Upcoming PSA Test

[Odnad]

Hi, I'm a 57 year old male, PSA 4.77, Gleason score 6. January biopsy showed 5 cores on left side at less than 10% and 1 core at 50%. Right side was all benign. I have a PSA test coming up middle of May. What questions should I be asking and is there anything else I should be doing?

[Darryl Partner]

Welcome. You now have a new band of brothers. Has your biopsy been reviewed by a second pathologist(second opinion). You might ask your doctor if quarterly or every four months psa might be helpful (more dots on your graph)

[Odnad in reply to Darryl]

Thanks Darryl. No it has not been reviewed by a second pathologist but I will ask. We are on a quarterly PSA testing schedule. Should I ask for an MRI, would it be beneficial?

[Darryl Partner in reply to Odnad]

Are you saying that you did not have an mri prior to your biopsy?

[Odnad in reply to Darryl]

That is correct, no MRI prior to biopsy. Dr didn't even mention it.

[aceace12 in reply to Odnad]

same with me no mention of MRI only biopsy

[Darryl Partner in reply to Odnad]

Re second opinion on biopsy malecare.org/second-opinion...

[Odnad in reply to Darryl]

Thank you.

[Darryl Partner]

Re mri. healthunlocked.com/active-s...

[Data-nerd]

Hi Odnad

PSA test results are highly variable so you must not try to interpret the difference between any two consecutive test results.

I think you mentioned that you are on a quarterly testing schedule and that your last test result was 4.77.

If you send me your last 4 test results together with your email address, I will graph them to help you understand whether or not your next results is a signal of meaningful change or if it only represents chance variation about a stable mean.

My email address is

[e-mail]

Good luck on your journey and thanks for sharing your concerns with us.

[Odnad in reply to Data-nerd]

Thank you Data-nerd. I'll get them to you as soon as I can.

[Data-nerd]

Looking forward to it

[aceace12]

you need second opinion on biopsy and poosible 3rd,, johns hopkins is gold standard ,,,and dont be surprised if they read different .. main thing is if they agree on gleason score, and % cancer....... good luck

[Odnad]

Thank you