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PSMA Pet scan interputation

Prostate Cancer | Last Active: 9 hours ago | Replies (10)

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@edtrucks

The PI-Rad 4 were .3cmX.3cm left posterior medial peripheral zone at the apex and the second reported as 1.2cm left anterior transition zone near base. If the guided biopsy was accurate and samples were taken from the two locations, then there was no cancer present in either lesion.
PSA 8.3. PSA went from 2.4 in 2021 to 5.7 in 2023, and now to 8.3 in 2025.

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Replies to "The PI-Rad 4 were .3cmX.3cm left posterior medial peripheral zone at the apex and the second..."

The .3 cm lesions are really small. The other one’s about a half inch long. Your PSA sure has been going up slowly. Yes, the 3+4 does mean you have cancer, but not much. Good to hear you’re going to look at the decipher test.

It’s a surprise to hear that PI-RADS 4 lesions are not cancerous, but that’s good news. Makes active surveillance sound more reasonable.