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Cancer > Prostate Cancer Forum > Need Advice On Biopsy
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Q: Need Advice On Biopsy
asked by: oldgunny on August 30th, 2007
New User
Over the past three years I have had 5 biopsies all of them have come back negative but have shown acute and chronic inflamation on several of the samples taken. My first PSA test was 6.6 and peaked out at 10.9 in October 2006. I’ve had two test since then, one read 9.8 and my last one was 9. Seems to me if I had cancer the PSA would continue to go up not down but my doctor wants to do another biopsy. Don’t really want another one and asked if I shouldn’t wait for a couple of more months and take another PSA test before we do the biopsy but he seems to think we should do it now. Any advice would be appreciated.
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MandMs
replied on August 31st, 2007
Extremely eHealthy
Hi!
Your doctor knows that PSA test results alone do not give enough informations to distinguish between benign prostate conditions and prostate cancer. In the past, most doctors considered PSA values below 4.0 ng/mL as normal. However, recent research found prostate cancer in men with PSA levels below 4.0 ng/mL. Your results can be taken as slightly to moderately elevated. Because there is no specific normal or abnormal PSA levels it's up to your doctor to decide if there is a need for biopsy.

You should know that the higher is the PSA test, the more likely is that the cancer is present. Also, I'll noted that some factors such as age can cause PSA levels to fluctuate and it is common to have vary results in different laboratories.

I'll suggest you to make biopsy, because you still have high PSA levels and it is possible for a man to have prostatitis or hyperplasia and to develop prostate cancer as well.
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