Recent Diagnosis

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Hi

Just received a recent diagnosis and yet to have the results appointment but spotted the letters in the NHS app.  Not sure what it all means.  PSA was 5.9 x2 MRI’s 6 months apart showed something PIRAD2 and the biopsy showed a score of 3+4 with 19 out of 28 cores positive.  CPG2 with something called cibriform or similar.  They have already referred for prostrate removal as my family history is not great.  Just weighing up what all of this means.  Thank you.

  • Hello  

    A warm welcome to the group although I am so sorry to find you joining us.  The information you have received is:

    PSA 5.9 - This is a blood test result - elevated levels tell your team how your treatment is doing.

    PIRAD2 - Usually means a low chance that you have prostate cancer - looks like that was wrong.

    Gleason 7 (3+4) This shows how aggressive the samples from your biopsy are.

    CPG2 (Cambridge Prognostic Group) Shows a low to intermediate risk of localised cancer (cancer still in the prostate gland).

    Cribriform - This is something you don't want as it can indicate that you have an aggressive type of cells within the cancer and treatment is urged.

    As it's looks to have been found in the early stages of growth I would have thought you would have the choice of treatment between surgery to remove or hormone therapy/radiotherapy. I would advise before you make any treatment choice you speak to both a surgeon and an oncologist. Don't forget you can make the choice of treatment having spoken to your team.

    I hope this helps - please do come back to us with any questions.

    Best wishes - Brian.

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  • Hi  , so you know you have PCa, but it sounds to have been caught fairly early.  When you get to meet, make sure they tell you all the options as surgery is likely to be 1 of many available.  Don’t be rushed but look at the pros and cons of each before choosing.

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.