PI-RADS 4?

Hi Alex, sorry to hear of your situation.

PIRADS 4/5 would normally indicate cancer but not always and impossible to speculate until u have the biopsy results.

Psa is still low so unusual if it has spread outside the gland.

Hopefully someone will appear who had a PIRADS 4 with negative outcome.

Is your bladder cancer sorted or r u still on treatment?

Keep in touch, all the best

Steve

Thanks a lot Steve. Much appreciated. I know I should wait for my biopsy results but you know how it is, my mind is racing!

My bladder cancer is under control but it has a high tendency to recur, and I’ve been told that if it comes back they will need to take out my bladder. I’m about to start maintenance treatment for 3 weeks from Wednesday. 

I worry that if I have prostate cancer as well they’ll recommend removing both bladder and prostate as I am counted as young at 48.

But I’m just going to take one step at a time!

Can I ask, would a 1.1 cm tumour be small? My prostate volume is 32 cc so it’s not so big.

To put it in perspective my no 1 tumour started at about .4 cm and grew to 1.3 before treatment. So yours is not particularly small but not massive either.

Do u know were it is in the prostate, hopefully not near the capsule edge.

Before having the bladder removed, if becomes necessary, could be worth a second opinion.

How long do u have to wait for biopsy results?

Regards

Steve

Thanks. That is really helpful and does put it in perspective. So yours basically trebled in size! Was that over a long period?

The urologist showed me where the lesion was on a diagramme and it is near the capsule edge. The MRI report says the border with the capsule is difficult to assess due to “movement artifact”.

Good idea re second opinion. I will definitely do that as it is a life changing choice.

I have another week to wait, although my experience from bladder biopsies is they always say 14 days but usually it is available sooner. 

Thanks again  

Alex 

Alex

Yes , was over 4 years so slow growing.

The puzzle about your situation is the low psa.

Hopefully the biopsy will show the MRI info to be incorrect.

All the best

Steve

Thanks Steve. Yes, the low PSA is on my side! Fingers crossed. I’ll let you know anyway. 

Cheers

Alex

Steve,

i thought I’d let you know. The MRI scan was wrong!  No cancer in the biopsies. I’m not sure if they will repeat them but I’m seeing the urologist tomorrow morning before starting my bladder cancer treatments. 

I’m very relieved and just want to thank you for your kind responses to my questions. 

Hopefully, I will just have to deal with one form of cancer going forward!

All the best and best of luck to you in you treatments and journey!

Alex