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Prostate Cancer | Last Active: 18 hours ago | Replies (17)
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Not heard of pi-rads minus, sounds like the doctor is trying to say that this is not as aggressive because it’s not the Full size of pi-rads 4.
On Active surveillance, you would normally get at least six month PSA tests. Could be he means you don’t need an MRI for another year. Or a PSMA pet unless the PSA goes up a lot showing there’s a change.
I am wondering why you have not had a PSMA pet test. Are you on ADT (I doubt it) so is your PSA is too low to really do a test, Or it’s because the doctor doesn’t feel your lesions are cancer, so there’s no reason to do the test yet. .
Definitely get a second opinion.
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Thanks for the response. The lesion was over the size minimum for PI-RADS 4 but I know there are other factors involved in radiology grading. The urologist originally called for both a PSA test and MRI at six months post biopsy (they got scheduled at 7.5 months which is next week). He never mentioned a PMSA pet scan. I'm definitely calling Monday to get a second opinion as the conflicting information has me wondering. The other close hospital, UNC, is also a center of excellence.