biopsy, right from the nodule? If >there is cancer, it seems to me it would be centered in nodule, so 11 >more jabs around the prostate seem unnecessary unless there is some kind >of treatment that is highly localized. Once they have you there with the probe in place, let them take the samples they need. It is uncomfortable and stings a bit and is undignified and stressful, but really it doesn't last long and it is not that painful. There could be cancer even if no nodule was felt. I don't think there is any restriction to where cancer might be (if there is cancer present). Take advantage of this excellent medical tool. Let them find out what is up to perhaps set your mind at rest, or to decide what treatment you might need. Your life could be at stake... This was posted to the BPH group. You will probably get better advice at sci.med.prostate.cancer Ed > If during an DRE the uro feels a nodule (firm, but not hard), is it really > necessary to take more than one biopsy, right from the nodule? If there is > cancer, it seems to me it would be centered in nodule, so 11 more jabs > around the prostate seem unnecessary unless there is some kind of > treatment that is highly localized. You can never have too many. Last time I had 16. http://www.prostate-research.org.uk/articles/U15A03.htm Derek. > If during an DRE the uro feels a nodule (firm, but not hard), is it > really necessary to take more than one biopsy, right from the nodule? If > there is cancer, it seems to me it would be centered in nodule, so 11 > more jabs around the prostate seem unnecessary unless there is some kind > of treatment that is highly localized. Thanks, Ed and Derek, for your comments. Ray > > If during an DRE the uro feels a nodule (firm, but not hard), is it > > really necessary to take more than one biopsy, right from the nodule? If [quoted text clipped - 3 lines] > > Thanks, Ed and Derek, for your comments. Yes but the jabs seem that may help the cancer to spead beyond the nodule > Ray >>>If during an DRE the uro feels a nodule (firm, but not hard), is it >>>really necessary to take more than one biopsy, right from the nodule? If [quoted text clipped - 5 lines] > > Yes but the jabs seem that may help the cancer to spead beyond the nodule Mike, this was a major concern of mine. However, my new doctor said not to worry about this risk, as it is very low. He was chief pathologist at Holy Name hospital, Teaneck, New Jersey for over 20 years. He does not do biopsies, so he has no vested interest in urging me to get them. His website is majidali.com. Ray > If during an DRE the uro feels a nodule (firm, but not hard), is it > really necessary to take more than one biopsy, right from the nodule? If > there is cancer, it seems to me it would be centered in nodule, so 11 > more jabs around the prostate seem unnecessary unless there is some kind > of treatment that is highly localized. The importance in taking multiple cores from around the prostate is in determining the percentage of cores which show up positive for prostate cancer. Basically, if 50% or more come up positive, then there is almost no chance that localized treatment will effect a cure. Ed Friedman >> If during an DRE the uro feels a nodule (firm, but not hard), is it >> really necessary to take more than one biopsy, right from the nodule? [quoted text clipped - 8 lines] > > Ed Friedman Thanks, Ed, this is the kind of answer I was looking for. The question then becomes, what exactly is localized treatment? Surgery, yes. Seeds, yes. Chemo through a catheter directly into the prostate, yes. Intravenous chemotherapy, no. Whole body radiation, no. Another question is, just how finely localized can a treatment be? Suppose just the firm nodule tests positive, but none of the surrounding other 11 samples do. I wonder what the treatment would be. Ray Assume the nodule does contain cancerous cells. The next step is to determine if the cancer has spread outside of the nodule into other parts of the prostate. So do it all in one procedure. That way if it comes back negative, which we hope you know the prostate is free of cancerous cells. Jack > If during an DRE the uro feels a nodule (firm, but not hard), is it really > necessary to take more than one biopsy, right from the nodule? If there is > cancer, it seems to me it would be centered in nodule, so 11 more jabs > around the prostate seem unnecessary unless there is some kind of > treatment that is highly localized. |
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