Hello all, here I am again,
Husband had his bone scan on Tuesday. We had a lovely day out at Castle Howard yesterday and have been feeling upbeat.
Today he received a copy of a letter sent to his GP from the Consultant Urologist. It sats
’his pristate MRI scan has shown a gland volume of 51 cc and high PSA density of 1.14. There are PI RADS 5 changes throughout suggestive of significant disease. I have taken a set of transperineal prostate biopsies. A bone scan due to be carried out’. A decision on definitive management will be made thereafter’.
When I wrote my first post I said that the urologist said that although that although the cancer appeared to be contained on the MRI, he thought it likely it had spread, An odd statement and noted by others on the forum. Seems the Cobsukrant hadn’t shared all of the findings at the time but thus letter is quite alarming, I think.
He had PSA levels if 62 so what is this new number?
significant disease? PI RADS what the heck?
Hello Babychamshine613e2e
Don't panic, nothing has changed. So
* The gland volume is 51cc this is the size of the Prostate and is in the normal range. (not the tumor size).
* PI-RADS 5 - Is the MRI taken had a very clear view of the prostate gland and is "suggestive of significant disease". In basic English - he's going to end up with a cancer diagnosis.
* PSA Density of 1.14. This is another result where the PSA is divided by the size of the prostate - to give a PSA density figure (this figure is not usually used in diagnosis).
The prostate biopsy will tell you how aggressive the cancer is by giving you a Gleason Score and the bone scan (with possibly a CT scan) will tell you of any spread. The Consultant hasn't said what size the tumor is but from his letter it sounds as if it's contained in the gland.
(if it helps my initial PSA was 182 and the cancer was/is contained in the gland - no tumor size was given on my MRI).
I hope the above helps - try and relax tonight and chill.
Best wishes - Brian.
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