I have just received the full report from my MRI and Biopsy and the mention of Perineural Invasion being present raises alarm bells, and maybe re-questions the previous decision for active surveillance?
The diagnosis is:
PSA 4.8 last October, 5.6 in November, 6.6 in Feb at time of Biopsy, awaiting latest PSA test result.
PIRADS 4; 37ml; PSAd 0.15 (should be 0.18 given 6.6 PSA); low diffuse T2 one side; no focal lesions; no other abnormalities / findings outside the prostate.
Biopsy results: Gleason 6 (3+3); T2 no MX (was told T2a but that's not stated in the report); 4 cores positive in left lobe accounting for 20% tissue examined; Perineural invasion present.
So, am (again) worried and that the PI part means there's a far higher chance of cancer spreading further.
Has anyone else faced a similar situation and chosen to stay on AS or sort earlier treatment? The fact that its in the nerve raises questions too if nerve sparring is no longer a treatment option.