DaysBetween said...
@DjinTonic My PSA bounced around between 3.0 and 4.0 for a few years and I had multiple DRE's which were negative. My PSA then jumped to 6.0 and then 9.7 on a re-test before I had the biopsy. Clearly I should have went straight to the biopsy, but I had no BPH symptoms and no family history.....and unfortunately I was suffering from severe ignorance of PCa.
Thank you for the history. PCa is a crazy disease.
Over 20+ years I had many biopsies, all negative, for a slowly rising, but fluctuating, PSA with BPH. (After my TURP for BPH I was being seen twice a year.) My last biopsy was prompted by a new nodule on DRE and a PSA rise a little larger than was expected. At one follow-up visit I asked my uro/surgeon if he would have insisted on the biopsy on the basis of my PSA rise alone and the DRE had been negative. He though a second and said "we certainly would have discussed it". At another visit he mentioned that another avenue for following up the PSA rise alone might have been an MRI.
The irony was that the nodule turned out
not to be cancer, but the random cores hit a G10 and a G9 lesion. As the expression says -- go figure!
Djin
Post Edited (DjinTonic) : 1/23/2020 7:32:17 AM (GMT-7)