MRI report

Hi  E 

I am no expert on MRI wording but tend to look for tumour size and location within the gland

So size in cm fairly large in fact similar to mine just before I started treatment. Mine was also near the gland edge.

I presume no biopsy yet?

I would think that treatment should start soon possibly after biopsy, have they talked about that yet?

Best wishes 

Steve 

Good afternoon, everythingwillbefine ,

This is a forum that no one ever wants to join, but most of us are quite glad to be here. Welcome.

None of us are medically qualified.

On first reading this report is better than my own.

It is highly indicative of cancer, BUT it does not appear to have escaped from the prostate capsule and gone walkabout.

If this is the case, it is possible that the main problem you and your husband will have is deciding which treatment is possible. Now that a couple of us have answered, you are likely to get more experts pop up shortly.

Best wishes,

Steve

Hi Steve,

Thanks for replying. The waiting game is killing me. The biopsy is scheduled to be the end of the month! 

I know the size seems very large and that really concerned me as well as the high grade!

Hi Steve,

Thanks for your reply! Yes we want to start treatment as soon as possible and I hope surgery can cure it?? That is what I read online. Hope that is the case. 

I suppose the surprising thing is the PSA relative to the size, some low PSAs can indicate a more aggressive kind of cancer which the report does talk about'.

In a way it's a shame HT can't be started soon to stop any growth in its tracks.

Have they talked about treatment, in this particular case RT and HT could be the best option but obviously I am not an expert or even a Dr.

Hope all goes ok and keep us posted 

All the best 

Steve 

Ps is that the only PSA or are there previous ones?

Hi Steve

What is your PSA level prior the treatment? You said yours size is about same as his? Thanks.

My PSA went from about 4 to 13 over 4 years on active surveillance.

Tumour size went from 3mm to about 1.3 cm over the same period, near the gland edge in the end

But a Gleeson 6 which is non aggressive so that is y Active surveillance for 4 years

Steve 

Hi everythingwillbefine - this looks like a curable cancer to me.  It does not “occupy the entire prostate”:  it occupies “the entirety of the anterior transition zone”, which is just one of many zones, ranging from base, mid, apex, lateral, medial, transitional, etc. 

So, please try to control your fear (I know, it’s difficult), but looking at that MRI report, which is very technical, his cancer has been caught early and it appears to be confined to the gland.

Also, please don’t jump straight to surgery as the best option.  I know it’s natural to just “want it out”, but you need to think hard about side effects and cure rates.  You need to discuss this with an oncologist as well, as there are also other extremely effective treatments available.

Read some bio’s on here and see how other men have fared.  The Bio is the icon next to the name, click and read.    AW

Hi Alpine, 

Thank you for the detailed reply I really appreciate it! Thank you! yes I am really scared... the wording on mri report are so complicated and all I know is agreesive high grade and large size tumor. However the psa is not extremely high but who knows. And biopsy is not until 3 weeks later....

Thanks again!

Hello everythingwillbefine 

Another warm welcome to the Macmillan Online Prostate Community. I am Brian one of the Community Champions here on the Community. I also have Prostate Cancer.

First off none of us are medically trained as this is purely a peer to peer forum.

Having read through your post the MRI indicates there is cancer showing in the Prostate and it is wholly contained within the Prostate.

From my understanding of what I know (I have been wrong before) time is on your hands and you are following the usual diagnostic path. The biopsy will give the formal diagnosis, your urology team may ask for a bone scan to check all is well and then there will be an MDT meeting at the hospital to decide on the treatment path.

The treatment options in your husband's case should be :- Surgery to remove, Hormone/Radiotherapy, Radiotherapy or Brachytherapy all I expect to be with a view to being curative.

Personal advice, relax, get on with life as much as you can, stay well away from Dr Google and if you are going to search out any information use only trusted sources, Macmillan, Prostate Cancer UK, Cancer Research or ask questions here.

Ask any questions you need an answer for - nothing is too trivial.

Here's a link to start you off - The Prostate Biopsy.

If I can do anything else for you please do let me know.

Best wishes - Brian.