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Should I do a Prostrate Biopsy or just continue watching PSA levels
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Should I do a Prostrate Biopsy or just continue watching PSA levels

I have an enlarged prostrate and am having a PSA test and digital exam every 6 months.  Digital exam is normal other than protrate is enlarged.

In June 2010 was 3.73, however in December 29, 2010 was 4.9 and retested on Jan 6, 2011 at 4.2   On Jan. 6, 2011 tested %free PSA of 26.9.

Previous readings were as follows
1/06/11   %Free PSA 26.9
1/06/11    4.2
12/29/10  4.9
6/03/10    3.73
2/04/10    3.95
1/18/10    4.81
4/30/99    3.34
10/07/08  3.86
4/08/08    3.40
10/09/07  3.87
4/10/07     3.3

I am 64 and have not had a previous biopsy.

Should I do a biospy or continue watching PSA levels?
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