PIRADS lesion of 3

PI-RADS 3 means that something suspicious was seen and they cannot judge whether or not it may be cancer - the scale is:

PI-RADS 1: very low (clinically significant cancer is highly unlikely to be present)
PI-RADS 2: low (clinically significant cancer is unlikely to be present)
PI-RADS 3: intermediate (the presence of clinically significant cancer is equivocal)
PI-RADS 4: high (clinically significant cancer is likely to be present)
PI-RADS 5: very high (clinically significant cancer is highly likely to be present)

However, it is only a visual prediction - we have had men on here who had a finding of PI-RADS 5 but further detailed diagnostics found that the lesion was benign and we have had men with PI-RADS 1 or 2 who went on to be diagnosed with prostate cancer.

It is easy to say don't worry but really, try not to worry - whatever they have seen needs further assessment but even with all the detail of the mpMRI available to them, they are unsure whether it is cancer or infection or PIN or bruising from all the cycling. Fingers crossed the biopsy comes back clear.

Edited by member 04 Sep 2020 at 13:53  | Reason: Not specified

Thanks for your reassuring comments! I really appreciate it

Hi Steve,

Sorry that you have found yourself in this position but you will find a huge amount of helpful information on these forums.

if you checkout my profile you will see my history but much similar to yourself, I am 57 and healthy with an active lifestyle, I had a PSA of 5.6 and my DRE didn’t raise any concerns but I ended up getting referred to a urologist and subsequent MRI scan which came back as PIRAD 3, I then went for a biopsy  which found that I had cancerous cells in my prostate which was a huge shock for me as I didn’t have any symptoms. My Gleason score was 3+4 (7) and on the 22nd July I had Brachytherapy treatment for my prostate cancer and I have my first follow up consultation in September. I feel that I have been lucky as my cancer was detected early and I have every expectation that It will be treated successfully.

shortly after I was diagnosed I told a friend of mine about my diagnosis and he was experiencing pain in his pelvic area, he was subsequently diagnosed with prostate cancer and it has moved to his bones, he is currently getting treated for that but I would much rather be in my position where my cancer was detected early and contained in my prostate and very treatable rather than his situation.

Having said all that you might not even have cancer but if you do many people on this forum have gone before you and are living proof that treatment is successful.

Good Luck in the meantime 

David

Edited by member 04 Sep 2020 at 20:54  | Reason: Missing word

Bollinge,

TRUS and transperineal template biopsies are being phased out.

TRUS because of the infection risk (which became a show stopper during peak COVID, forcing many hospitals to switch), and template biopsies because modern mpMRI is making it unnecessary to map prostate cancer using the Swiss Cheese method, and the replacement for TRUS can access the whole prostate, which TRUS can't. TRUS had become more accurate using fusion imaging (combining the mpMRI scan with the ultrasound image, for precise targeting).

The new method is called LATP (local anesthetic transperineal) which is done in an outpatient setting, just like TRUS, but not through the rectal wall. This is done using fusion imaging too in most cases. Going through the perineum means that the whole prostate can be sampled (with TRUS, the anterior couldn't be reached, and the apex was difficult to hit).

Edited by member 05 Sep 2020 at 07:49  | Reason: Not specified

Thanks David, remarkably similar situation for you and I.

Its great being on this forum, just to share hear of others experiences. Being active fit and healthy, it was a shock to find something especially, as my DRE on the past two occasions (over the past 18 mths) has been “normal”. It just shows you can never been fully certain until you have an MRI and biopsy

Edited by member 05 Sep 2020 at 08:48  | Reason: Wrong name

Thanks John

Actually, by his own choice, my GP did a PSA test as prt of a well man check about 18 mths ago. At that time I didn’t even know what PSA was!! 
He told me I informed him I urinated frequently, but no flow problems etc. I replied that I did urinate a lot but I am also addicted to tea and coffee, drinking 9-10 mugs as day, so I was never worried about it 

What was the outcome in your case?