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High PSA of 9.28

2026-06-22 07:40:40
My father in a routine psa test found psa to be 9.28. Mri gave pirads4  18*11mm nodule. I am also attaching mri report. Doctor is asking for biopsy. Can pirads4 be benign? What are chances? And why his dre was painful?
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Answers (10)

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Consult for discussion and treatment

Answered2026-06-26 11:55:19

YESNO

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Biopsy 1st

Answered2026-06-25 08:02:18

YESNO

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Connect please

Answered2026-06-24 02:39:54

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Need biopsy for further management
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consult here for further management

Answered2026-06-22 08:47:58

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PIRADS 4 means high likelihood of clinically significant prostate cancer. So go for prostate biopsy. Painful DRE can be due to discomfort associated with DRE itself or prostatitis also.

Answered2026-06-22 08:46:51

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Get biopsy done High chances that it will be malingnant

Answered2026-06-22 08:45:42

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Plz consult

Answered2026-06-26 14:29:39

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Pirads 4 is not benign...need biopsy

Answered2026-06-24 08:38:59

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Kindly do biopsy

Answered2026-06-22 18:16:54

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Connect on call

Answered2026-06-22 17:48:23

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