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MRI diagnosis shows prostrate cancer

Posted by carjcapt @carjcapt, Jul 28 3:55pm

At age 80 on July 1, 2025 had a prostrate MRI done because of family history. Younger Brother had Prostrate cancer at age 65, biopsy the radiation now is 74. My PSA previous blood test June 2025 2.2 June 2024 2.1 May 2023 1.6 May 2022 2.1

The following is the result:
Prostrate gland measures 4.8 x 4.1 x 4,8 cm for a volume of 51 cc. In the right posterior peripheral gland near the mid gland there is a 10 mm suspicious focal lesion which demonstrates low T2 signal and diffusion restriction as well as some increased enhancement. This was targeted. No other suspicious focal lesion is seen. The prostatic capsule is intact and the seminal vesicles are unremarkable.

Lymph nodes: no lymphadenopathy.
Bladder: normal
GI Tract: visualized aspects are grossly unremarkable.
Impression:
PI-RADS 4: High (clinically significant cancer is likely to be present).
Target was placed in the right posterior peripheral gland at the mid gland.

My family doctor immediately had me contact Urologist and scheduled a biopsy for August 15.

I am very concerned that at 80 years old the invasive biopsy is potentially cause cancer cells to enter blood stream and the Gleason score will send me to the surgeon or radiation.

What do you think??????

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

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carjcapt | @carjcapt | Aug 2 8:47am
In reply to @jc76 "@carjcapt You will see from posters and urologist that the PSA number is not the real..." + (show)
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@carjcapt
You will see from posters and urologist that the PSA number is not the real issue it is if it continues to rise. I had a normal PSA but was diagnosed with prostate cancer.

I am not sure about relunctance to have a MRI. They are painless. I had a normal PSA but was contiuing to rise so a MRI/conrast was ordered. That MRI showed suspicious areas (may be wrong but a MRI cannot diagnosis cancer just suspiciousl areas or tumors) and a biopsy was ordered. That biopsy found prostate cancer and I was treated with radiation to treat it.

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The urologist said it isn't the PSA number unless it is over 4.0. He said it is the difference from one year to the next such as .75 or higher difference.

My PSAs for the last years were: 1.0, 0.9, 0.9, 1.1, 1.3, 2.1, 1.6, 2.1, 2.2

The 1.3 to 2.1 a .8 difference was when I was with a different family doctor no urologist.

The reason for the MRI was family history (6 year younger brother). Don't know what the real truth is but the urologist indicated prostate cancer isn't driven by family history.

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heavyphil | @heavyphil | Aug 2 2:38pm
In reply to @carjcapt "The urologist said it isn't the PSA number unless it is over 4.0. He said it..." + (show)
Profile picture for carjcapt @carjcapt

The urologist said it isn't the PSA number unless it is over 4.0. He said it is the difference from one year to the next such as .75 or higher difference.

My PSAs for the last years were: 1.0, 0.9, 0.9, 1.1, 1.3, 2.1, 1.6, 2.1, 2.2

The 1.3 to 2.1 a .8 difference was when I was with a different family doctor no urologist.

The reason for the MRI was family history (6 year younger brother). Don't know what the real truth is but the urologist indicated prostate cancer isn't driven by family history.

Jump to this post

Hey carjcapt, have to agree with JC on this one and vehemently disagree with your urologist!
A PSA of 4 is NOT to be viewed as an absolute threshold for prostate cancer; the most aggressive types show very low PSA numbers and can kill you by very quick spread to other areas.
Secondly, family history - ie: GENETICS! is probably the number one factor in determining who will get prostate cancer.
Get away from this guy ASAP!! He sounds like he wants to be your friend - not your doctor. Cannot tell you how many friends and family had doctors like this; most of them went on to have very serious illnesses and some even died.
Not looking to be a downer or hold myself out as some sort of expert, but your doctor’s advice and views are in DIRECT opposition to what most of us have learned by having this disease.

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1 reply
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lag | @lag | Aug 2 3:02pm
In reply to @carjcapt "The urologist said it isn't the PSA number unless it is over 4.0. He said it..." + (show)
Profile picture for carjcapt @carjcapt

The urologist said it isn't the PSA number unless it is over 4.0. He said it is the difference from one year to the next such as .75 or higher difference.

My PSAs for the last years were: 1.0, 0.9, 0.9, 1.1, 1.3, 2.1, 1.6, 2.1, 2.2

The 1.3 to 2.1 a .8 difference was when I was with a different family doctor no urologist.

The reason for the MRI was family history (6 year younger brother). Don't know what the real truth is but the urologist indicated prostate cancer isn't driven by family history.

Jump to this post

Yikes!! This is dead wrong. Drop this doctor asap and find someone else, preferably at an academic cancer center or center of excellence.

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jc76 | @jc76 | Aug 2 4:43pm
In reply to @heavyphil "Hey carjcapt, have to agree with JC on this one and vehemently disagree with your urologist!..." + (show)
Profile picture for heavyphil @heavyphil

Hey carjcapt, have to agree with JC on this one and vehemently disagree with your urologist!
A PSA of 4 is NOT to be viewed as an absolute threshold for prostate cancer; the most aggressive types show very low PSA numbers and can kill you by very quick spread to other areas.
Secondly, family history - ie: GENETICS! is probably the number one factor in determining who will get prostate cancer.
Get away from this guy ASAP!! He sounds like he wants to be your friend - not your doctor. Cannot tell you how many friends and family had doctors like this; most of them went on to have very serious illnesses and some even died.
Not looking to be a downer or hold myself out as some sort of expert, but your doctor’s advice and views are in DIRECT opposition to what most of us have learned by having this disease.

Jump to this post

@heavyphil @carjcapt
Agree heavyphil. Was trying to help by providing my personal experices with this and to echo the hundreds of posts on MCC with other's experience. I have excellent medical providers at Mayo Jacksonville, and UFHPTI and without having great medical providers who did not like my rising numbers I don't think I would have caught my cancer at an early stage.

What I have read is genetics can play a role in almost all cancers and diseases. You could have a gene that leads to the cancer or disease or just predipsose you to it. I know my wife's family has history of dementia. Her grandmother, her mother, and her brother all died from it. We are hoping she is not predisposed to getting it. She is 77 and not signs yet but her doctor does a mental cognitive test every year because of family history of dementia. I know they are developing genetic testing for this and hopefully those in future will have that test and start early treatment (and hopefully treatments coming) for it.

Her daughter had breast cancer. They did a genetic test on her that revealed a gene that predisposed her to that specific agressive breast cancer. With that she had double masscectomy (spell) when they found a lumb in one breast that was cancer.

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