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Suggest Tests To Diagnose Recurrence Of Prostate Cancer

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Posted on Mon, 23 Feb 2015
Question: Is it good practice to perform a prostate biopsy in a doctor's office, not in a hospital, on an 84 year old man who was treated for cancer of the prostate with radiation in the early 1990's? What is the likely outcome of this therapy/diagnosisg?
doctor
Answered by Dr. Dr. P. T. Patil (34 minutes later)
Brief Answer:
What is the indication for doing biopsy again?

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have been diagnosed to have cancer of the prostate and have been treated with radiation in 1990.

I personally do not find any rational to do biopsy again when you are already diagnosed to have cancer of the prostate.

There are other tests that can detect recurrence of disease locally or spread of the disease to surrounding structures or distant metastasis by C,T Scan ,Bone Scan or MRI and blood test for serum PSA.

If at all you want to get it done it is advisable to do it in operation theater for your safety and to avoid infection .

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (15 hours later)
My doctor does not take the time to discuss how I might benefit from further examination of my prostate, or anything else. He is headed for the door when my 10 minutes are up. If I take the time to consider and issue, I am left to watch the door close behind him.
I realize that I am 84 years old. Today, I am strong enough to do my own yard work, run a 20 yard dash with teen football players, and go about my business without any problems.
I am a diabetic. I have frequent bouts with diarrhea or constipation. I regret to say that I have never had a colonoscopy (I did not heed my wife's advice.) I know my inaction classifies me as a dummy. Thank you for your information/opinions.
doctor
Answered by Dr. Dr. P. T. Patil (7 hours later)
Brief Answer:
Please continue moderate work that you are used to now .

Detailed Answer:
Hello
Thanks for followup.I feel sorry for your concern .I am praised by tour attitude towards life at the age of 84 years .Continue your physical activities and have enjoyable time for rest of your life
Thanks and Regards.
Dr.Patil.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10583 Questions

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Suggest Tests To Diagnose Recurrence Of Prostate Cancer

Brief Answer: What is the indication for doing biopsy again? Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have been diagnosed to have cancer of the prostate and have been treated with radiation in 1990. I personally do not find any rational to do biopsy again when you are already diagnosed to have cancer of the prostate. There are other tests that can detect recurrence of disease locally or spread of the disease to surrounding structures or distant metastasis by C,T Scan ,Bone Scan or MRI and blood test for serum PSA. If at all you want to get it done it is advisable to do it in operation theater for your safety and to avoid infection . Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you Thanks and Regards. Dr.Patil.