Hello, Sarah
I'm sorry to hear that your dad is having prostate problems. However, it's great that in order to support him you've joined us. Welcome to the forum.
How old is your father? If he's in his seventies his PSA is elevated, but not too drastically.
The MRI scores you given are called pi-rads, unfortunately 5 means there is a very high chance of significant prostate cancer.
However, MRI and PSA results are only indicators. They can be both have high scores/levels that can be caused by non-cancerous conditions like prostate inflammation (prostatitis) and Benign Hyperplasia (an enlarged prostate)
We have had a few blokes on here that had pi-rads 5 and elevated PSA which were caused by these non cancerous conditions.
Only your dad's biopsy result, can tell IF he's got cancer and IF he has, how aggressive it's likely to be.
I'm little surprised, as your dad has swollen lymph nodes, that the consultant seems so confident, that IF he has cancer, it's prostate confined. Having said that, lymph nodes can also get enlarged or swollen by other non-cancerous conditions.
Most of us would tell you that these initial scans, tests and biopsies to diagnosis the problem are the most difficult time. Usually, in these early stages, folk know little about the disease, and waiting for, and trying to understand results, can be frustrating and confusing.
My advice would be take one step at a time.
If your dad has just had his biopsy he might get be a bit sore and uncomfortable, but that's normal. To get his results by 5th November, is very good.
Please keep us updated and best of luck to you both.👍
Edited by member 27 Oct 2026 at 20:32
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