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PSA of 33, the biopsy is next
Question:
My 58 year old father had a PSA of 33 while in the hospital for unrelated symptoms. He also has had what he thought was arthritis in his hips and now in this foot for the past couple of years. He’s getting a biopsy on Wednesday. Will that be able to tell with a little certainty at least that it may be advanced, or is it a yes/no proposition? Thanks, Mike
Response:
My 58 year old father had a PSA of 33 while in the hospital for unrelated symptoms. He also has had what he thought was arthritis in his hips and now in this foot for the past couple of years. He’s getting a biopsy on Wednesday. Will that be able to tell with a little certainty at least that it may be advanced, or is it a yes/no proposition? Thanks, Mike
A prostate biopsy will be able to tell you if there is cancer or not, although a negative biopsy doesn’t always rule it out…if there is cancer, the Gleason’s grade and number of cores/percentage of cores affected may shed some light on the subject…A PSA of 33 is highly suggested of fairly advanced disease in and of itself, but not always. Best of luck. David L. Casey, MD Denton Urology Denton, Texas USA http://www.wp.com/dlcasey/urology/homeuro.htm Sign my guestbook at http://www.guestpad.com/cgi-bin/guest.cgi?dentonurology This communication is intended to provide general information, and in no way is a substitute for face-to-face medical care. No implication of a doctor-patient relationship should be assumed by the reader. Sorry, but no questions or requests answered by private email.
Response:
..A PSA of 33 is highly suggested of fairly advanced disease in and of itself, but not always.
My brother (65) had a PSA of only 5.5. Biopsy showed 15% to 20% cancer. He had an RP in May. I (67 last week) had a PSA of 3.9 in November 1995. In May ‘97 it was 7.0. In January ‘98 6.4, in May ‘98 5.6, then in July ‘98 back up to 7.7. Free PSA ratio was 12% in July and May. Test report says estimated probability of positive biopsy is 64%. Biopsy next is a certainty, then decisions, decisions…
Response:
BIopsy is scheduled for next Thursday. He had another PSA of 38 two days after the first test. Two rectals revealed nothing, & as it turns out, he hasn’t had any real prostate symptoms (he didn’t specify). His arthritis pain went away moths ago, but his foot still aches (though a bone scan showed no "hot spots"). Could he have advanced (I mean beyond-the-prostate) P-C without real symptoms, except for the high PSA? Mike – Hide quoted text — Show quoted text – My 58 year old father had a PSA of 33 while in the hospital for unrelated symptoms. He also has had what he thought was arthritis in his hips and now in this foot for the past couple of years. He’s getting a biopsy on Wednesday. Will that be able to tell with a little certainty at least that it may be advanced, or is it a yes/no proposition? Thanks, Mike A prostate biopsy will be able to tell you if there is cancer or not, although a negative biopsy doesn’t always rule it out…if there is cancer, the Gleason’s grade and number of cores/percentage of cores affected may shed some light on the subject…A PSA of 33 is highly suggested of fairly advanced disease in and of itself, but not always. Best of luck. David L. Casey, MD Denton Urology Denton, Texas USA http://www.wp.com/dlcasey/urology/homeuro.htm Sign my guestbook at http://www.guestpad.com/cgi-bin/guest.cgi?dentonurology This communication is intended to provide general information, and in no way is a substitute for face-to-face medical care. No implication of a doctor-patient relationship should be assumed by the reader. Sorry, but no questions or requests answered by private email.