HG PIN
HG PIN is the abbreviation for "Handelsregisterauszug" (commercial register excerpt) in Germany. It is a document that contains information about a company registered in the commercial register, such as its legal form, managing directors, and shar
March 11, 2017 | 50,00 EUR | answered by Dr. David Meyer
Hello,
I am male, 60 years old. Due to a very large prostate, a biopsy was performed.
The result was:
No active tumors, but High Grade PINs were found in 5 out of 12 samples.
The treating doctor said that currently there is no reason to take any action, except for a 3-month monitoring of the PSA value (5.2) and an examination of the organs every 6 months.
However, when reading all the information about HG PINs on the internet, I have serious doubts whether this is sufficient and whether I should be seriously concerned "about my life".
Would surgery / prostate reduction possibly be a suitable way to get rid of these HG PINs?
Thank you in advance for your reply.
Dear inquirer,
You are absolutely right. From a purely histological point of view, High Grade PIN is a precursor to cancer.
Your urologist is doing everything correctly. According to the S3 guideline, it is recommended to perform another biopsy after 6 months.
At this time, surgery is not advisable. The cost-benefit risk of surgery always has to be considered.
Reducing the size of the prostate is also definitely not indicated, as this could complicate a future operation.
Currently, it is appropriate to monitor the PSA levels and perform another biopsy in 6 months.
Although Hg-PIN findings are associated with an increased risk of prostate cancer, it is not necessarily guaranteed that prostate cancer will develop at all. Depending on the patient's age, PSA levels, and studies, the likelihood is around 30% (over the entire lifespan). It is also important to note that prostate cancer develops very slowly and even with a diagnosis, often only "watchful waiting" is recommended, as prostate cancer (if diagnosed at age 75, for example) will not necessarily affect your lifespan.
I hope this information has helped calm your concerns.
Best wishes,
Dr. Meyer
Urology
