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PI-RADS 5 score on a prostate MRI: What does this mean?

Prostate Cancer | Last Active: Sep 13 12:54pm | Replies (19)

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@ctsenior46

My first prostate mri said pirads 5. I had focal therapy and took the lesion out, though it took two focal therapy sessions. Just be aware most places push for over treatment. Even pirads is sometimes used to push people to the two big money treatments surgery and radiation because it is very subjective as my next mri after that said pirads 2. Just because you had pirads 5 doesn't mean you should jump to the big two money treatments in your thinking, just keep that in mind. Most discussions push the over treatment path, you don't have to follow that. Some people do like the idea of over treatment and maximal treatments, so up to you where you are on that.

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Replies to "@ctsenior46 My first prostate mri said pirads 5. I had focal therapy and took the lesion..."

@bjroc Agree that there is a lot of over treatment being done but not always for the money. Some doctors are more aggressive then others.

The MRI is just a piece of the puzzle. You should never treat and don't think a doctor would treat on just an MRI finding. This is why a biopsy is next procedure to do to see extent of cancer. If Biopsy shows significant cancer then a PSMA test should be done. Then you can look at options to treat. Of course it's always a plus to do some genome tests like the Decipher, Ateria AI, etc
Wishing you the best.