to Biopsy or Not to Biopsy?

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to Biopsy or Not to Biopsy?

by Snubnosed_in_Alpha on Mon Aug 08, 2005 12:00 AM

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For the past year I have been stalked by a urologist with a prostate biopsy gun. I am 48. Over the past year I have had six PSA tests done. The numbers, beginning in August of 2004 were: 3.1, 3.1, 3.3, 3.8, 4.0 and, two weeks ago, 4.5. Last November a DRE showed nothing abnormal. The 3.8 total was accompanied by a free-to-total percentage of 27%. The most recent 4.5 total was accompanied by a 21% free-to-total. I am told that the free-total ratio puts me in the 10% probability range for cancer. My urologist has recommended biopsy in spite of that for some time now. I have visted the Artificial Neural Network at http://www.charite.de/ch/uro/de/html/prostatabiopsie/prostata_en.html and have entered my numbers. The result is "No Risk." A part of the purpose of this ANN is to determine whether a biopsy is needed. Bottom line: I am sitting on the fence at this point. For obvious reasons, I don't want to do the biopsy. But I would like to hear what you would do if you were in my shoes. Thanks.

Biopsy or Not--yes!!! Get >=12pts W/painkiller

by Tjz6845 on Thu Aug 11, 2005 12:00 AM

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Get the biopsy!!! Ask for pain medication. Can be injected directly into prostate---feels similar to novacaine shot. Take tylenol beforehand. Not all urologists use pain medication. Find one that does. Ask them to wait 4-5 minutes before starting biopsy. I had one without painkiller and one with and they are a world apart. I had a 6 point biopsy a year ago that was negative. Just last week I got the results back from a 12 biopsy that found a smallish tumor. I wish I had known a year ago what I know now. Good studies show the more points the less chance of missingc a tumor. This is especially important if your prostate is significantly enlarged. A 6 point biopsy misses around 20-30% of tumors. About 30% of men with PSA's <=4 will have tumors. About 15% of men with PSA's of <=2 will tumors. (My psa's were 3.4-3.6 for years with finasteride and then dustasteride, 3.5 at present; 5.6-6 without the drugs.) (Some places are going to hypercoring with 24 points or more. In addition to being less likely to miss something, more points give a lots more information on size whcih can significantly affect treatment choices.)

Biopsy or Not?

by Gardening_Anita on Thu Oct 13, 2005 12:00 AM

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Hi, I am new to cancer as I was diagnosed with Squamous Cell Carcinoma_Cancer of the tongue, on August 19, 2005. I do not understand all of your figures in your reports. However, are you on any natural products? Before having the biopsy, I would do some research. Here's why: The very day I had a needle biopsy done, I could feel a difference i my tongue.(Haven't we always heard that "messing with cancer_cutting into it, causes it to grow?) The needle biopsy came back negative... only inflamation. My doctor, at the time, wanted me to go in as an outpatient for a larger biopsy. I had agreed to this and went to his office for a pre-op visit.On that day his behavior was so unprofessional and so UNKIND! He proceeded to grab my very sore tongue with a piece of gauze, hold it and take a photo...then pull it out, twist it and take another photo! To this day, I can't imagine why I didn't slap him!(I've had two other physicians request photos since then...nobody touched my tongue!) He also presented me with a bunch of papers to sign, giving him permission to do a lot of other things that I was not comfortable with. Needless to say, I went to another doctor and did have an outpatient biopsy. It was cancer and encompassed almost half of my tongue. I will always feel that that first doctor doing all of that to my tongue, caused it to grow so fast. After my last biopsy, I had a PEP-Scan. If a tumor is suspected, why can't they do the scan first, prepare you for the needed surgery, and give you time to soak it all in? I have a discussion page under Head and Neck Cancer on this site...Anita...Screen name Garden Angel, telling about all the research I have done. Try to find it. But, by all means go to www.cancer-prevention.com. I printed out the whole thing, read and highlighted rverything.I ordered some of his products, but have not received them yet. I have been using my Dr. Young's Young Living Essential Oils, and feel that they could very well be all I need. However, as Robert Harrison points out, you may need to be using at least one or more products in a high therapuedic dose, to hit the cancer with all you've got! Sorry my reply was so long! Best of luck to you...Remember, it's YOUR BODY, therefore YOUR DECISION! Let me know how things are going. God Bless You Anita
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