MRI report

everythingwillbefine said:

all I know is agreesive high grade

Hi again.  It may be high grade and PIRADS 5, but this just means they have a really clear MRI image and they can see the lesion. I can’t see the word “aggressive” anywhere, and that’s because the MRI can’t tell what grade the cancer is.  The biopsy will tell you that.  Histology is King, and the biopsy will be the provider of that.  Big lesions can often be low grade, so please don’t go thinking of an aggressive cancer before seeing the histology.   AW

Thank you Brian. I appreciate your reply and everyone else on here. I will keep reading. There are lots of valuable information here and really helps!

Ying

Thank you!

Just to add that my understanding is that the phrase "T2" suggests that the cancer is entirely situated within the prostate gland, which gives you ALL the treatments and a probability of a cure.

However, to be guided on treatment, you will need the results of that biopsy.

Let's say, for a moment, that your other half has an aggressive cancer, as I do.

Then the biopsy will define it, and will be the guide, along with other tests ordered that will give a full picture.

Lastly, I will share with you the thought supplied to me at the time of my biopsy by the cancer nurse specialist attending. He told me that even an aggressive cancer, such as mine, doesn't move as fast as we (untrained people) think. He said "there is time to get it right".

Breathe in, and move forward.

Steve

Thank you Steve.

I want to add some updates.

My husband had biopsy and result was Gleason 3+4 and T1cN0M0, and the tumor is in transition zone (I am not totally understand different zones but anyway). Together with his PSA 4.8, Doctor thinks it's curable which we are very thankful!

We are given options of surgery and radiotherapy. And we are taking the surgery option.

Surgery will be 3/27 and we requested to be the first surgery in the day.

I also wonder when we should be referred to the oncologist. At this point, the surgeon is sure that the cancer is contained within prostate so he is not having a PET scan. Should we insist to have one? Pray for the final pathology after the surgery remains the same stage or even lower!

Thank you everyone for replying to my questions and giving us hope. We really appreciate it! Also I updated our profile.

Hi, was he offered brachytherapy given the cancer is all inside the prostate,  I have just had it, it was 2 visits, no HRT, and each visit was 1 hour.  No side affects at present 

Hi everythingwillbefine - you have just had the full post biopsy diagnosis and you have already decided on removal.  Well, the surgeon/ urologist is, not surprisingly, touting for your business (surgeons are the “fighter pilots” of the medical world).  HOWEVER, …your husband is 67 and he’s hoping to live to his 90s.  That’s a long time so you need to consider side effects of surgery very carefully. I would DEFINITELY have a consultation with the oncologist. Bluecloud1 makes a good point about brachytherapy- an excellent track record with minimal side effects.  A T1c diagnosis is very early cancer, so have a long think and chat to look at all options. I know It’s tempting to “take it out” (the frightened / emotional response) but please take your time and use the medical consultation process to its full and make your decision based upon all factors.   AW

Hello everythingwillbefine 

Further to the great post above from Alpine Wanderer here are two links to our guides to:

Surgery To Remove The Prostate. and

Brachytherapy For Prostate Cancer

I do hope these two links give you a little bit more information on treatments and help you make the correct choice.

Best wishes - Brian.

Thank you very much! We will definitely look into it! Thanks.