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This is a good news story

User
Posted 06 Feb 2025 at 21:32

Hello All,

I wanted to post a good news story after a very difficult and anxious 5 months. I hope my story gives some hope to those of you who are waiting on test results. I know how suffocating and all consuming the waiting can be. 

Early September - Decided to bite the bullet and make an appointment with my GP.  Now I'm 52 I'd been meaning to get round to asking my GP for a PSA test for some time. I had some burning pain when passing urine and a frequent urge to go.  This was the push I needed to make an appointment. I thought it would be an infection and just a case of getting some antibiotics. GP was great. Had the DRE and he said he would refer me as he thought he felt an abnormality. Gave me some antibiotics in case it was an infection and this sorted the initial problem in a couple of days. Alarm bells started ringing as I'm now on the 2 week wait pathway. I cling onto the phrase from my GP "I'm not worried and if I was I'd tell you". 

Next day get a call to go in for a blood test. Get a text to say all normal. Check on the NHS app and PSA of 0.26. Anxiety drops off a little. That's really low I think. I cling onto this.

Letter arrives a few days later - Urgent Suspected Cancer Pathway Referral - now I'm worried.

A couple of weeks later I get an appointment for a MRI. Now waiting again for results. I'm hoping that a biopsy is not required.

3 weeks later I get a call to say a "shadow" is on the MRI so come in for the biopsy early October. This news just make me feel really down. Day of the biopsy I am a pretty nervous. I expected to rock up, get it done and then more waiting. Now I get hit with the bombshell news that it's a PIRADS 4 lesion. With this news I am told that I will need a full template biopsy irrespective of whether the first biopsy is benign or cancerous. Great! The procedure wasn't uncomfortable but not really painful. The PIRADS 4 news was not expected and if asked I would rather not have known. I have been told my chances of it being cancer as 60% - 40% benign. 

Now the really anxious wait starts and I can barely function. I think of little else and get stuck in a cycle of worry and research online which does not help with the anxiety. Appointment for results is late Oct.

A series of random letters to the GP filter through the letter box. One of which is the news that it is a T2c N0 M0  lesion. My partner googles  this and tell me it will be localised if it is cancer. As good as it can be I suppose.

I get another letter. Results will be given over the phone 1 day before the appointment. As the day draws closer I am really struggling at this point.

I get the call which I take in a field on my own as I have my children at home. "All 18 samples are benign". All the emotion comes out and I'm sobbing like a baby in the field and the sense of relief is incredible. 

Next day it's the appointment and the registrar tells me that "the guidelines" suggest I have the full template biopsy. This brings the back down to earth. More waiting.

I eventually get the appointment for the full template biopsy in early December (a cancellation so I take it) This is a breeze really. Under general and I know nothing about it. Some bruising and I take it steady for a few days. I am told I get the results in clinic. No idea when.

A few weeks later I get an appointment  letter  for the 18th Feb! Then a week or so later this is brought forward to the 5th Feb. As the days roll by I get more and more anxious. Checking the door mat for a brown envelope is a daily habit as is checking the NHS app. My thoughts are, why haven't I received a letter for a telephone result appointment this time? It must be cancer. Online research intensifies as the days roll by then I stop myself from doing this apart from the odd relapse. Shall I chase it up? What if I get bad news and then I have to wait for the appointment for the next steps? That will be worse right? All these thoughts are going through my head.

Yesterday 5th Feb. The day of reckoning. I follow the exact same routine as the last appointment. Wear the same clothes and not the socks I wore to the first biopsy. Sit in the same chair. Park in the same place. Weird right? 

Then the consultant calls me in. What a lovely man. The first word is "sorry" and a for a split second I panic when I think he's about the deliver the bad news. He says " it's good news". All the samples are benign. The golden nugget "you definitely don't have prostate cancer". The feeling is incredible. One day later the feeling  is tinged with some guilt about all of you who don't get such good news. I feel very lucky indeed. I am writing this in the hope that in some way it will help those of you who are in a similar position going through the waiting process.

I did call the specialist nurses at prostate cancer UK who were fantastic and very reassuring. I'm lucky my partner has been a tower of strength and positivity through this whole process. Not to mention putting up with me banging on about this subject all the time!  

Good luck to you all who didn't get such good news and I truly hope you get to feel the feeling I felt yesterday. If you are currently aboard the worry train waiting for results, hang in there are stay away from google and just ring the specialist nurses. All the best and take care.

John. 

 

 

User
Posted 06 Feb 2025 at 21:32

Hello All,

I wanted to post a good news story after a very difficult and anxious 5 months. I hope my story gives some hope to those of you who are waiting on test results. I know how suffocating and all consuming the waiting can be. 

