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The important reference on your MRI which you do not mention is the PI-RADS Score . RADS 5 HAS THE HIGHEST PROBABILITY THAT YOU HAVE CANCER , A 98 % CHANCE . Mine was a PI-RADS 5 the worst .
Your Oncologist or GP will send you for a Biopsy , this is the only way they will confirm you have cancer .
AN MRI CANNOT CONFIRM YOU HAVE CANCER .
My Recommendation : Have a TRANSPERINEAL MRI Fusionn Biopsy . NOT , I repeat NOT a TRANSRECTAL BIOPSY ,where their is a higher risk of infection , possibly sepsis , FOR OBVIOUS REASONS .
Finally : Get a 2nd or 3rd opinion of your Gleason Score which is determined by your pathology results from the biopsy -- INSIST ON A 2nd OR 3rd OPINION -- I DID . And they were different .
Treatment priorities and opions are determined by your Gleason score .
Go out and buy Dr. Patrick Walsh's bookk : " Guide to Surviving Prostate Cancer " . Educate yourself from this book on tests , what they mean and all your treatment options . The pros and side effects are all explained . It will be the best money you ever spent -- It could save your life .
I was digonosed at age 84 . My 1st Biopsy was negative . My MRI PI-RADS 5 was in conflict with the biopsy results . I had a 2nd MRI and Transperineal biopsy . My results Gleason 3 +3 = 6 . I questioned this result and had a 2nd and 3rd opinion to determine my most likely and true Gleason Score . They were different .
I am currently , for the past year on ACTIVE SURVEILLANCE , I.E PSA tests every 3 months and just had an MRI one year after the 1st one - It showed no change . You will learn all about active surveilllance , Focal Therapies etc when you read Dr. Walsh's book.
Good Luck .
Replies to "The important reference on your MRI which you do not mention is the PI-RADS Score ...."
@clandeboye1
Good information.
The doing of self research is important.
I keep recommending UFHPTI information packet. It is free and comes FED EX at no pressure to go with them. The information packet includes the book you mentioned written by DR. Walsh and another one that has been mentioned. It contains a ton of information and research. It is just one of the things I did to help me decide. I donated my books to local library.
Getting second opinions is paramount to being informed about your specific condition. We are all different and all cases of prostate cancer should be specific to yours. Becoming your own advocate in the treatment of any physical or mental condition by research, second opinions, asking questions, getting additional tests is really fundamental to making the right decision for your health.
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I appreciate all that you have written here. It does help and yes, I will ask Santa for the Dr. Walsh book. Nice to read comments from someone who is my age. I believe that is a big factor on how clinicians view their patients even though 84 yr old should have the same urgency and treatment options as a 64 yr old person.
My MRI does say PI-RADS 5 for one lesion and PI-RADS 4 for the other one. It also said there was motion so the assessment couldn't be as complete as it should be. I kept very still (I thought) for 30 minutes or so during the scan so I was disappointed to read "very limited examination due to motion"