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Lower abdomen, side, and lower back pain

Prostate Cancer | Last Active: 3 days ago | Replies (16)

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Profile picture for VancouverIslandHiker @vancouverislandhiker

Wing - Sorry to hear about the pain your having . Your 62 so we have to keep this in mind . If its HIGHLY unusual and intrusive , I would get a second and third opinion. PSMA-PET scans are very detailed and state of the art . At a PSA of 4.5 , they usually don't miss much. Have you had genetic testing? With the PSMA-PET scan was the prostate large ? Have you had a MRI with contrast ? this scan will give us a good look at the lesion , and where they/it sits inside or on the wall of prostate . At this point I would request a MRI myself. Keep asking these logical question . Plenty af great people here to help with their experience . God Bless Sir ! James on Vancouver Island .

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Replies to "Wing - Sorry to hear about the pain your having . Your 62 so we have..."

@vancouverislandhiker High PSA was noticed by PCP in Dec 2024 at 4.3, followed up by Urologist in Feb 2025 at 4.5 which lead to Multi-axle MRI with contrast in April 2025 which showed 2.2 cm PRIRAD5 lesion. The MRI reports this as "a large anterior transitional zone mass that abuts the anterior fibermuscular bundle without extraprostatic extension". I believe this means it is inside the prostate between the inner transitional zone, and the outer fibromuscular zone layers, but I could be wrong. My Prostate volume was 41.0 ml which I don't believe is considered too large for my age group. Yes I have had a Helix genetics test back in 2020 before diagnosis which showed no genetic issues.

PS, I love Vancouver Island the one time I visited.

@vancouverislandhiker The PSMA PET Scan reports says "Moderately intense focus of uptake in the left paramedian transitional zone of the prostate which spans approximately 1.8 cm". "Demonstrates a maximum SUV of 7.1 likely reflecting prostate neoplasm. Mild prostatomegaly is present, otherwise no PSMA avid metastatic disease or lymphadenopathy noted".