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Face to face requested for biopsy results

User
Posted 20 Dec 2024 at 10:28

Hi everyone,
I been lurking through this resource over the last day or so, and have been encouraged by the candid and supportive posts from users on various parts of this journey. So first a thank-you.

My situation is that I am yet to be diagnosed but there's apparently a reasonable chance a have cancer.
I arranged a PSA test over the internet simply because I'm in my 50s with a family history, and was surprised  that there is no active screening via the NHS. 
No specific symptoms, but had noticed flow rate had reduced over the last couple of years, but no biggie. Just getting older I assumed.

PSA result: 6.7
This was repeated at my doctor's surgery a couple of days later with a result PSA - 8.1.

MRI scan a couple of weeks later:
PI-RADS 3 lesion of 3cm (which I understand is quite large).
Surgeon seemed pretty sure that if this was PC it would be early stages with no detection of secondaries in the pelvic region.

Biopsy performed and I'm due to get my results next week.
I've been getting other symptoms recently including pains in my lower ribs and central back, which of course, has me questioning whether these may be secondary sites of PC.
A bit more concerned now as I was informed I would get the results by phone, however the nurse I spoke after the results were in informed me that a face to face at the hospital was requested in this case.

Anyway we'll see, and it's great to know there's support here whatever the outcome.

User
Posted 20 Dec 2024 at 11:11

I guess on the balance of probabilities you probably have got prostate cancer, but whether it is in need of treatment is another question. 

I'm posting to reassure that the probability that you have secondaries is close to zero. Pretty much any ache and pain you are going to ascribe to prostate cancer now.

Dave

User
Posted 20 Dec 2024 at 11:33

Yes a psa of 8 isn't usually a level that has spread.  Normally a lesion is measured in mm and 30 would be fairly large.  Yet your psa isn't that large so it makes you wonder.

Also an inflamed prostate will increase your psa, only a biopsy can give full proof.

It isn't unusual to call someone in for a biopsy result.  In fact I thought it was normal as it would be causing worry at a stage when people are most worried if everyone knew a call in was positive.

That said you should be ready for whatever and a PI RADS3 and psa of 8 with a positive biopsy would normally have a wide range of choices of treatment not particularly urgent.  They say you shouldn't get ahead of yourself as it causes worry.  All the best Peter

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User
Posted 20 Dec 2024 at 11:11

I guess on the balance of probabilities you probably have got prostate cancer, but whether it is in need of treatment is another question. 

I'm posting to reassure that the probability that you have secondaries is close to zero. Pretty much any ache and pain you are going to ascribe to prostate cancer now.

Dave

User
Posted 20 Dec 2024 at 11:27

Thanks Dave. Very true. It's made me hyper aware of how many aches and niggles I've been living with since reaching middle age 🙂

User
Posted 20 Dec 2024 at 11:33

Yes a psa of 8 isn't usually a level that has spread.  Normally a lesion is measured in mm and 30 would be fairly large.  Yet your psa isn't that large so it makes you wonder.

Also an inflamed prostate will increase your psa, only a biopsy can give full proof.

It isn't unusual to call someone in for a biopsy result.  In fact I thought it was normal as it would be causing worry at a stage when people are most worried if everyone knew a call in was positive.

That said you should be ready for whatever and a PI RADS3 and psa of 8 with a positive biopsy would normally have a wide range of choices of treatment not particularly urgent.  They say you shouldn't get ahead of yourself as it causes worry.  All the best Peter

 
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