69 years old, used to work as a lab technician.
He is referred to you by his GP following a routine check-up that revealed a PSA of 29.9 ng/mL. He has not been biopsied before.
At your practice, 1 month later, a PSA of 30 ng/mL is measured.
A DRE is performed and it looks like a large prostate, possibly cT2. His prostate volume is 83 mL (measured by MRI) and the PSA density is 0.36 ng/mL².
MRI further shows an image that suggests prostatitis but focal low-grade prostate carcinoma cannot be excluded (PI-RADS 2).