instruction: hello doctor prostate biopsy was prompted by rising spa over several years 20 25 per year reaching over this past year spiked at 3 which I think really is why they wanted the biopsy but I expect it to come down since then 12 core came back benign but I do not understand the implications for some of the additional descriptive language and why I need continued six months follow up dre had nodules and trust shows calcification and volume of 27cc path description says reactive and atrophic acing and locally reactive does that mean bah or prostatitis or is that a precursor to pa I have no symptoms of bah or prostatitis other than getting up between am and am every morning I think it is just an age factor I am not interested in the does and trust procedures if it is not going to tell anything new and I can have bloodwork done without the time and expense of a doctor visit
output: hi I have studied your reports and consulted with my pathologist as per her advice and mine too your reports are normal the biopsy changes are age related in the biopsy no carcinoma is identified doing dre digital rectal exam and trust transrectal ultrasound again will not be beneficial as biopsy has already been done and results are negative for cancer and bah benign prostatic hyperplasia biopsy was done because in benign prostatic hypertrophy and prostate cancer calcification occurs in 10 of cases and your biopsy is normal biopsy is the choice of diagnosis and your biopsy is normal your doctor has asked for the followup to see the changes in prostate calcification yes trust and dre will only show if the calcification and volume are increased or decreased nothing else rest you can discuss with your physician for diagnosis and management