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How concerning is this PSA rise?

Prostate Cancer | Last Active: Dec 22, 2024 | Replies (28)

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@jeffmarc

I read the MRI, the lesion doesn’t appear to definitely be cancer because there are no PI-RADS listed, Did someone tell you otherwise?. It could be a Gleason six, not cancer. That’s why I mentioned the PSE Test to see if you truly had cancer. And the PSMA pet can see cancer more specifically than an MRI.

Have you spoken to the doctor? It would be interesting to hear what he has to say.

Are you being treated at a center of excellence?

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Replies to "I read the MRI, the lesion doesn’t appear to definitely be cancer because there are no..."

No one has told me anything yet. Haven't seen the doctor. You mention pi rad scores, would those be the two listed as Score 4/5, Score 3/5 and Overall Score 3? You can see what I mean below. Thanks

Multiparametric MR evaluation:
Heterogeneous appearance of the central and transition zone, compatible with benign prostatic hyperplasia.

Lesion 1:
Right lateral peripheral zone in the mid gland. Lesion measures 1.4 x 0.6 x 1 cm with a volume of 0.64 cc.

On T2-weighted MR imaging, the lesion is seen as a well-defined focus of low signal intensity (score = 4/5).

The lesion demonstrates mild restricted diffusion (score = 3/5).

No suspicious enhancement identified.

Overall score = 3