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Medical Forum / Diseases and Disorders / Prostatitis / February 2005

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Biopsy Results Question

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Tom Lawrance - 25 Feb 2005 17:19 GMT
My last DRE revealed a "grainy" pea-sized, nodule on my prostate and
a PSA >1    . So my urologist suggested I have a biopsy which,
thankfully, revealed no tumor in any of the 16 samples taken.

I was, however, surprised to find that the pathology report failed to
characterize the samples as anything other than "No tumor present,"
considering that a pathologist  evidently had  to examine the samples
microscopically, and this failure still leaves my urologist and I
wondering what the abnormal area is.

Since the hospital I went to is a well-respected, teaching hospital, I
was wondering if the failure to characterize prostate tissue as other
than tumorous or non-tumerous is standard procedure elsewhere in the
country. In addition, I was wondering what the chances are that  this
tissue, as opposed to normal tissue, will become cancerous, since my
urologist told me that if a follow-up PSA in 6 months showed a rise,
he'd want to do another biopsy.

Thanks very much in advance for the info.

BTW, the biopsy was completely painless, because it was done in the
hospital under mild anaesthesia, and I was out and normal in a few
hours . So I'd highly recommend that it be done this way.
c palmer - 26 Feb 2005 17:57 GMT
hi tom - firing needles into the prostate may be like looking for a
needle in the haystack.  with the help of the ultra sound, it does make
it easier to spot the more suspicious areas to gather core samples.  

there are men who have had multiple biopsies and over time, will find
the source of the problem.

if they are thinking it might be pca, and it's a teaching hospital, my
question is have they ran a psa II test?  this may shed more light on
what's going on inside the body yet.  also, there are some new urine
tests developed that may help reveal more information too.

and what about the core samples.  did they indicate a high PIN number?  

my suggest would be to baseline the psa II as well as the psa test.
this way, if one is going down as the other is going up, then it would
rule out prostatitis and point more in the direction of pca.

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional    
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc
 
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