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What Does This Biopsy Report Indicate?
Question: Hi,
My dad is having a problem with Postrate. He is 69. Diabetic since 1 year. He is taking. medicine for. Blood pressure also. He is having difficulty in. urinating. His PSA measure 7.27 and it shot up to 22. A Biopsy was done. Reports attached.
What was found is one of the samples taken there Couple abnormal cells where doctors said its not cancerous. This is as it was told to.me. Consuting doctor is still thinking of couse of action.
Kindly look at the reports and suggest way forward.
My dad is having a problem with Postrate. He is 69. Diabetic since 1 year. He is taking. medicine for. Blood pressure also. He is having difficulty in. urinating. His PSA measure 7.27 and it shot up to 22. A Biopsy was done. Reports attached.
What was found is one of the samples taken there Couple abnormal cells where doctors said its not cancerous. This is as it was told to.me. Consuting doctor is still thinking of couse of action.
Kindly look at the reports and suggest way forward.
Brief Answer:
A 8-12 core biopsy of prostate gland is mandatory.
Detailed Answer:
Hello XXXX and welcome to HCM.
As an Urologist, i can fully understand your concern.
With a PSA of 22,one does need to rule out a cancerous prostate gland.
A prostate gland biopsy, is the only confirmatory test to establish that.
The biopsy is done, by taking a minimum of 8-12 cores of prostate gland tissue.
In your father's biopsy report,only 3 cores of tissue have been taken.
All Urologists routinely follow the international biopsy protocol.
It becomes difficult to comment,on an improperly done biopsy.
The report of PIN 2 in the report,needs follow-up, if adequate tissue is sampled.
He's therefore advised to get a proper biopsy done, by an Urologist.
He can also get an isotope bone scan done,to know if bone's affected.
You may send the reports here, for an expert opinion.
Till a proper biopsy is done, do not proceed with prostate gland operation.
Wishing your father a speedy recovery.
Dr.Matthew J. Mangat.
A 8-12 core biopsy of prostate gland is mandatory.
Detailed Answer:
Hello XXXX and welcome to HCM.
As an Urologist, i can fully understand your concern.
With a PSA of 22,one does need to rule out a cancerous prostate gland.
A prostate gland biopsy, is the only confirmatory test to establish that.
The biopsy is done, by taking a minimum of 8-12 cores of prostate gland tissue.
In your father's biopsy report,only 3 cores of tissue have been taken.
All Urologists routinely follow the international biopsy protocol.
It becomes difficult to comment,on an improperly done biopsy.
The report of PIN 2 in the report,needs follow-up, if adequate tissue is sampled.
He's therefore advised to get a proper biopsy done, by an Urologist.
He can also get an isotope bone scan done,to know if bone's affected.
You may send the reports here, for an expert opinion.
Till a proper biopsy is done, do not proceed with prostate gland operation.
Wishing your father a speedy recovery.
Dr.Matthew J. Mangat.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Dear Dr. Mangat
Thsnk you for your response.
What the urologist have sugested is to do a Scan Assisted Biopsy after a period of 4 to 6 weeks. This waiting period isfor the current wounds to heal.
My question is that is it normal to wait for 4 to 6 weeks after one biopsy and will it have any effect on the health, as in chance of
spreading incase its canceroud, which has not been confirmed yet
.
Kindly give your views
Thanks
XXXX
Thsnk you for your response.
What the urologist have sugested is to do a Scan Assisted Biopsy after a period of 4 to 6 weeks. This waiting period isfor the current wounds to heal.
My question is that is it normal to wait for 4 to 6 weeks after one biopsy and will it have any effect on the health, as in chance of
spreading incase its canceroud, which has not been confirmed yet
.
Kindly give your views
Thanks
XXXX
Brief Answer:
Biopsy doesn't cause spread of tumor.
Detailed Answer:
Hi XXXX,
The biopsy as such, doesn't cause spread of tumor( if present ).
As your father is diabetic and hypertensive,it's advisable to wait for 4-6 weeks.
Ensure the biopsy is done by an experienced Urologist, with 12 core sections.
A rectal scan guided biopsy, will increase the accuracy.
It's best done at a center,with an experienced Urologist.
In the mean time, a bone scan may be considered.
Wish him well.
Dr.Matthew J. Mangat.
Biopsy doesn't cause spread of tumor.
Detailed Answer:
Hi XXXX,
The biopsy as such, doesn't cause spread of tumor( if present ).
As your father is diabetic and hypertensive,it's advisable to wait for 4-6 weeks.
Ensure the biopsy is done by an experienced Urologist, with 12 core sections.
A rectal scan guided biopsy, will increase the accuracy.
It's best done at a center,with an experienced Urologist.
In the mean time, a bone scan may be considered.
Wish him well.
Dr.Matthew J. Mangat.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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