1yr Update Since Diagnostic - Prostate Cancer N...

Prostate Cancer Network

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1yr Update Since Diagnostic

Jager2014 profile image

So not much to report since a year ago have been doing the “active surveillance “ route have a Gleason 3+3 Last two PSA screenings are 2.4 have not moved. On Uroxatral 10mg and Proscar 5mg. BPH has gotten a lot better. Last biopsy came back negative and MRI was clear.

So my question is can BPH show a false positive for prostate Cancer ? I’m a little confused with what’s going on after reading so many of your stories.

Looking for ideas to ask Urologist.

Thank you

11 Replies

Congratulations on your negative biopsy! That happens to half the men onAS using Proscar. That means there isn't much prostate cancer so it is hard to find on a biopsy - not a false positive, but perhaps an overdiagnosis.

aceace12 profile image
aceace12 in reply to Tall_Allen

what does proscar do ?

Tall_Allen profile image
Tall_Allen in reply to aceace12

It shrinks the prostate and seems to provide some control for G6 (but not higher grade) cancer.

aceace12 profile image
aceace12 in reply to Tall_Allen

ok thank you

Jager2014 profile image
Jager2014 in reply to aceace12

Ur welcome

aceace12 profile image
aceace12 in reply to Tall_Allen

why would doctors not prescribe proscar for all AS patients with gleason 6 if there health and or side effects would not interfer .. ?

Tall_Allen profile image
Tall_Allen in reply to aceace12

There are sexual side effects in about 20%. It is only given to those who have BPH too.

aceace12 profile image
aceace12 in reply to Tall_Allen

ok thanks, im baffled at MRI showing pirads 3 ...last PSA 2,75

Tall_Allen profile image
Tall_Allen in reply to aceace12

It's equivocal about suspicion. Not a diagnosis.

so if your last biopsy came back negative do you still consider you having a gleason 6 ?

Jager2014 profile image
Jager2014 in reply to aceace12

Im waiting for a answer from my urologist on that .

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