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How Long Since Your Diagnosis?
Prostate Cancer | Last Active: Aug 30, 2025 | Replies (47)Comment receiving replies
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?
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No, the report suggested that there were no other lesions and that the one noted is contained within the prostate. My urologist said that he would have given my suspicious spot a PIRADS 3, not 4. He did suggest a MRI Fusion Guided Biopsy, as I expected and others said. I feel fortunate to be scheduled for that procedure on 9/9 in the morning. Moving forward in a positive way.