As in profile, have not been diagnosed, and MRI is inconclusive. PSA has been constant and now at 4.04 for my age 53, but PSAf is at 13%. DRE normal, PCA3 in 2011 was 27 so ok. MRI indicated Utricular Cyst of 8mm which is grown since 2011 MRI. The Urologist did not mention, only once I got report have I investigated.
I have not had biopsy.
My dilemer is whether to or not? There is no evidence yet that biopsies spread cells, although the logic is there as biopsy bleeds such that maybe cells also spread. I have read articles where people have had 60 samples over 5 biopsies all negative, then all sudden find cancer in bones and have died. This is extreme case, but given I have not had biopsy, what else can I do?
MRI was onlt T2 with DWI, but there is also MRI with also DCE and MRS which can produce PIRADS which is more intensive mapping. Also I heard of Colour doppers for more definition plus there is also the testing for EN2 started in 2011 as per reports but still under trial.
Anyone got any ideas? Most likely I will need biopsy but I wish to explore all options before.