Early September - Decided to bite the bullet and make an appointment with my GP.  Now I'm 52 I'd been meaning to get round to asking my GP for a PSA test for some time. I had some burning pain when passing urine and a frequent urge to go.  This was the push I needed to make an appointment. I thought it would be an infection and just a case of getting some antibiotics. GP was great. Had the DRE and he said he would refer me as he thought he felt an abnormality. Gave me some antibiotics in case it was an infection and this sorted the initial problem in a couple of days. Alarm bells started ringing as I'm now on the 2 week wait pathway. I cling onto the phrase from my GP "I'm not worried and if I was I'd tell you". 

Next day get a call to go in for a blood test. Get a text to say all normal. Check on the NHS app and PSA of 0.26. Anxiety drops off a little. That's really low I think. I cling onto this.

Letter arrives a few days later - Urgent Suspected Cancer Pathway Referral - now I'm worried.

A couple of weeks later I get an appointment for a MRI. Now waiting again for results. I'm hoping that a biopsy is not required.

3 weeks later I get a call to say a "shadow" is on the MRI so come in for the biopsy early October. This news just make me feel really down. Day of the biopsy I am a pretty nervous. I expected to rock up, get it done and then more waiting. Now I get hit with the bombshell news that it's a PIRADS 4 lesion. With this news I am told that I will need a full template biopsy irrespective of whether the first biopsy is benign or cancerous. Great! The procedure wasn't uncomfortable but not really painful. The PIRADS 4 news was not expected and if asked I would rather not have known. I have been told my chances of it being cancer as 60% - 40% benign. 

Now the really anxious wait starts and I can barely function. I think of little else and get stuck in a cycle of worry and research online which does not help with the anxiety. Appointment for results is late Oct.

A series of random letters to the GP filter through the letter box. One of which is the news that it is a T2c N0 M0  lesion. My partner googles  this and tell me it will be localised if it is cancer. As good as it can be I suppose.

I get another letter. Results will be given over the phone 1 day before the appointment. As the day draws closer I am really struggling at this point.

I get the call which I take in a field on my own as I have my children at home. "All 18 samples are benign". All the emotion comes out and I'm sobbing like a baby in the field and the sense of relief is incredible. 

Next day it's the appointment and the registrar tells me that "the guidelines" suggest I have the full template biopsy. This brings the back down to earth. More waiting.

I eventually get the appointment for the full template biopsy in early December (a cancellation so I take it) This is a breeze really. Under general and I know nothing about it. Some bruising and I take it steady for a few days. I am told I get the results in clinic. No idea when.

A few weeks later I get an appointment  letter  for the 18th Feb! Then a week or so later this is brought forward to the 5th Feb. As the days roll by I get more and more anxious. Checking the door mat for a brown envelope is a daily habit as is checking the NHS app. My thoughts are, why haven't I received a letter for a telephone result appointment this time? It must be cancer. Online research intensifies as the days roll by then I stop myself from doing this apart from the odd relapse. Shall I chase it up? What if I get bad news and then I have to wait for the appointment for the next steps? That will be worse right? All these thoughts are going through my head.

Yesterday 5th Feb. The day of reckoning. I follow the exact same routine as the last appointment. Wear the same clothes and not the socks I wore to the first biopsy. Sit in the same chair. Park in the same place. Weird right? 

Then the consultant calls me in. What a lovely man. The first word is "sorry" and a for a split second I panic when I think he's about the deliver the bad news. He says " it's good news". All the samples are benign. The golden nugget "you definitely don't have prostate cancer". The feeling is incredible. One day later the feeling  is tinged with some guilt about all of you who don't get such good news. I feel very lucky indeed. I am writing this in the hope that in some way it will help those of you who are in a similar position going through the waiting process.

I did call the specialist nurses at prostate cancer UK who were fantastic and very reassuring. I'm lucky my partner has been a tower of strength and positivity through this whole process. Not to mention putting up with me banging on about this subject all the time!  

Good luck to you all who didn't get such good news and I truly hope you get to feel the feeling I felt yesterday. If you are currently aboard the worry train waiting for results, hang in there are stay away from google and just ring the specialist nurses. All the best and take care.

John. 

 

 

User
Posted 06 Feb 2025 at 22:18

Great news John.  ๐Ÿ‘

User
Posted 06 Feb 2025 at 22:26

Always lovely to hear a good news story John and so pleased for you that everything  isok.

You now know what we’ve all been through and many of us are NOT so lucky, just make sure you get yourself tested every so often๐Ÿ‘

Now you can just get on with your life, just like the rest of us are trying to do….Ive just completed a 50+ mile ebike ride today in the most wonderful Scottish winters day and feeling great๐Ÿ’ช๐Ÿ’ช๐Ÿ’ช

all the best,

Derek.

User
Posted 07 Feb 2025 at 01:47

That's great news John, and a really valuable post for this forum. It would be lovely if everyone in the early stages of diagnosis came to this forum and found lots of posts like yours. Because your experience is much more likely for most people than a diagnosis of a significant cancer.

