Prostate Cancer Diagnosis

Timing is everything when it comes to prostate cancer. The sooner you can get an accurate diagnosis, the better your chances are for a good outcome. We use the most advanced techniques and tools to diagnose prostate cancer early. And we’re researching better ways to detect prostate cancer, so you receive care when it matters most.

Prostate Cancer Diagnosis: Why Choose the Abramson Cancer Center?

Our multidisciplinary team of prostate cancer specialists includes radiologists (imaging specialists), surgeons and pathologists (lab specialists). These experts devote their days to examining, analyzing and interpreting prostate cancer test results. Their level of subspecialization means you get answers quickly.

Prostate cancer diagnosis with us also includes:

  • Timely diagnosis: Our prostate cancer team includes advanced practice providers (APPs) who are highly trained in prostate cancer care. They use their expertise to get you the right screenings and tests for prostate cancer. Their efforts mean you experience a more efficient diagnosis process. They also ensure you connect with the right specialists for your care.
  • Prostate cancer subspecialists: Our radiologists specialize in prostate cancer and reading diagnostic MRIs. This uncommon level of subspecialization means they can identify suspicious areas that others may miss. They share these findings with our Genitourinary (GU) Oncology Tumor Board of other prostate cancer subspecialists in radiation and medical oncology, pathology and surgery. Together, these experts make personalized care decisions that consider every perspective.
  • Advanced diagnostic tools: We offer the latest tests for prostate cancer, including MRI-ultrasound fusion prostate biopsy. These advanced, evidence-based tests result in more accurate diagnoses, fewer “false-negatives” and more customized care.
  • Expertise in prostate cancer genetics: If you have the BRCA1 or BRCA2 gene mutation, you have an increased risk for developing prostate cancer. In our Basser Center for BRCA, our genetic experts research, treat and help prevent BRCA-related cancers. They use their expertise to help you understand and manage your personal cancer risk and make smart treatment decisions.

How Is Prostate Cancer Diagnosed?

If doctors suspect prostate cancer, they perform a medical exam and prostate cancer screening test. Depending on the results, they may order more tests, such as:

  • Blood tests
  • Imaging tests, such as MRI, CT scan and ultrasound
  • MRI-ultrasound fusion biopsy
  • Prostate biopsy

Our prostate cancer specialists review your test results and make treatment plans tailored to your diagnosis, health and lifestyle. Learn more about our comprehensive prostate cancer treatment options.

Prostate Cancer Screening

Prostate cancer screening helps find prostate cancers when they are the most treatable.

Not everyone needs prostate cancer screening. The U.S. Preventive Services Task Force now recommends basing the decision on the individual and not age alone.

You can make an informed decision by talking with your doctor. Those at higher risk for prostate cancer include males:

  • Over 50
  • With a family history of prostate cancer
  • Who are African American

There are three prostate cancer screening tests:

Prostate-Specific Antigen (PSA) Test

The prostate-specific antigen (PSA) test is a blood test that measures the PSA level in the blood. PSA is a protein that the prostate makes.

PSA may be present at higher levels in the blood of males who have prostate cancer. Infection or inflammation in the prostate can also elevate PSA.

An elevated PSA does not confirm a diagnosis of prostate cancer. That’s why it’s important to talk with a doctor about your results.

Digital Rectal Exam (DRE)

During a digital rectal exam, a doctor or nurse inserts a lubricated, gloved finger into the rectum (the part of your large intestine that ends at the anus). This exam checks the rectum and surrounding tissue, including the prostate, for abnormalities or lumps. A DRE can be helpful in detecting prostate cancers that may be felt on exam.

MRI-Ultrasound Fusion Prostate Biopsy

This advanced technology helps detect and classify different types of prostate cancer using MRI and ultrasound images. MRI uses powerful magnets and radio waves to take detailed pictures inside your body. Ultrasound uses sound waves.

MRI and ultrasound images are fused, or combined, to create clearer pictures. This fusion also gives doctors a more precise area to biopsy.

Research shows that MRI technology is a more accurate and efficient way to biopsy suspicious areas in the prostate. It may also reduce the need for repeat biopsies due to “false-negatives.”

During a traditional biopsy, doctors use a biopsy needle to remove prostate tissue to check for cancer cells. During an MRI-ultrasound fusion prostate biopsy:

  1. You undergo an MRI scan.
  2. A radiologist reviews the images for areas that may be prostate cancer. If suspicious areas exist, you undergo the MRI-ultrasound fusion biopsy.
  3. During the biopsy, a doctor inserts an ultrasound probe into the rectum.
  4. As the ultrasound probe moves around the prostate, the fusion technology combines the prior MRI images with the real-time ultrasound image.

Fusion biopsy may benefit you if you have had a recent MRI to rule out prostate cancer. When the urologist and radiologist review the MRI images, they look for signs of cancer. They also look for areas that are clear enough to fuse with an ultrasound for biopsy.

Get a Second Opinion on a Prostate Cancer Diagnosis

If you’ve been diagnosed with prostate cancer and want a second opinion, we can help. Call 215-360-0583 to connect with an oncology nurse navigator.

We will need:

  • Imaging relevant to your diagnosis
  • Pathology reports for your diagnosis
  • Any operative notes from your doctors

Our urologic cancer specialists review your medical information, current diagnosis and materials. They then give you a thorough treatment recommendation so you can make informed decisions about your care.

Make an Appointment

Please call 800-789-7366 or request a callback.

Staging

The four stages of prostate cancer are determined by a Gleason score and TNM staging tests. Learn your prostate cancer stage and grade from Penn Medicine.