PSA & MRI suspicious but biopsy benign

Posted by lyricw @lyricw, Oct 5, 2023

I am 66 & asymptomatic but PSA has been rising 2014-2,2, 2017-2.6, 2019-3.8, 2022–3.6, 2023-5.0 with 16% free. DRE negative & MRI revealed pirad 4 0.6 X 0.9 lesion of left posterior apex intracapsular & LN negative. 12 core grid biopsy & 1 core of lesion benign inflammation.

I definitely feel relieved, but wonder if there is any chance PC present. I will see doc & discuss future monitor.

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lyricw | @lyricw | Feb 22, 2024

In reply to @seb2023 "How big is your prostate? What is your PSA density?" + (show)

39ml & density was not listed

lyricw | @lyricw | Feb 22, 2024

Actually PSA was 5,0 with free PSA .82ng/ml & %freePSA 16 norm >25. New PSA drawn 6 months later 1/24/24 was 4.1 ng/ml & they did not order free PSA & % free.

lyricw | @lyricw | Feb 22, 2024

In reply to @bjroc "@lyricw Was your biopsy transperineal or transrectal? They can not reach apex transrectally." + (show)

Trans rectal

Colleen Young, Connect Director | @colleenyoung | Feb 23, 2024

In reply to @seb2023 "How big is your prostate? What is your PSA density?" + (show)

Hi @seb2023, have you been diagnosed with prostate cancer? How is your PSA?

seb2023 | @seb2023 | Feb 24, 2024

In reply to @colleenyoung "Hi @seb2023, have you been diagnosed with prostate cancer? How is your PSA?" + (show)

Yes. PSA is 6.5. Receiving treatment at UCSF.

Colleen Young, Connect Director | @colleenyoung | Mar 1, 2024

In reply to @seb2023 "Yes. PSA is 6.5. Receiving treatment at UCSF." + (show)

What treatment has been recommended for you?

rssplit | @rssplit | Apr 10 12:16pm

new here dont know if i am posting in the right place
mri fusion biopsy 4/4/25. transrectal. 12 core samples. had 2 pirads 4 lesions. biopsy showed mostly no cancer.
did shop 1 focal hgpin and patchy hgpin in i other section. anybody know what prognonis might be for hgpin
not sure if that clouds up how to feel about biopsy results ?
thanks for any help