On AS but now changes in MRI

Hi Tricia.

I'm sorry that you've had to find us, but welcome to the forum.

Was on active surveillance for two years when a follow up MRI showed tumour growth. Due to this, I was given a second biopsy. I'd have thought, prior to possible radical treatment, that would have been the next step for Phil?

If radical treatment is needed, at least by being on AS, Phil has had seven years without the possibilities of any side effects.

I wish you both good luck.👍

Edited by member 22 Jan 2025 at 09:48  | Reason: Additional text

The MRI only shows that the lesions have got bigger, they don't show any possible change in the Gleason score. Which may affect the choice of what, if any, radical treatment to have.

 However, if due to the apparent disease progression show by the MRI, Phil is intent on having radical treatment, then I suppose a further biopsy would be pointless. 

In my case, the apparent tumour progression shown on the follow up MRI, automatically triggered a follow up biopsy. Both results were considered when discussing further treatment options.  My disease had progressed from T2a prostate confined,  Gleason 6 (3+3), to T3a capsular breach, Gleason (3+5) later upgraded to Gleason 9(4+5). I selected robotic surgery but was also offered radiotherapy and hormone treatment.

Edited by member 22 Jan 2025 at 11:01  | Reason: Typo