MRi Scan two lesions in prostate

Hi thank you not the news was hoping for ,I got the news Wednesday by clinical  urology nurse specialist no mention of the T3a or Gleeson,I mentioned Chris hoys cancer but she said my diagnosis was different as isn't in bones but it was a pelvic area mri scan with dye so was thinking how would she know  ?

MRI with dye are pretty good so hopefully no where else.

I see two PSA readings , presume the only two?

I also assume this is the only MRI, wasn't one last year?

No this is not like Chris Hoy where he is Stage 4 with bone spread, at that stage not curable unfortunately 

Steve

Hello Peter. This tells you a lot of information but basically you have two lesion, one of 5mm and the other of 17mm. The Likert score of 4 or 5 means they are highly likely to be prostate cancer. The highlighted T3a means that the lesion is at the edge of the capsule. This is the one that is causing concern and can influence treatment options.

The possible angiomyolipoma is indicative of benign (non cancerous) fatty tissue on the kidney.

The PSA rate increase from 2018 to 2024 indicates that it is slow.

The PSA density below 0.15 is indicative of a low rate of progression.

The prostate gland size is slightly larger than normal but could be indicative of BHP.

A hydrocele is abdominal fluid in the scrotum - possibly from an injury and not a problem unless it enlarges and can be uncomfortable.

There is no evidence of any anomalies in the other areas of the pelvis.

The biopsy will be directed at the areas identified on the MRI. 

Remember, these are initial results but if confirmed then it can be curable with treatment.

None of us are medically trained but I hope this has explained the reports.

Had a psa  blood test while getting treatment for a over active bladder weeks ago ,mri scan with dye last Friday there was not mention on the phone about the T3a with the  specialist nurse,I the ultersound was a pelvic one so no idea if anywhere else

Ok

I see u have had a good reply from AH as well which gives u further info.

Next week I would double check on the T3a is it Def just outside the gland or just pushing on the gland edge., 

When u have had your biopsy try and push for a meeting as soon as you have the Gleeson score so a treatment plan can be started.

All the best

Steve 

Hi ya thanks for taking time to explain to me I haven't a clue, I have a enlarged prostate, so hopefully after biopsy I'm assuming bone scan ? thanks again 

Most probably.

Thank you 

Thanks Steve for your information it's very much appreciated I'm so pleased I've joined this forum full of really kind people, I'll definitely be taking yours and everyone's advice. 

Thanks again 

Don't forget that your partner is going to be just as worried so give her a big hug and make sure that she is coping. This is very much a couples disease and it can take its toll on both of you. We found that by sharing everything it has brought us closer together and in some ways improved our life as we are a lot more spontaneous and determined to enjoy life to the full even though we, like Chris Hoy, have a T4 non curable but treatable diagnosed in 2020 and my husband is still going strong.