Prostate Cancer

[chris9464]

So - thought I would never have to do this but here it goes. 1 1/2 years ago I had my fist PSA test it came in at 6.5 my doctor sent me for another test came up about the same. My doctor said that everything felt ok with my prostate but my specialist did a needle biopsy (6 samples) I then had over the next year 2 Transreclal Ultrasound (Trus) one with 18 needles and one with 22 needles all biopsies came back negative for Cancer. The did find a trace of P.I.N. but were not concerned. My PSA started at 6.5 PSA - 6.6 PSA - 7.3 PSA - last week 32 PSA and 5 days later 8.5 PSA I still have no signs of prostate cancer but they want to do a TRUP and look for cancer. My problem is I have no signs of prostrate cancer sleep through the night without getting up and yet they think I have prostrate cancer, I am concerned about the biopsy (TRUP) as to the side effects and what if they do not find any cancer. But then what if they do ? Not sure where to go from here. I am 46 healthy 5.11 and down to 185lbs from 230lbs I now work out and swim about 3 to 4 times a week changed my diet and basically cut out drinking. I feel great but on the other hand scared to death over my PSA just wondering if anyone else has been through this, and what the results were. Thanks Chris

[Mark R.]

I am a healthy 52 year old guy who in early 2007 had a PSA of 2.5- In January of 2008 a new PSA score was 3.8 and a 10 sample biopsy was performed. The biopsy showed two areas of HG PIN but no cancer was detected. Immediately I started taking Centrum Silver vitamins. In May 2008, my PSA went down to 2.1(not sure if the vitamins were a factor) but another biopsy (14 sample) was performed with two samples taken from each area where the HG PIN was found the first time. The results of the second biopsy showed no cancer or HG PIN at all but showed one area of average severity ASAP. (I had been assured by my doctor that if I was cancer free at the second biopsy I should be ok for awhile) My questions are:

1. Is there a particular PSA score where a biopsy is called for in the first place and what is that score?

2. Should I have even had the second biopsy noting that my PSA had dropped from 3.8 to 2.1 in five months?

3. Is it normal to have HG PIN in one biopsy but have it not found in the follow-up biopsy?

4. If a saturation biopsy is recommended to me at my next appt. next week should I do that or are these biopsys somewhat unreliable in their findings?

ANY INPUT WOULD BE GREATLY APPRECIATED. THANKS FOR READING MY STORY.....Mark

[chris9464]

Hey - had a re-test and my PSA came in at 5.5 so now I am getting a PSA test every 3 months and hope for the best. Still no sign of prostate cancer, if my PSA comes in higher again guess its back for the needle bi-opsy YUK.

Chris