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3T MRI clear, biopsy next step.

by Caz
(N Ireland)

My partner has just had a 3T MRI scan with diffusion weighting and the results show nothing unusual. His prostate is 70cc which explains his symptoms and also most likely his PSA of 7.7. He is 50 years old. His consultant has told him that he can choose active surveillance for a few months or have a biopsy to completely rule out anything small which may have been overlooked on the scan. My partner at the minute wants to have a biopsy but I think he should wait and have a repeat PSA and 3T MRI in a few months. His thinking is that if something is in there he would prefer to know.

His free PSA is 16% which the consultant said was borderline and not of concern to him.

We do not know what step to take next. Any advice would be much appreciated.


Ron here,

There are many risks of having a biopsy.

Many things can cause an elevated PSA.

Take your time before making any decisions.

I am not a urologist and cannot provide medical information.

But I can recommend a urologist that I consider the best in the world, Dr Song of the 3D Prostate Clinic.

I would write him with your questions.

Comments for 3T MRI clear, biopsy next step.

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Jan 20, 2017
by: Anonymous

If you decide to have a biopsy, have a targeted biopsy which is done real-time while the patient is in the MRI. On the other hand, if your first MRI showed nothing suspicious, there would be nothing to target. You may want to have the MRI images evaluated by one or more radiologists who specialize in prostates. One such specialist is Dr. Busch in Chattanoga (sp?) TN.

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