By Micah Chancey & Mark Scholz, MD Surgery, Radiation, Active Surveillance, or Seed Implant? Since there are three different risk categories of newly-diagnosed prostate cancer—low, intermediate and high—optimal treatment varies. READ THE FULL …
Tag: Previous Negative Biopsy
Experts know that a well-performed random prostate biopsy misses underling prostate cancer 15% of the time. Missing low-grade disease is probably a good thing, while missing aggressive prostate cancer is not. Many of the same factors (Color Doppler Ultrasound, 3T multiparametric MRI, PCA-3) that were discussed in the No Previous Biopsy https://ponc.prostateoncology.com/tag/no-previous-biopsy/ section should be considered prior to embarking on further random biopsies.
In cases where underlying aggressive prostate cancer is strongly suspected, additional measures to be considered are:
Lesion-directed biopsy using Color Doppler Ultrasound
3T multiparametric MRI directed biopsy
Biopsy with ultrasound/ MRI fusion images
Saturation biopsy under anesthesia