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Pi Rads 4&5 but PSA 2.5

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User
Posted 18 Jan 2025 at 12:06

Hello everyone.
I am new to this group, and this is my first post.
A brief bio of my situation: I was diagnosed with Stage 1 Grade 3 non-muscle invasive bladder cancer last November and after 9 BCG immunotherapy treatments and four biopsies, I finally have a positive result that the cancer is responding to treatment and the plan is, I continue with next round of BCG in February. However, during most recent biopsy in November a DRE on my prostate flagged a concern and I had an MRI few weeks later which was concluded Pi Rads 4&5 which if proven malignant predicted to be Radiological Stage is T2c/3a N0 Mx… So given the year I have had with Bladder cancer and still in treatment this is not good news. However, I had a PSA test last week and the result was 2.5 within normal range. Initially, I assumed this was good news but now after doing some additional reading, I am not so sure and it is all very confusing and I am stressed and anxious that it could in fact be very worrying. 

I appreciate that I am asking a lot but if anyone has any knowledge, experience and advice, I would appreciate it. 

Thanks

 

 

 

User
Posted 18 Jan 2025 at 15:44

I think there are too many variables in your situation for anyone on here to be able to work out what's going on.

Your bladder cancer may be causing abnormalities in your prostate, which aren't cancer.

You may have prostate cancer and the bladder cancer treatment is suppressing your PSA. 

Probably all sorts of variants of the above are possible.

It could be you genuinely have prostate cancer and it is a low PSA producing cancer. I don't know if these types of cancer are more dangerous than the normal cancer. I can believe they are not discovered under normal circumstances and hence when they are discovered they are more advanced, but that is not the case for you.

Really you are going to have to wait for your medics to let you know the details.

Everyone in the early stages of diagnosis is worried. I don't think you should be additionally worried by the low PSA, your first thought that it is good news may well be right.

Dave

 
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