MRI Seems to indicate Prostate cancer recurrence

Posted by zj69 @zj69, Aug 24, 2023

Hi

I went for an MRI, and the report came as below. Please can someone tell me about it?

IMPRESSION:
- 1.1 cm PI-RR 5 lesion involving the right aspect of the prostatectomy bed near the vesicourethral anastomosis. Of note, posteriorly, the lesion is inseparable from the adjacent inferior rectal wall.

- Indeterminate prominent bilateral inguinal lymph nodes predominantly on the right side, not significantly changed in size when compared to prior PSMA PET. No new/enlarging lymph nodes.

- Described DWI hyperintense subcentimetre focus within the left posterolateral aspect of the mid anus with no corresponding low signal intensity on ADC nor abnormal uptake on prior PET CT, favoured to represent a small haemorrhoid. Direct visualisation is suggested to exclude an underlying lesion.

Highest Assessment Category: PI-RR 5*

Thanks

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

This is an important and complicated finding and although we are all very concerned about our and your PC, we are not experts or doctors and amateurs will mean well but may give you incomplete or incorrect advise. You need to meet with your surgeon or urologist or oncologist or other experienced, competent expert to get an understanding of this and get their recommendation and meet with them asap. Best of luck to you and all of us.

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@hbp

This is an important and complicated finding and although we are all very concerned about our and your PC, we are not experts or doctors and amateurs will mean well but may give you incomplete or incorrect advise. You need to meet with your surgeon or urologist or oncologist or other experienced, competent expert to get an understanding of this and get their recommendation and meet with them asap. Best of luck to you and all of us.

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Second that. Also his med team has the history of disease. But seems targetted biopsy is in order.

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In my opinion, thats way to much medical jargon to even know. It’s not necessary to copy medical lingo that I haven’t the slightest clue what all that means other than you have metastatic prostate cancer !! If it makes you feel better to know and pass along that info then I’m happy for you !! But the reality of is , none of that makes any difference whatsoever !! Know as little as possible and just Stay Alive ✌️ Good Luck

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@fuzzy123

In my opinion, thats way to much medical jargon to even know. It’s not necessary to copy medical lingo that I haven’t the slightest clue what all that means other than you have metastatic prostate cancer !! If it makes you feel better to know and pass along that info then I’m happy for you !! But the reality of is , none of that makes any difference whatsoever !! Know as little as possible and just Stay Alive ✌️ Good Luck

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I couldn't disagree more, Fuzzy123. There are many of us who seek to understand exactly what we are dealing with in order to make the best decisions, along with our medical team. Sharing our DX and details often results in further education from others' experiences. This board is full of patient stories that are extremely beneficial to the new patients that come here for knowledge of what to expect. Everyone has the right to ask questions and share. It can and does make a world of difference.

I also want to note that everyone has the right to "know as little as possible" if that is of comfort to them. We're all just doing the best that we can. All the best to you.

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to di341 in reply to fuzzy123
Thank you for your post. I totally agree with you and I believe most members of Mayo Clinic Connect will agree with you.

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I had every scan you can think of, some of them twice. I researched every word using Open AI (BING), and asked it a lot of questions. I don't think my doctors liked the questions I asked them, they didn't expect someone to be so informed. YOU MUST DO YOUR OWN RESEARCH, the doctors tell you what they want you to know.

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We are a partner in our own treatment. Doctors are not infallible. The more we know, the better our decisions regarding something as unforgiving as cancer. We do not live in a world of perfect diagnosis and treatments. Second and third opinions and personal education reduce the possibility of horrendous quality of life decisions. You don't have to spend much time on Mayo Connect to find out the mistakes and successes that doctors and patients make, best intentions notwithstanding. Lastly, the more I understood the specific risks and my full set of options, the more comfortable I was going down a treatment path.

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We are all in this together, or not, depending on how much or how little we as individuals wish to share and seek advice, clearer understanding, and/or simple but necessary compassion. I’ve been following this blog daily since I became a Mayo prostate cancer patient four months ago. I had RLP on July 10 and my labs all came back clear except for what was in the prostate itself. I feel very blessed and would like to think I have dodged a bullet, and maybe I have, but I also know this disease very likely will raise its ugly head again in the future regardless of how “clear” I may be now. The facts are if a blood test can detect it, it’s in the blood, and it’s going to find somewhere to gather again. Meanwhile, my prayer is that each of us finds and receives the very best care we can and that we are surrounded and supported by loving family and friends as we make our individual and collective journeys. May God grant us peace, comfort, and healing.

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@zj69, have you been able to consult with your cancer care team in the meantime? What did you find out?

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@donaldguy

We are all in this together, or not, depending on how much or how little we as individuals wish to share and seek advice, clearer understanding, and/or simple but necessary compassion. I’ve been following this blog daily since I became a Mayo prostate cancer patient four months ago. I had RLP on July 10 and my labs all came back clear except for what was in the prostate itself. I feel very blessed and would like to think I have dodged a bullet, and maybe I have, but I also know this disease very likely will raise its ugly head again in the future regardless of how “clear” I may be now. The facts are if a blood test can detect it, it’s in the blood, and it’s going to find somewhere to gather again. Meanwhile, my prayer is that each of us finds and receives the very best care we can and that we are surrounded and supported by loving family and friends as we make our individual and collective journeys. May God grant us peace, comfort, and healing.

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I had the Prostate removed one month ago. Had a Gleason Score of 7, Bone Scan, no spread, as well as the CT S Lab all came back clear. In 3 months new blood work on the PSA and if it has moved up from 0. then a PMSA Pet Scan will show any spots where the prostate was and outside. If any are found insicde, then LUPRON and if outside, since any spot is pin pointed, then
targeted Beam Radiation. According to the Hans Model, recurrance in ten years is 17%. I just turned 70. Just live today and focus on the positive is my advice. God Bless all of you.

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