Please select the option that best describes you:
Topics:
Radiation Oncology • Genitourinary Cancers
Would you treat a patient with evidence of prostate cancer who refuses biopsy?
If a patient had a PSA > 15, PI-RADS 5 and lesions on MRI, would you treat without a biopsy?
Answer from: Radiation Oncologist at Community Practice
I agree with both Dr. @Anscher and Dr. @Seibert. The only way I would consider treating in such a scenario would be if the PSMA scan showed activity corresponding to the area of abnormality on the MRI. However, you can't order a PSMA scan if you don't have biopsy proven cancer (unless the patient wa...
Comments
Radiation Oncologist at Prairie Lakes Healthcare System
I had a patient with a PSA of >120 and the pros...
I had a patient with a PSA of >120 and the pros...
Radiation Oncologist at Mallory Radiotherapy, PLLC
In a very rural setting where the patient is not w...
In a very rural setting where the patient is not w...
Radiation Oncologist at Kansas City VA Medical Center
All responses are valid, there is no right answer,...
All responses are valid, there is no right answer,...
Answer from: Radiation Oncologist at Academic Institution
No
Answer from: Radiation Oncologist at Academic Institution
I agree with Dr. @Seibert. I would not treat this patient without a biopsy.
Comments
Radiation Oncologist at Community Care Physicians
I would not treat just because of refusal to get b...
I would not treat just because of refusal to get b...
Answer from: Radiation Oncologist at Community Practice
No.
The patient is "refusing" (as opposed to unable) to get a biopsy after having the reason for and necessity of having a biopsy explained to him. To me, that implies his supratentorial issues are probably more serious than his prostatic one, and treating him without proof of malignancy is just se...
Comments
Radiation Oncologist at Mallory Radiotherapy, PLLC
I share your concerns, but treating without tissue...
I share your concerns, but treating without tissue...
Radiation Oncologist at Marshfield Clinic - Rice Lake
With lung cancers, there is generally a reason not...
With lung cancers, there is generally a reason not...
And Alan Lichter's quote from the 1990s "No meat n...
Another: "Tumor is the rumor, but tissue is the is...