Dave

User
Posted 07 Feb 2025 at 07:41

Great News John

make this scare spur you on to do all those things that you have been putting off 

๐Ÿ‘

User
Posted 07 Feb 2025 at 08:05

That is great news. Given your age and your PSA level it is the outcome one would expect  probably 99 times out of 100. On this site we often read about the exceptions where relatively young men and/ or men with low PSA are diagnosed with cancer.

Your post is therefore great as it provides men at the point of diagnosis in similar circumstances as yourself a more realistic picture.

Dont forget to ensure in the future that you add that PSA test to any routine blood test you may have.

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User
Posted 06 Feb 2025 at 22:18

Great news John.  ๐Ÿ‘

User
Posted 06 Feb 2025 at 22:26

Always lovely to hear a good news story John and so pleased for you that everything  isok.

You now know what we’ve all been through and many of us are NOT so lucky, just make sure you get yourself tested every so often๐Ÿ‘

Now you can just get on with your life, just like the rest of us are trying to do….Ive just completed a 50+ mile ebike ride today in the most wonderful Scottish winters day and feeling great๐Ÿ’ช๐Ÿ’ช๐Ÿ’ช

all the best,

Derek.

User
Posted 07 Feb 2025 at 01:47

That's great news John, and a really valuable post for this forum. It would be lovely if everyone in the early stages of diagnosis came to this forum and found lots of posts like yours. Because your experience is much more likely for most people than a diagnosis of a significant cancer.

Dave

User
Posted 07 Feb 2025 at 07:41

Great News John

make this scare spur you on to do all those things that you have been putting off 

๐Ÿ‘

User
Posted 07 Feb 2025 at 08:05

That is great news. Given your age and your PSA level it is the outcome one would expect  probably 99 times out of 100. On this site we often read about the exceptions where relatively young men and/ or men with low PSA are diagnosed with cancer.

Your post is therefore great as it provides men at the point of diagnosis in similar circumstances as yourself a more realistic picture.

Dont forget to ensure in the future that you add that PSA test to any routine blood test you may have.

User
Posted 07 Feb 2025 at 08:19

Fantastic story John, with a wonderful outcome. 

Very similar to my experience of tests and waiting and more tests and yet more waiting. 

I too became absorbed in the process, thinking through the possible outcomes and ramifications of each scenario. Talking about it with my wife definitely helped me feel like I was facing up to the coming storm, although it definitely put pressure on her to listen to my worries.

It was a storm that never broke though, just deep angry clouds that threatened to unleash hell and then disappeared without trace. Leaving me feeling the same kind of guilt you experienced and also quite lost as to why I had thought everything looked so bleak and now there was no reason for it. A complete lack of information or explanation is the root of that but the NHS don't have the time to spend on guys who aren't sick after all.

Did you receive any kind of advice or plan for going forward? Any testing regime or revised psa level? I was just discharged saying if I was worried about prostate health I could ask for a test, but not for at least a year. 

Best wishes for your future and continuing good health.

Mick. 

User
Posted 07 Feb 2025 at 11:19

Thank you

User
Posted 07 Feb 2025 at 11:22

Thank you Derek and good on your for doing that bike ride. Throughout  all this I have thrown myself into exercise (I'm a runner) so it has really helped. 

User
Posted 07 Feb 2025 at 11:39

Thanks Mick and well done for getting through the process that no one wants to go through. To answer your question the consultant said I can ask my GP for another PSA test if I ever have any symptoms. He said the threshold that would trigger a referral for me would be a PSA of 3 because I have a small prostate apparently. I think that's a good thing. To be honest it's a bit of a blur so I will check when I see the letter to the GP. I think he said there would be no point in another MRI for a while. I guess this is because things are a bit of a mess after all the needles. 

A couple of things I forgot to mention.

1. The consultant said that the reason I was advised to have the full template biopsy is that the fist biopsy showed no sign of inflammation. I wasn't told this and after the first biopsy result and I wouldn't have wanted to know that.

2. I asked if a PIRADs 4 score routinely triggers a second full template biopsy and the answer was "no". It's due to the above. He said he wrote the guideline so I imagine this is the process for the hospital I attended and things may be different elsewhere.

3. The consultant explained that this will be recorded as a "MRI mis-read". He apologised for the long wait and recognised that "it's a terrible process". He then explained they are massively under resourced. I work for the NHS and I see this daily. I don't want to be overly critical. I'm am sure they are doing their very best.

It would be wonderful if a man's anxiety could be factored into the process and some real thought should go into how this whole process could be managed better. Sadly I don't think the time or resources are available to do that.

I personally think that a 9 week wait for results is bordering on the inhumane and for those of you who are still waiting or have had to wait longer you have my sympathies.

 

 
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