Opinion please

What are your thoughts on a 59 year old whose PSA has fluctuated between 1.8 and 3.1 over a nine year period, 3.1 was the last reading, DRE normal, had a MRI of the prostate which was normal, and lastly had the pca3 done which came back at 34.  Now urologist wants to do a biopsy. What are the chances of prostate cancer? Thanks for your help in advance!

[Ash Tewari, MD, M.Ch.]

Thank you for your question. In order to help me better answer your question, please detail your previous PSA scores with values and dates.

Thanks.

AKT

[Tamihart]

1992 PSA  1.1  41 years old
1997 PSA   .8   46 years old
2002 PSA  1.4  51 years old
2005  PSA   2.8  54 years old
2006  PSA  2.3   55 years old
2007  PSA  2.0   56 years old
2009  PSA  3.0   58 years old
1 month later  PSA 2.5 free PSA 28%
6month later  PSA  3.1   59 years old  PRESENT PSA
PCA3 34

Thanks