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PSA JUMP from 4.5 to 8.1
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hmr53 posted:
I had a biopsy last December and it was negative. My PSA had been rising for last couple of years and was 4.5 at biopsy time. Now I just went to Urologist for f/u appt and my PSA is now 8.1!! He said we will do another PSA test in 2 months and also the urine test which is more sensitive. If it is still high, I am looking at a biopsy in the hospital where he can take more samples. He said from initial biopsy there is a 10% chance that cancer was missed. I am a bit worried now. I have no symptoms of prostatitis. I am 53 years old and my DAD had prostate cancer, but had surgery and is still alive at 88.
HR
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Basir U Tareen, MD responded:
Another option to consider is an MRI done at a high volume center with an experienced MRI radiologist. I agree w/ your urologist that often a significant cancer can be missed on biopsy. MRI will not only help identify a lesion in some cases but can be used to do an MRI guided biopsy of that lesion. That said, a 2nd biopsy is also a reasonable option.


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