Case Robert

75 years old, used to work as a mechanic in the family-owned bicycle shop.
He regularly visits his urologist. In November 2016 the results of a blood test showed a PSA of 12.2 ng/mL, which rose to 12.9 ng/mL in the beginning of 2017. He has a slightly enlarged prostate (TRUS: 57 mL), a normal DRE and no family history of prostate cancer. Robert had a prior negative biopsy in 2011.

Would you do a prostate biopsy?

% of respondents
100
80
60
40
20
0
Your choice
No
Your choice
Uncertain
Your choice
Yes
Your peers
Editorial board

This case is real and the patient had additional diagnostic tests*

Eventually a prostate biopsy was performed. Gleason 7 prostate cancer (both sides of the prostate) was found!

* EAU guidelines recommend (LE 3, GR C) to offer additional diagnostic tests to asymptomatic men with a PSA 2-10 ng/mL prior to performing a prostate biopsy. Use one of the following tools: risk-calculator, serum or urine-based test or imaging

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