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How Long Since Your Diagnosis?
Prostate Cancer | Last Active: Aug 30, 2025 | Replies (47)Comment receiving replies
Actually, I am afraid that what you are saying is so -- that the only thing Dr. Levin is going to suggest this morning is a biopsy, not treatment. I don't want to wait. Report: 1. There is a 0.9 cm T2 hypointense circumscribed focus with mild restricted diffusion in right lateral peripheral zone. It is difficult to discern whether this reflects a PIRADS3 or a focal RADS 4 peripheral zone lesion. 2. No other or additional suspicious prostate lesion appreciated.
Replies to "Actually, I am afraid that what you are saying is so -- that the only thing..."
The biopsy should be very informative. With your current numbers, you can't really tell too much. I had an MRI about a year ago because my PSA rose steadily and slowly to 7.67 over a few years (I'm 78 btw). The MRI yielded a PIRADs score and the presence of a lesion (2cm?). So I had a biopsy and it found Gleason 3+4 and 3+3 in 2 out of 23 needle samples taken. Interestingly, my urologist took 3 samples from the lesion and they all were benign. So I've been on AS since then and my most recent PSA in April was 4.7. I'm due for another MRI+biopsy early in 2026 with another PSA later in 2025. All these numbers can work out to different results for different guys--size of prostate, age, overall health, family history, etc., but the biopsy is a must! Good luck--enjoy NC!
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Treatment is never done as a result of a PIRADS score alone. A PIRADS score itself is not determinant of prostate cancer, it’s only an estimate (probability) of the risk.
Yes, he is quite likely to suggest a biopsy as the next step - especially for a PIRADS 3, 4, or 5. You can bet on that.
(As for that “0.9 cm T2 hypointense circumscribed focus with mild restricted diffusion in right lateral peripheral zone” — they’ll want to biopsy that suspicious area.)
It’s the numbers that guide next steps: PSA —> PIRADS —> Gleason —> (and perhaps more from there). Without the numbers, they will not move forward,
In the MRI report, were the words extracapsular extension, seminal vesicle invasion, or perineural invasion mentioned?