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Prostate Cancer (Expert Forum)
bone biopsy on left femur
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Lefrak Institute for Robotic Surgery and Prostate Cancer
New York - NY
This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis , Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.
bone biopsy on left femur
by aldo5, Oct 04, 2007 11:29AM
I have been diagnosed with BPH about 3 and a half yrs ago. My last PSA was 1.5 I have trace blood in my urine. In a recent ct scan a bone island or lesion showed up on my left femur. Full body bone scan was normal except for a hot spot on femur which correlated with ct scan. Mri shows low level feed back in that area also. I have some pain in my hips and shoulders. I am going for a bone biopsy next week. My doctor and 2 other bone doctors don't believe this could be prostate cancer mestasis. I am scared to death that it is. Very Worried
Doctor's Answer
by Ash Tewari, MD, M.Ch., Oct 05, 2007 12:59PM
, Oct 05, 2007 12:59PMTo: aldo5
Hello Sir,
Your PSA level of 1.5 is normal, and you have never been diagnosed with prostate cancer. If you have had a prostate biopsy, that would be the gold standard, but if you have a lesion on your femur it could be a primary cause of something else(primary bone tumor) Having prostate metastatic disease to the bone would also cause higher PSA levels, there are a few patients with low PSA who do have prostate cancer, but digital rectal examination would generally provide some type of indication of this. For you, the best option to rule out the prostate as being the primary source would be a biopsy. However at this time, it is unlikely that you have metastatic disease to the bone.
Thanks!
Your PSA level of 1.5 is normal, and you have never been diagnosed with prostate cancer. If you have had a prostate biopsy, that would be the gold standard, but if you have a lesion on your femur it could be a primary cause of something else(primary bone tumor) Having prostate metastatic disease to the bone would also cause higher PSA levels, there are a few patients with low PSA who do have prostate cancer, but digital rectal examination would generally provide some type of indication of this. For you, the best option to rule out the prostate as being the primary source would be a biopsy. However at this time, it is unlikely that you have metastatic disease to the bone.
Thanks!
Member Comments (1)
by rick369, Jan 07, 2009 12:02PM
A related discussion, bone cancer was started.
