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User
Posted 17 Feb 2024 at 11:02

Hi

I am 65 year old

Had a recent MRI  PI-RADS 4 score

3 small lesion found on 75cc Prostate

DRE -Benign feeling prostate

0.5  PSA rise over 5 years to 4.3 now

Urologist is considering possible biopsy

Any comment would be greatly appreciated.

 

User
Posted 17 Feb 2024 at 15:05

Definitely discuss need for Biopsy. My MRI showed a .9x.5x.9 lesion Pi-Rads4 and prompted the biopsy. It was ironic that the concern that prompted the biopsy turned out benign but the biopsy found on the same side a Gleason 7 (3+4) a Gleason 6 (3+3) and on the opposite side a Gleason 8 (4+4) and another 7. No indication on the MRI for any of the other.

User
Posted 17 Feb 2024 at 15:17

Hello mate.

A warm welcome to you. I'm sorry you've needed to find us but glad you have.

Your prostate seems large, probably double the normal size of a man your age. There can be many prostate conditions that cause this enlargement and that could also account for your slightly high PSA.

To be on the safe side I'd be guided by your urologist, if he thinks a biopsy is appropriate, then perhaps it would be wise to follow his advice.

I believe PI RADS 4 means that the lesion is likely to be cancerous, so a biopsy would clarify your condition.

User
Posted 18 Feb 2024 at 15:57

Hi Ned@1

Thanks for your reply 

do you mind me asking what was your PSA ,Prostate volume and DRE?

Thanks

User
Posted 18 Feb 2024 at 19:04

PSA had been jumping up and down last 18 months. Had been stable 1.9 for years, then jumped to 3.0, down to 2.4, up to 4.0, down to 3.3. DRE normal , Prostate volume 21cc

User
Posted 18 Feb 2024 at 21:01

Hi

Did you have normal MRI or mpMRI and what is your age group.

what treatment are you receiving?

Thanks

 

 

User
Posted 19 Feb 2024 at 13:28

Thanks for your advice Adrian.

User
Posted 19 Feb 2024 at 22:49

Had mpMRI, age 70

User
Posted 19 Feb 2024 at 23:18

Also no treatment yet, awaiting PMSA Prostate Pet and Decipher genomic testing. I would like to take a year before starting any treatment. 

 
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