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76 year old dad best course of action

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User

Posted 03 Dec 2020 at 14:25

Sorry, he’s in Cyprus.

I agree with you however due to his fathers history with this he wants to be safe.

He saw his urologist today who has happily referred him for an MRI tomorrow.

User

Posted 03 Dec 2020 at 17:16

Originally Posted by: Online Community Member

Sorry, he’s in Cyprus.

I agree with you however due to his fathers history with this he wants to be safe.

He saw his urologist today who has happily referred him for an MRI tomorrow.

That’s great news!

Bloody good service in Cyprus.

Cheers, John.

User

Posted 14 Dec 2020 at 15:44

Just an update.

Dad doesn’t have the MRI report yet but with the biopsy looming in two days time, the urologist met with the radiologist/team about the MRI and they have agreed there is “something suspicious” on the left side of the prostate.

Without the report, I have no idea how serious this can be but hoping since it doesn’t appear to be glaringly obvious to the team and is only on one side, this is something we’ll be able to get through.

User

Posted 14 Dec 2020 at 18:44

Patients don't normally receive a copy of the MRI report, especially before the biopsy and any full diagnosis is made. Perhaps it is different in Cyprus?

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 14 Dec 2020 at 19:07

It was done privately, not on their national health service. He was told he’d receive a copy when it was ready. The urologist met with them to get an overview as he needed to know whether he was going to proceed with the biopsy.

I’m extremely nervous about the risk of infection. Being 77 now, I’m not sure how his body would handle it.

User

Posted 16 Dec 2020 at 17:49

So we have an update. My dad collected the MRI report today and the doctor explained to him that there is a very small suspicious area on the inside wall of the prostate, he said it could be scarring from prostatitis but they don’t know so it’s worth investigating with the biopsy tomorrow.

The report itself states the area is PI-RADS 3.

Looking over the report, they seem to have identified several areas that they noted on however all were scored as PI-RADS 1 & 2 apart from this area.

TRUS biopsy (guided) is tomorrow morning.

I’m assuming a biopsy is definitely the right thing to do now?

User

Posted 16 Dec 2020 at 22:46

Yes, definitely the right thing to do.

Chris

User

Posted 17 Dec 2020 at 10:34

Thanks for the reply. Hope you are well!

Well, it’s done. And now, we wait..

Have a nice Christmas everyone.

User

Posted 17 Dec 2020 at 15:45

Great! Put it out of your mind and enjoy Christmas. I'm sure your Dad isn't stressing about it as much as you are 😁.

Best wishes,

Chris

User

Posted 21 Dec 2020 at 14:42

Well, dad received an unexpected call from the Urologist today! We were told it would be a two week wait for results for the TRUS biopsy.

All clear. He said there was nothing in any of the samples (I believe 20 were taken) including the suspicious area shown on the MRI. They took samples from both sides. The report states nodular hyperplasia and mild prostatitis.

He has said they will repeat PSA in 12 months but dad is going to do that in 6.

I am hoping that since the MRI was performed beforehand; there is little chance these results are false negatives and the rise in PSA is due to the prostatitis.

Great news but very bizarre given his age and family history. Still, I’ll take it!

On a side note, does anyone know what p40 is? The lab report says p40 positive, AMARCK negative. Can’t find much online as to what that actually means

Edited by member 21 Dec 2020 at 21:02 | Reason: Not specified

User

Posted 22 Dec 2020 at 10:07

That’s really good news. I don’t know what p40 is, hopefully someone does!

Ido4

User

Posted 22 Dec 2020 at 11:13

P40 is an antibody but whether positive is a good thing or a bad thing may depend on the country where the report is being produced. I suspect that these two details are specific to Cyprus.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 22 Dec 2020 at 17:42

Thanks!

Have a nice Christmas & new year all.

User

Posted 08 Dec 2022 at 18:42

Hi all! I hope everyone is doing well.

I didn’t expect to find myself posting here again but thanks to Cyprus’ intense health surveillance system I am!

Dads PSA generally decreased since 2020 when this all happened, but has now risen from 4 to 5 and he has therefore been referred back to the urologist! Of course he’s panicked all over again despite the first round in 2020 showing a jump from 2.6 to 4.5 in a year.

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