Comments on: i was diagnosed in 7/06 with pca.My gleason was 6 and psa at that time was 4.2. I had 1 core positive 5%,1 millimeter of cancer. I chose to do active surveillance. I have my psa checked every 3 months . It has been going down steadily.My last psa was 0.88 (in fact, 1.76 since I take avodart). I should also tell you that 5 months after I was diagnosed I had another biopsy (14 hits- all samples negative). I had an MRI in 10/06 which showed very little cancer in prostate-no indication that cancer had spread beyond the capsule.Does it make sense now to have another biopsy 31/2 years after being diagnosed when my psa is not doubling but in fact halving. According to research done a few years ago by the National Cancer Institute the best predictor of which men will die from pca 20 or 30 years after being diagnosed is the psa velocity.Please advise as to wisdom of doing another biopsy in my case 31/2 years after being diagnosed with this medical history. Thank you.

Comments on: i was diagnosed in 7/06 with pca.My gleason was 6 and psa at that time was 4.2. I had 1 core positive 5%,1 millimeter of cancer. I chose to do active surveillance. I have my psa checked every 3 months . It has been going down steadily.My last psa was 0.88 (in fact, 1.76 since I take avodart). I should also tell you that 5 months after I was diagnosed I had another biopsy (14 hits- all samples negative). I had an MRI in 10/06 which showed very little cancer in prostate-no indication that cancer had spread beyond the capsule.Does it make sense now to have another biopsy 31/2 years after being diagnosed when my psa is not doubling but in fact halving. According to research done a few years ago by the National Cancer Institute the best predictor of which men will die from pca 20 or 30 years after being diagnosed is the psa velocity.Please advise as to wisdom of doing another biopsy in my case 31/2 years after being diagnosed with this medical history. Thank you. http://prostatecanceradvice.org Prostate Cancer Prognosis, Questions and Answers Tue, 05 Jan 2010 06:25:54 +0000 hourly 1 http://wordpress.org/?v=3.0.3