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PSA/MRI not too bad, Biopsy not too good. What??
Prostate Cancer | Last Active: 5 days ago | Replies (34)Comment receiving replies
RARP scheduled for Dec 16 at Mayo Jax. Waiting can be tough but looking ahead.
Per MRI in July, no spread. But what happens if surgeon finds during operation that cancer has spread, will he stop the RARP and then we explore other options?
Would it make sense to get another MRI before surgery, just to be sure cancer has not yet spread?
Replies to "RARP scheduled for Dec 16 at Mayo Jax. Waiting can be tough but looking ahead. Per..."
@jeff1963 I’m not a doctor, this is just my opinion. I don’t think a surgeon can tell while doing a prostatectomy how advanced the cancer is. The pathology afterwards is where lots more information is revealed (e.g. spread into vesicles, bladder neck, margins, pathological Gleason scores, etc.) If lymph nodes are removed they can check those too. My husband’s pre-surgery MRI scan showed it was contained in the gland but a follow-up PSMA showed spread in lymph nodes. This was also found when lymph nodes were examined after the surgery. A follow-up PSMA showed the extent of the lymph node involvement and treatment plan was changed. I believe the best we can do is gather as much information as we can (like you are doing), find the right doctors, and move forward. I wish you well.
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@jeff1963
An MRI is not the best way to find cancer spread.
The PSMA pet scan is the industry standard for finding prostate cancer in the body. As long as your PSA is above .5 you should have that test and not another MRI.