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Newly diagnosed with prostate cancer and still gathering information
Prostate Cancer | Last Active: Sep 4 9:01am | Replies (150)Comment receiving replies
My thought. precisely -- I have seen and read my recent MRI and clearly have a focal lesion. But it is contained within the prostate. I see my urologist in the morning to go over the results and make a plan. I will push for treatment ASAP. No AS. I would prefer to bypass a biopsy. Just remove the prostate and send it on to the pathologist. Can have the whole thing, never mind "cores"!
Replies to "My thought. precisely -- I have seen and read my recent MRI and clearly have a..."
I have no idea, I’m not a doctor. But it seems to me that for the # of positive cores, that radiation not an RP would be the choice. After all, why do thru the risks of an RP to then have to do radiation anyway?
As for one lesion, you need to wait for the biopsy and PSMA Pet scan. You may be in the lucky situation, where you don’t need to have an RP and risk incontinence, rectal issues, and ED. Just saying.
I’m getting prepped for my Proton Therapy with Gleason 8, localized with no Extra capular extension, and clean PSMA. I know the possibility of recurrence later but am willing to kick the can down the road. Personally I question any RP.
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Did you get a PIRADS score for the lesion? If it’s a four or a five, then it could be cancerous and need to be treated right away. If it’s a three or less than it usually is not be cancerous. Even a 4 is on the border, a biopsy would give a lot more information.
You may not have cancer, Removing your prostate without more information would go against medical guidelines.
Hopefully your urologist can give you more information so you can make a sensible decision about what to do. It’s a little early to decide to remove your prostate. That will dramatically affect your life, a lot more than other possibilities.