Patient's question:
The first time 11, the second time 9.8, the third time 20.8. The MRI results show a significant reduction in volume, normal shape, clear boundaries, large areas of hypointense T2 signal in the left peripheral zone with clear boundaries, and symmetrical bilateral bladder seminal vesicle angles. No swollen lymph nodes were observed in the pelvic cavity. MRS suggests elevated Cho levels in the abnormal signal area of the left peripheral zone, with a Cho+Cr/Ci ratio below 1. I would like to consult experts: is this condition serious? What should be done about high PSA levels in prostatic diseases?Doctor's answer:
Generally, a PSA decline is associated with prostate cancer. Sometimes, catheterization or prostate massage may also lead to a decline, but it will never be higher. Based on your situation, it is recommended that you undergo a prostate needle biopsy to examine the pathology and determine whether it is fibrosis or malignant. In addition to treating the prostate, patients are advised to pay attention to their diet in daily life and maintain a cheerful mood to enhance their physical condition and slow down the treatment process.