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New and Need Guidance: What questions to ask about prostate cancer?
Prostate Cancer | Last Active: Apr 28 6:50pm | Replies (52)Comment receiving replies
Wanted to give people a little update, and also ask for some guidance.
Michigan Institute of Urology is the main Urologist. The MRI was ordered from Beaumont Hospital who created a report with Pi-RADS 4 finding. They did NOT offer the transparineal biopsy however.
We ended up going to University of Michigan who DOES offer the transparineal biopsy. In the mean time they ended up having their own radiologist review the MRI imaging. Their findings are that there is NO 8mm lesion but instead some small dots which only qualify as PI-RADS 2 with no chance or cancer and therefore no biopsy needed.
At this point we have 2 conflicting radiologist results. Beaumont saying Pi-RADS 4 with 8mm lesion and University of Michigan saying Pi-RADS 2 with small dots.
PSA readings are at 20 FYI.
Has ANYBODY ever experienced or heard of this before? Where do you go from here? What do you do?
We have upcoming appointments to discuss the Pi-RADS 2 findings, and all the info I just mentioned was shared with us over the phone and in writing.
Replies to "Wanted to give people a little update, and also ask for some guidance. Michigan Institute of..."
My opinion is that Dr. Joe Busch in or near Atlanta is very good at reading MRI's. You may look into the possibility of his reviewing the MRI results.
Ask for PSMA Pet scan. If it is prostate cancer, it will show, anywhere in the body. The cancer may be outside of the prostate or not even in the pelvis. That can account for the high PSA and ambiguous MRI. Also the cancer can be hidden in certain places. Such as the bladder. MRI will also not show.
PSMA Pet Scan is for the whole body. It is the classified as the most accurate test so far. That said, it can miss 10% of the cancer. Talk to your doctor about it. Hope that helps.
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No, this is troubling to have such two different opinions. Go back to MIU and ask what is going on here with the discrepancies. If your MIU Urologist is a surgeon he should be able to read the MRI I would think. Maybe he will suggest another MRI? I wish I could be of more help.