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BIRADS 5 AND 155.0 cc prostate

Posted by floridaman @floridaman, 19 hours ago

New here and thankful to connect. Im 74 years old, scheduled for a targeted biopsy next Friday. Heres my details so far.

🚩Birads 5 parametric MRI finding
🚩Lesion location peripheral zone
🚩 lesion Size .5cm x 1.7 cm
🚩Shape: irregular/ elongated with long curvilinear contact
🚩DWI/ADC: 5.5 water molecule
🚩DCE positive blood flow angiogenisis
🚩 very large prostate 155.0 cc
🚩PSA 17 (adjusted for finasteride)* been on finasteride for 7 yrs

So- going to get this thing examined and scored. Id like to hear any insights particularly from individuals with a prostate the size of mine who opted for surgery. I understand that robotic surgery would be an option?

In advance- thank you so much for any wisdom you might have to share.

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

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pdcar4756 | @pdcar4756 | 6 hours ago

There's a lot to learn initially about prostate cancer. When it came to visit me I was fortunate to find a great resource. I highly recommend a visit to PCRI.org. This website has a wealth of information which is easily understandable, accurate, and state of the art. Give it a visit and see if it can be of educational assistance to you. Best of luck going forward.

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michaelcharles | @michaelcharles | 4 hours ago

May I recommend 2 resources:

Patrick Walsh's book "Surviving Prostate Cancer"

Prostate Cancer Foundation cpf.org Patient Guides free for download or hardcopy.

Best wishes

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Jeff Marchi | @jeffmarc | 3 hours ago
In reply to @mikefassino "@floridaman I was in the same situation as you with the size and mri results. I..." + (show)
Profile picture for mikefassino @mikefassino

@floridaman I was in the same situation as you with the size and mri results. I had the decipher done on the biopsy which came back .34 low risk. My urologist recommended a simple robotic prostatectomy which remove 101 grams of prostate around my urethra so I would pee again. That worked Great ! He didn’t recommend a radical prostate removal because of it’s size would cause a lot of blood and diapers for ever I have one tumor in the prostate, no where else He recommended active surveillance. Year later this past Jan 2026, I had a PSMA. Came back negative! Also I forgot to mention my pathology report on the biopsy a year ago gave it a 4+3=7. Which is opposite of a decipher .34 !! I may ask for the slides to be read by John Hopkins. I hear that 1 out of 2 come back down graded from what the original pathologists reported. I’ve heard that due to liability, that many are upgraded from some pathologists teams Right now I am going to talk to my urologist about IGRT radiation. Heard that it can be cured! And I want to live longer than SS believes I will 😂. I listen to PCRI on YouTube Very good experts

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@mikefassino
Rather than send your slides to John Hopkins for review, you should consider having them reviewed by Dr. Epstein. He is a real expert in analyzing Prostate cancer slides. He does charge $500 for the review, but you can call him and speak to him for quite a while about all the details of your biopsy. A lot of people who have used him.

Dr. Epstein biopsy
https://advanceduropathology.com
He will contact the place you had the biopsy and arrange for everything to be done. You don’t have to be involved with that.

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floridaman | @floridaman | 25 minutes ago
In reply to @michaelcharles "May I recommend 2 resources: Patrick Walsh's book "Surviving Prostate Cancer" Prostate Cancer Foundation cpf.org Patient..." + (show)
Profile picture for michaelcharles @michaelcharles

May I recommend 2 resources:

Patrick Walsh's book "Surviving Prostate Cancer"

Prostate Cancer Foundation cpf.org Patient Guides free for download or hardcopy.

Best wishes

Jump to this post

@michaelcharles Thank you so much! Ordering the book and downloading the patient guides. This is great. Much appreciated!

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floridaman | @floridaman | 17 minutes ago

Thank you so much for your reply. Best wishes! Sounds like you have great care and a lot of options! And seems like science is on our side creating treatments. My lesion is peripheral zone. Is yours same location? Wishing you good health!

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floridaman | @floridaman | 14 minutes ago
In reply to @pdcar4756 "There's a lot to learn initially about prostate cancer. When it came to visit me I..." + (show)
Profile picture for pdcar4756 @pdcar4756

There's a lot to learn initially about prostate cancer. When it came to visit me I was fortunate to find a great resource. I highly recommend a visit to PCRI.org. This website has a wealth of information which is easily understandable, accurate, and state of the art. Give it a visit and see if it can be of educational assistance to you. Best of luck going forward.

Jump to this post

@pdcar4756

Thank you so much!

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