Biopsy or not.... - Scans (CT / MRI / Bone scan)

Hi and welcome.

Was it suggested because its felt the G6 could be higher? As my profile shows PSA around the 6 mark. Grade T1c. 2nd biopsy 7 weeks after 1st 4 cores at G8. Monitoring would not have been a valid option for me

Ray

Edited by member 25 Jun 2015 at 12:31  | Reason: Not specified

My first TRUS came back negative after 10 samples though , even though I have gone on to be positively diagnosed and had a RP.

Good luck

Yes, if anaesthetic is being given it is more likely to be the more precise Template biopsy. This is also less likely to result in an infection than the TRUS. I have had both, the TRUS without anaesthetic and the Template with. The latter meant it was rather painful afterwards if I sat in a normal position so I slouched for a week or two. Passing water was not a problem but it did sting for a while. The TRUS I found easier, the only side effect I experienced with this was a minute amount of blood in my urine for less than a week but some also have this with the Template Biopsy. Antibiotics are given with both methods.

I am a little surprised by your reference to a few 3,s shown in the MRI.  I stand to be corrected but if this refers to Gleason score which looks to be the case, I was under the impression that Gleason can only be determined from cores taken in a biopsy (or from removed Prostate sliced for examination after surgery) and you imply prior to the MRI no cancer was found.

There are a number of factors that have to be considered and your consultant is in the best position to advise on this.  If he/she recommends a biopsy you should carefully consider having one.

Edited by member 26 Jun 2015 at 00:51  | Reason: Not specified

The 3s he is referring to are a different scale i believe, and nothing to do with gleason. There is a grading scale that radiologists use to describe the level of suspiciousness and thus form a view about whether a biopsy is needed. It is used in imaging of different cancers, not just PCa

Edited by member 28 Jun 2015 at 19:02  | Reason: Not specified

Thanks for comments everyone... yes, the '3' scores I referred to are a score that the radiologist uses, not a Gleason score. I've also been told that although the MRI is more accurate (and therefore this leads onto the template under general) the aggressiveness (or not) of the cells is really what the biopsy is about - and personally I would rather know than not, so its off for the biop for me!

Balbs