Keep an eye on your prostate, but don’t stare



February 5, 2019 - 9:28 AM

DEAR DR. ROACH: My question is in regard to prostate cancer diagnosis. I’m a 65-year-old man.

Several years ago, I was placed on testosterone. At that time, my PSA reading was normal (2.5), but after being on the testosterone for two years, my PSA steadily started to increase — to the point where my PSA reading was over 10. My doctor performed a biopsy, which proved negative.

Unfortunately, that doctor passed on, and I am now treated by another doctor. After discussions with the new physician, we elected to terminate the hormone supplement, resulting in my PSA diminishing to 3.7. It has stayed at the same level for several years, but as of March 2018 it increased to 6.4. My doctor performed the following tests: a 4K blood test that resulted in a score of 1 (5 percent chance of cancer); a PSA of 5.7; an MRI resulting in scores of 1 and 2 (less than a 10 percent chance of cancer); and a 3D Doppler, which showed a small area where blood was potentially above normal (possible cancer area). With the above test results in hand, my doctor has recommended we watch and monitor, and not perform a biopsy. Do you agree with this approach? — F.S.

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