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69 years old recent MRI DCE positive PR4

Prostate Cancer | Last Active: Jun 17 2:11pm | Replies (26)

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@jck6455

kjacko,

well it was obvious that my hopefulness was going overboard. The numbers I posted of my biopsy results were based a a very fast paced phone call with my urologist giving me numbers and saying he was ordering PSMA pet scan to check those 5 suspicious lymph nodes . I was able to actually get the report and realized I had stated things incorrectly. As it was in the reports out of 14 cores 8 were benign. 1-3+3, 4-3+4, and, 1-4+3. The 4+3 was on the line of 50% pattern 4 which is one point above max for a 3+4.,So overall i'm rated 4+3. My stage is T1c for now until I get the scan. I am waiting on the decipher test. Interesting that where the MRI found a PR 4 lesion, the two cores there came out benign and 3+4

My father had prostate cancer at in 1999 at 75 and lived to 91, but succumbed to it later on. Im not sure he was doing any thing watchful. He had bracytherapy LDR with it and not aware if he took anything else other than flomax. I'm hopeful that since his was slow growing so will be mine.

Unfortunatly I wish it was the only thing going on. My Cardiologist is recommending a Stent be placed because scans and other test have been inconclusive about a blockage, But that requires blood thinners for a year and that would preclude any prostate surgery or radiation. So im kinda going to have to gamble on the balance here on cancer treatment vs the unknown Cardiac risk.

Trying to keep my Spirits up.

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Replies to "kjacko, well it was obvious that my hopefulness was going overboard. The numbers I posted of..."

Thoughts and prayers🙏🏻

jck6455: As a layman, I would think that the doctor would consider the location of the stent, the type of blood thinner you are on, and the nature of the radiation therapy being proposed before eliminating radiation totally. Maybe you can use a narrow margin built in MRI radiation machine like the Mridian or Elekta. Some doctors are more or less familiar with these machines than others.
As suggested, check out Mayo and/or get a second or third opinion by sending your reports and images to another center of excellence and do a telehealth consultation. Explore your options.