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Intro - TRUS just done

User
Posted 05 May 2020 at 15:55

I'm actually at the stage of awaiting a diagnosis following a TRUS biopsy earlier today so I won't know for another 14 days if I've joined this club officially.

I had my first PSA test and DRE when I got to 60 as part of the routine MOT I got on reaching that age.  My PSA was 3.4 at the time and they said that would be used as a starting point for future tests to be compared against.  The DRE didn't reveal anything so nothing happened until a few months ago just after turning 65. 

I had a routine blood test in my local surgery and I asked whether they could test the PSA level whilst they were there.  They duly did and it came back as 5.

In view of my father dying from PCa at 75 they thought it worth an mpMRI scan which they could do at my local hospital.  I had the scan a few weeks ago in which there was a power surge then brief power cut near the end so they couldn't do the last 5 minutes just after the dye was injected. 

The specialist contacted me a few days later to say there was enough there to warrant a biopsy but didn't give much detail apart from saying it was suspicious but there was nothing detected outside the prostate.  I then had a rectal swab done at the local surgery to ascertain which antibiotics I would need. The biospy specialist today gave more details saying there was an area of legions contained within the prostate and some other areas they wanted to get samples from.

The biopsy went OK and I haven't seen any blood in my urine afterwards so now await the results.

I am fairly sure there is something there from what they've said and its now a matter of what treatment if any I need next.  The consultant said a rise of 3.4 to 5 in 5 years was obviously very slow but he also said after the said that my prostate was quite small and therefore it was relatively higher than in some people.

It does make you wonder why more regular PSA tests are not carried out as I might have gone on for a few more years without any symptoms.  I feel lucky I did ask for that PSA test at the time and that its probably been detected at an early stage.

User
Posted 05 May 2020 at 18:36

My husband had is TRUS biopsies yesterday. He wasn’t able to have an MRI due to Covid situation. His PSA was 12.9 and an abnormal DRE. He just turned 60yrs old. 

He’s been advised that he will receive results via a video telecall. 

I wish you well 🌹

User
Posted 11 May 2020 at 14:42

Results today by phone.   Gleason 3 + 3 so as good as I could have hoped.

The multi-disciplinary team will meet later in the week to discuss what if any treatment.

I suspect it will be closely monitored for a while with PSA blood tests every 3 months.

User
Posted 11 May 2020 at 14:53

Thats positive news. My husband got his results today 3+5, devastated. Bone scan tomorrow.

User
Posted 11 May 2020 at 14:57

Hi your numbers look pretty good so you will have a good range of treatment offered.

Good luck John.

User
Posted 12 May 2020 at 07:33

Originally Posted by: Online Community Member

Results today by phone.   Gleason 3 + 3 so as good as I could have hoped.

The multi-disciplinary team will meet later in the week to discuss what if any treatment.

I suspect it will be closely monitored for a while with PSA blood tests every 3 months.

Are you still in line for another mpMRI scan? I would press for one ASAP so you (and the MDT) have as much information as possible about the size and location of the tumour(s).

It may be of some consolation to know that if you had Critical Illness Insurance with the likes of, say, Aviva, you would not get a payout as Gleason 3+3=6 is not classed as ‘life threatening’! There is also a school of thought that G3+3=6 should not even be referred to as ‘cancer’ and rather what is called in medical parlance as: ‘A little difficulty down below’ 😉😂😷

Best of luck.

Cheers, John.

User
Posted 14 May 2020 at 16:36

Thanks for the reply

I've just heard back from the MDT meeting and they've decided I need another biopsy but this time a template one under general anaesthetic.  From the MRI scan they showed T3a with an index lesion and blurred capsular margin with the biopsy showing 3 + 3 Gleason score.

The specialist said the most likely outcome from another biospy would be close monitoring but they wanted to take up to 40 samples from all over the prostate this time to be absolutely sure bearing in mind my family history.

Interesting that the specialist seemed to give me an option rather than saying you must get this done. 

Whatever the outcome is this time it seems that I'm getting the best treatment and its all happening fairly quickly which could be the result of fewer people being tested due to Covid19.

 

 
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