On Monday (18th January 2024) I shall talk to my consultant with the result of my biopsy so see if you can guess what delights that will bring.
Will it be a 3 + 4 or maybe a 4 +3. Do they even have a 4 + 4 ( stupid me I suppose that’s an 8)
You may think this is a little flippant and even self indulgent but hell I need to get some humour back in to my life (possibly the result of too much research)
I am guessing my little sphincter is in mortal danger despite the consultants reassuring words
The following is a copy of my mpMRI Scan report
Scan Results
Findings: The prostate measures 22mls in volume PSAD 0.21
There is a small volume TZ.
In the Rt anterior apical TZ there is T2 low signal nodule
9 x 8mm. It shows a small volume of restriction with intense early enhancement making it likely to represent tumour – Likert 4. There are no other TZ lesions.
The PZ returns a heterogenous T2 high signal.
There are no local T2 low signal lesions and no areas of restricted diffusion making csPC unlikely.
There is 4mm of local enhancement in the Lt apical PZ which is inderterminant and should be sampled at the time of biopsy.
There are no capular lesion and the sphincter and seminal vesicles return a normal signal
There is no local bladder lesion
There is no significant bone lesions
There is no lymphadenopathy
Conclusion:
The prostate volume is 22 mls with a significantly raised PSAD.
There is probable tumour in the Rt anterior apex where there is a 9mm diameter lesion. There are no other Likert 4/5 lesions but an area of equivocal signal change in the Lt apical PZ should also be sampled at the time of biopsy.
There is no capsular, sphincter or SV lesions.
No abnormality is seen within the pelvis.
Can I just thank anyone and everyone that has anything to do with this forum for all the good work that they have done to help the men and their loved ones to deal with this disease that is full of uncertainty
.PI-RADS sector map
lat med TZ TZ med lat
R R R L L L
SV 1 1
Base 2 2 2 2 2 2
Mid 2 2 2 2 2 2
Apex 2 4 2 3
Sphincter 1 1
Edited by member 19 Jan 2025 at 10:37
| Reason: Table not formatting properly