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Is Biopsy The Only Confirmatory Test To Diagnose Cancer Prostate?

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Posted on Mon, 19 Sep 2016
Question: Can an MRI or other test be used in place of needle prostate biopsy?
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Answered by Dr. Matthew J. Mangat (8 hours later)
Brief Answer:
A biopsy is the only confirmatory test to diagnose cancer prostate.

Detailed Answer:
Hello XXXX and welcome to HCM.
As an Urologist,i can undertsand your concern.

You are advised to repeat the PSA after 15 days.
There may be a different report,including normal,in some cases.

PSA may be falsely elevated in large prostates,prostatitis,after rectal examination.
This is called false positive.
That's the reason to repeat the test.

In such cases,we always get a TRUS done. That's a trans-rectal ultrasound scan.

However,only a prostate biopsy can give a 100 percent diagnosis of cancer.
If positive,then only a MRI and bone scan are needed.

Wish you well.
Dr.Matthew J. Mangat.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Matthew J. Mangat

Urologist

Practicing since :1981

Answered : 1898 Questions

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Is Biopsy The Only Confirmatory Test To Diagnose Cancer Prostate?

Brief Answer: A biopsy is the only confirmatory test to diagnose cancer prostate. Detailed Answer: Hello XXXX and welcome to HCM. As an Urologist,i can undertsand your concern. You are advised to repeat the PSA after 15 days. There may be a different report,including normal,in some cases. PSA may be falsely elevated in large prostates,prostatitis,after rectal examination. This is called false positive. That's the reason to repeat the test. In such cases,we always get a TRUS done. That's a trans-rectal ultrasound scan. However,only a prostate biopsy can give a 100 percent diagnosis of cancer. If positive,then only a MRI and bone scan are needed. Wish you well. Dr.Matthew J. Mangat.