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mri result. what does this mean...i see doc tomorrow

Prostate Cancer | Last Active: 1 day ago | Replies (27)
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@heavyphil

PiRad4 indicates a high likelihood of cancer. If you wait for it to get worse you may be depriving yourself of much less invasive treatments like TulsaPro or HIFU…
THE KITCHEN SINK IS NOT FUN!!
Talk to your urologist about a transperineal biopsy; aside from other advantages, it affords better access to all parts of the prostate; the transrectal does not.
You really want to know if this lesion is the only culprit; other areas may also have cancerous cells that are not coalesced enough to form a discernible image on MRI.
If everything else is normal, a single lesion is easily treatable with focal therapy and any side effects will be minimal.
Phil

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Replies to "PiRad4 indicates a high likelihood of cancer. If you wait for it to get worse you..."
ovstampco | @ovstampco | 3 days ago

I guess I'll wait for my next round of tests coming up shortly , if things aren't stable I will want to move forward with treatment - can you tell me a quick description of the focal therapy and what is involved and what are the after effects of that treatment ? Thanks in advance .
Bill

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