PI-RADS 5 but PSA very low and prostate small

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Hi, I’ve just had a biopsy. My GP sent me for an MRI as although when I saw him due to increased night peeing, not feeling fully empty and so on and my PSA was 1, he wasn’t sure what he felt was quite right.

To my suprise my Pi-RADs was 5 but my biopsy surgeon on examining commented that the prostate was small and whilst not smooth it didn’t feel typically like cancer. He reckons it’s benign. Good news.

on the other hand I’ve read that aggressive cancers can have low PSA.

I admit I’m posting hoping to hear that there often false positives in cases like mine. I don’t have any other symptoms such as weight loss or fatigue either and I’m 59.

  • Hi CB

    I presume that u are waiting for the biopsy result?

    Is PSA of 1 the only PSA u have had?

    Does the MRI show anything and if so any idea of  tumor size although I realise PIRADS 5 and of course biopsy needed to confirm if cancer

    Best wishes 

    Steve 

  • Hi thank you. Yes biopsy was today. The lesion is apparently in the capsule only and not all of it but how much I don’t know. 

    I had a second PSA blood test today as GP wanted to double check as it was so low but exam didn’t feel right. I scored 1 about three years ago as well.

    So it’s wait 3-4 weeks for results on the biopsy and a few days for the PSA but I bet it’s still really low.

  • Ok,  so it's in capsule only but not sure on size.

    Worth asking that at some point, if cancer then hopefully a low Gleeson with a smallish tumour size going along with the low PSA.

    Doesn't sound a big problem at this stage, if cancer probably easy to treat and curable.

    Let us know when u know more

    Steve