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Waiting for Biopsy - Low PSA

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User
Posted 16 Jan 2025 at 08:05

Hi All, I'm new here.

My story is, I'm a 57 year old white male and in December, my employer offered me an annual Bupa "MOT" and the GP I saw insisted on doing a DRE AND PSA check (as my father passed away from PC in September aged 86).  The doctor found a suspect nodule on the DRE so sent me for an MRI. My PSA in December (last month) was 1.47, up slightly from 1.2 in Feb 2023.

Fast forward to last week, saw the urologist and she said the suspect nodule turned out to be nothing, but the MRI had shown a lesion on the other side of the prostate that they classed as a Pirads 4 lesion and so I needed a biopsy.  She has confirmed that if this is cancer it will be low grade and is confined to my prostate.  Clearly a lot of stressing and tears from both my wife and I, but after also joining the Macmillan forums, I am re-assured by the positive stories of so many others, so at least we can take as a positive that this is not an imminent death sentence.

Now it's the waiting game, apparently up to 48 days for a biopsy which in my case will be in Stamford Lincs.

 

User
Posted 16 Jan 2025 at 14:24

Hi dedward67

I've a similar story in that my PSA just breached the 4.5 for my age (4.89) and that prompted an MRI (PiRad 4) and a biopsy which I had a couple of days ago. My dad also succumbed to PCa although made it to 91 which has made me very conscious of my own prostate. Like you the nurse calling about the MRI said even if it was cancerous (interesting that she used the word 'if' even though it was PiRad 4) it hadn't breached the capsule and would be slow growing. So I'm just waiting but what I can tell you is that I've found this forum such an amazing resource and feel much better equipped to deal with whatever comes about than I would have been had I not found it.

Good luck with your own journey

Regards

Adam

Edited by member 16 Jan 2025 at 14:33  | Reason: Not specified

User
Posted 16 Jan 2025 at 13:03

Hi and welcome to the club no-one particularly wants to join!

Sounds like the problem is very localised and has been caught at a very early stage.  The uncertainty will be removed when you have the actual biopsy and your oncology team know what they're dealing with, but it most certainly is NOT a death sentence. 

Treatment options have advanced so much in the past 5 years alone (let alone 10 years), you have every chance of having this successfully treated.  Do try and stay positive and not to worry too much:  hopefully you'll find (as so many of us here have) that the NHS shows its very best side during your treatment.

If I may, I'll pass on some words that my consultant told me at the time of my diagnosis, when I was scared and wondering what (if anything) the future held.  He said:  "Don't make your life all about the cancer.  Remember to live and do the things you enjoy too."  

All the very best to you.

User
Posted 16 Jan 2025 at 14:01

Hi and welcome along..

I am only a couple of years older and had psa of 4.8, MRI showed two suspect lesions with a score of 4. 

I had a trans rectal biopsy, which was absolutely easy as pie. They just targeted the two areas and found no signs of malignancy. It's a slightly enlarged prostate with localised inflammation. 

So it's very early in the day to even mention the C word. I'm sure you will get the same result as ne, discharged back to GP.  

The waiting is the worst bit, but the best advice at this stage is don't worry, until there is something to worry about.

Best regards Mick.  

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User
Posted 16 Jan 2025 at 13:03

Hi and welcome to the club no-one particularly wants to join!

Sounds like the problem is very localised and has been caught at a very early stage.  The uncertainty will be removed when you have the actual biopsy and your oncology team know what they're dealing with, but it most certainly is NOT a death sentence. 

Treatment options have advanced so much in the past 5 years alone (let alone 10 years), you have every chance of having this successfully treated.  Do try and stay positive and not to worry too much:  hopefully you'll find (as so many of us here have) that the NHS shows its very best side during your treatment.

If I may, I'll pass on some words that my consultant told me at the time of my diagnosis, when I was scared and wondering what (if anything) the future held.  He said:  "Don't make your life all about the cancer.  Remember to live and do the things you enjoy too."  

All the very best to you.

User
Posted 16 Jan 2025 at 14:01

Hi and welcome along..

I am only a couple of years older and had psa of 4.8, MRI showed two suspect lesions with a score of 4. 

I had a trans rectal biopsy, which was absolutely easy as pie. They just targeted the two areas and found no signs of malignancy. It's a slightly enlarged prostate with localised inflammation. 

So it's very early in the day to even mention the C word. I'm sure you will get the same result as ne, discharged back to GP.  

The waiting is the worst bit, but the best advice at this stage is don't worry, until there is something to worry about.

Best regards Mick.  

User
Posted 16 Jan 2025 at 14:24

Hi dedward67

I've a similar story in that my PSA just breached the 4.5 for my age (4.89) and that prompted an MRI (PiRad 4) and a biopsy which I had a couple of days ago. My dad also succumbed to PCa although made it to 91 which has made me very conscious of my own prostate. Like you the nurse calling about the MRI said even if it was cancerous (interesting that she used the word 'if' even though it was PiRad 4) it hadn't breached the capsule and would be slow growing. So I'm just waiting but what I can tell you is that I've found this forum such an amazing resource and feel much better equipped to deal with whatever comes about than I would have been had I not found it.

Good luck with your own journey

Regards

Adam

Edited by member 16 Jan 2025 at 14:33  | Reason: Not specified

User
Posted 21 Jan 2025 at 18:37

Hi All

I've been waiting 10 days so far for a biopsy appointment, anyone have any idea how long these take to arrange?

User
Posted 21 Jan 2025 at 19:17

I got an appointment date the next working day following the MRI results, the biopsy itself was 2 weeks later (last Tuesday) and I’m getting the results face to face tomorrow. All through Richmond & Kingston NHS Trust. 

 
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