Let me start by apologizing for the length of this post in advance. My head is spinning, I'm finding it hard to form coherent thought. Functioning seems like an impossible task currently. I live in America, but I have found no other forum that I find as supportive, positive, or informative, so here I am.
My husband had a rise in PSA from under 1 to 5.7 within a year. He is 55 years old. His doctor had him take a course of antibiotics and repeat the PSA in 3 weeks, which was then 5.3 with a free PSA % of 9. We were referred to a urologist who did a DRE and ordered an MRI. The urologist said his prostate was enlarged but he felt nothing else concerning during the DRE. He had the MRI with and without contrast on Saturday and the results posted to his MyChart on Sunday. The results have not been viewed by his doctor as of yet but looking at them I can see he almost certainly has prostate cancer. The report states the following:
A 1.1 cm PI-RADS 4 lesion in the apex left peripheral zone. Lesion 1 does not abut the prostatic capsule.
A 1.2 cm PI_RADS 4 lesion in the midgland to base left peripheral zone. Lesion 2 abuts the prostatic capsule.
No frank extracapsular extension or invasion of the seminal vesicles.
No invasion of the adjacent structures. No suspicious pelvic adenopathy.
An indeterminate 1.3 cm lesion in the left femoral neck. Consider follow up bone scan or PyL PET.
Additional findings: There is benign prostatic hyperplasia.
Lymph nodes: No suspicious pelvic adenopathy.
I understand the general idea is to wait to talk to the doctor, wait for the biopsy, wait for a definite diagnosis but I am finding that nearly impossible.
Besides the obvious concern of prostate cancer, isn't the jump of over 5 in a year a huge jump? Is such a big jump indicative of an aggressive cancer? Additionally, my husband is black and from what I have read, he is more likely to have a more aggressive cancer. Does the fact that one of the lesions abuts the prostatic capsule mean the cancer has already travelled outside of the prostate? The indeterminate lesion on the femoral neck has me freaking the F out.
I am looking for any information that will help me feel like we can get through this and he will be ok. I know that nobody can say with any certainty how this will go but I'm so scared, lost and I feel alone. I do not want to burden him with my fears when he is dealing with this. I am really trying to be a glass half full kind of girl around him when in every other situation I lean toward the pessimistic side.
Thank you for taking the time to read this.