MRI results back - very concerned

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Hello again !

My husband had a face to face appointment with urology nurse today to follow up on his mri from 12 days ago.

She was very pleasant but we had to drag information out of her. Thankfully I had done a lot of research ( on here mainly) so was a bit informed. She didn’t offer PI-RAD score (5) until I pressed her, and eventually told me it was T3b, so has spread to seminal vesicles. Not good. No mention of anything else on the MRI. 

The department are on the ball though, bone scan next Tuesday, CT scan in the pipeline and on the list for a biopsy which will be in around four weeks time.

At this stage we have no idea if the cancer is metastatic, my husband has zero symptoms aside from very occasional urinary urgency, his PSA of 25 was discovered incidentally ( see my profile). 

Does anyone have any experience of similar diagnosis and what to expect next. I read that seminal vesicle spread is indicative of aggressive cancer, but I don’t know if that accurate. 

thanks for reading 

  • Hi Porthleven 

    Hopefully with a PSA of 25 it hasn't spread elsewhere, the bone scan will obviously tell you that.

    Perhaps they can start him on HT very soon to halt any further spread.

    No, seminal vesicle spread doesn't automatically mean aggressive cancer, obviously biopsy will tell you

    Best wishes 

    Steve