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Question: I have a 70 yo friend with a strong fam hx of prostate cancer — his father died of it. Despite a psa of 1.2, he recently had a nodule felt by his family doctor and his urologist on dre, which was followed by a biopsy that was negative — no cancer, and nothing else unusual found. His urologist told him yearly exams were all he needed at this point. Would you be more aggressive? Please explain.
The term “nodule” is used a bit broadly and even I in yesterdays video with Penelope spoke of a nodule in “broad strokes.”
- A true palpable prostatic cancer nodule of the prostate would most commonly show cancer on biopsy.
- It is very common for the prostate to have asymmetry and I am sure the doctor or the patient “mis-communicates” exactly what the exam revealed. I could see me telling a patient that I felt…
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