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What can I expect after my biopsy?

Prostate Cancer | Last Active: Apr 3 5:02pm | Replies (45)

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@jc76

@ericp502
I am far from having medical expertise but you mentioned you have a Gleason score of 7. Gleason scores come from biopsies and if I read your post right you have not had a biopsy yet. MRI will show areas of concern which normally is followed by a biopsy that will confirm or not confirm if cancer.

I am not sure how you are getting so much information from a MRI. But again speaking from just my own experience with this (MRI, Biopsies, Gleason score, Decipher, PSMA). Right now without a biopsy it would indicae you don't know if you have cancer and could just be BPH. I may have read your post wrong. Have you had a biopsy that gave you a Gleason score of 7.

After you have your biopsy and get your Gleason score then address the treatment options as you will need that to make informed decisions. If you do get cancer diagnosies consider getting a Decipher test and PSMA.

If you don't have trust in your medical providers consider getting a second opinion. They ususally can be done by just allowing your medical records to be given to the other medical provider. Consider Mayo, Cleveland Clinic, John Hopkins and dosens of other experienced and most update cancer treatment instititusions.

Good luck on your biopsies.

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Replies to "@ericp502 I am far from having medical expertise but you mentioned you have a Gleason score..."

Actually with the MRI they can tell if it is a Gleason 7 or above with the images pretty accurately using Diffusion-Weighted Imaging (DWI) and Apparent Diffusion Coefficient (ADC) maps. There are some doctors that think these MRI images and paired with PSMA PET scans could do away with biopsies.

My MRI detected a Gleason 7 or above with a PI-RAD 4 spot. I’m hoping it is wrong but I’ve had two radiologists and Copilot AI look at my images and they all came to the same result. The biopsy will tell for sure and it is next week.

Here is a good article that explains things better than I can.

hxxps://pmc.ncbi.nlm.nih.gov/articles/PMC11162992/

(Remove the “hxxps” and replace with “https”)

You can also just do a google search with the keywords “ mri dwi adc gleason 7” to find this article and many more. There are also many Youtube videos about replacing a PC biopsy with these types of MRI scans.

Again, I hope the radiologists, AI and urologists are wrong but this is what they are telling me right now. Knowing 100% is why I’m doing a biopsy.