New and MRI results

Dan06 1 month ago

5 replies
181 subscribers
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Hello everyone, I am new here. Sad to come to a forum to talk about the C word, but I can see support helps and having a community to help you through the maze of info greatly appreciated. As I am new to this, its all quite scary at the moment, so any insights and advice is appreciated. WM 64, history of prostatitis that has cleared up with antibiotics. Incidental finding on Hip MRI showed lesion on the prostate. Most recent dedicated prostate MRI (within last week) says: RADS4 lesion in the left posterior lateral peripheral zone, middle third. Lesion 8 x 7 x 6 mm, prostate volume 27.3 cc, PSA density .07 (based on last PSA test which was 2). I am set for another PSA test in a few days and I think it will be high, but who knows. I have a follow up with the urologist in a few days. I suspect he will suggest a biopsy. What should I be asking and from those that have walked this path, what to expect? Thanks in advance. Keep the faith.

mstev2 1 month ago

Hello Dan06 and welcome here.

as you say, not the greatest club to join but, when you are here, it really helps.

A PIRADS 4 lesion carries with it the chance of being a cancer but also MAY not be.

Your PSA level does not seem to be too high based on your figures, but it is likely that a biopsy would be a good idea.

Only after the biopsy will a clear picture emerge and treatment can be discussed.

I suspect that you will have all the options.

Let us know.

As you say “Keep the faith”, from one keeping the faith.

Steve

Changed, but not diminished.

Grundo 1 month ago

Hi Dan06

It all looks quite low really as long as I'm reading it correctly.

Low PSA , lesion only 6mm, easily treatable I would say.

I think the main thing that needs to be confirmed, is the tumour confined to the gland or has it spread outside.

I think the former but just double check then start talking about treatment options although if contained in the gland and with the low stats active surveillance could be an option

PS, sorry forgot that u need a biopsy first to confirm that it is cancer, think u mentioned that is going to happen

Best wishes

Steve

David2017 1 month ago

Hi Dan06 sorry you are posting here but we can help. My take is as follows. Your PIRADS indicates a possible malignancy but your low PSA and history of prostatitis suggest that there could be another cause. The suspect mass isn’t seen at the edge and therefore IF cancer was found, it should be very treatable. I think a biopsy is necessary but I anticipate either a very low Gleason or non malignant.

Best wishes, David

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

Dan06 1 month ago in reply to Grundo

Thanks Grundo, same MRI report said there are no spacious nodules identified in the transitional zone, the prostatic capsule appears maintained. The neuromuscular bundles and postereolateral periprostatic fat are normal and without evidence of tumor extension. So, hoping it is confined to the gland.

Grundo 30 days ago in reply to Dan06

Ok so that sounds ok then especially if only one tumour at 6mm.

Biopsy will probably be Gleeson 6 or 7 that's if it is confirmed as cancer.

So all u have to do then is decide if active surveillance or treatment path but all looks ok

Good luck

Steve

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