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Prostate Cancer

Benign biopsy. Confirm MDX test results: 21%< =G6; 15%>=G7
I had a MRI fusion transperineal biopsy. 26 cores benign. My urologist ordered a Confirm MDX test. Results show: Likelihood of prostate cancer on repeat biopsy: 36% 21% likelihood of detecting Gleason score < = 6 cancer 15% likelihood of detecting Gleason score >=7 cancer It is recommending for a second biopsy. I guess I…
PSA Value at 0.54 on 1/24/24
I had Prostate Cancer in 2018 and had radiation treatments all was good but now my value is all over the place since then on 11/17/21 V @ 0.7, on 3/15/22, 1.84 on 3/30/23 0.38, on 8/7/23 0.26, 1/24/24 0.54 is this common?
Prostate Health Index
Haven't been here for several months so maybe this is an old topic. My friend has a PSA of 4 - got there slowly over many years. He's now 80. His Dr. told him his PHI indicates he has a 50% chance of having (or getting cancer) and is going to do a biopsy to sort out what, if anything, needs to be done. On my cancer journey…
Living with an AUS- Bikes, etc
I have had my AUS in now just over a yr. I have not ridden a bike for years and bought one this summer. I can't help but notice, riding a bike- specificly using the bike seat- causes me to leak. Life with a AUS- how is it going for you?
wait time for targeted biopsy after initial MRI
Just got my MRI. PSA rising slowly for 3 years from 4.0 to 5.1. The MRI indicates a pi-Rad level 4 lesion 10 ml, well defined with no infiltration. Either base peripheral zone 11 to 12 o clock or transitional mid gland zone 11 to 12 o clock. Will get the location cleared up. I have an MRI fusion targeted biopsy scheduled…
Cost of Orgovyx
I am 61 years old and have been told I need to go on hormone therapy. I was considering trying to convince my urologist to get me on Orgovyx, but he explained (and I found out after doing some research) that it is pretty expensive, and also said that my insurance (I am still working at 62 with insurance through Blue Cross…
18 months post RP
Just got PSA < .1 So far, so good.
Rapid rise in PSA, recently diagnosed
I have recently been diagnosed with prostate cancer following a biopsy in early January (gleason 6, 6 cores positive, 5%-50%, PI). At my follow up appointment my urologist recommended active surveillance with an MRI in 3-4 months. At that point, he said the cancer was "far from scary". They told me to get another PSA last…
Elevated PSA
My PSA rises quickly recently. Table below is my PSA history Date Value Free PSA % of Free PSA 2/15/24 5.43 0.96 17.7% 1/9/24 4.2 0.9 21.41 11/21/23 4.20 0.8 19.04 11/14/23 4.80 N/A 2/27/23 2.15 N/A 7/2/20 2.00 N/A My MRI PIRADS = 2 (12/15/2023) Prostate size MRI result (12/15/2023) 4.7 x 5 x 4.1 cm (length x width x…
Salvage surgery it is
Everybody knows my story been going on for about eight months I’m really really tired of the scrap PSA scan then another scan and MRI then a biopsy then meet with a radiologist meet with a cryotherapy doctor meet with two different surgeons radiations out of the question that guy screwed me. I asked a point blank about…
MRI fusion Prostate Biopsy next Monday. I am doing a lot of research, and have many questions
This is a great forum. I just scratched the surface and I have so much more to research on this. For now, this is what I have. I am 68. I live in Southern California. I have Medicare and medigap insurance. In early 2022, my PSA was 3.9. By November 2023 it went up to 5.3. My PCP gave me referral for a urologist who asked…
Considering where to get treatment for my prostate cancer
I recently had a biopsy done and was diagnosed with prostate cancer, and so I'm doing research to determine where to get treatment. I did some more research and found that MD Anderson in Houston is rated very high. I live in San Antonio, and while we have a pretty good medical center here in town (I believe Mays Cancer…
Private dr or big institutions
like to talk about choosing doctors I always hear find yourself a doctor that’s done 2500 or 3000 prostate surgery I mean let’s face it most of us should have urologist they don’t do the surgeries or maybe they do and if you’re lucky enough to maybe been with your urologist for 10 1520 years and you trust him that’s great…
TRT on Active Surveillance?
Is there anyone out there that have a gleason 6 or 7 on Active Surveillance that are still on TRT?
Freshly diagnosed, need advice
Any help will be appreciated, very new to the topic. About month ago, I had prebiopsy PSA around 45, and later got following biopsy results: Agregate Gleason score 7 in about 70% of the volume. The primary Gleason image consists of small and medium-sized glands in groups within Gleason image 3 and are represented in about…
3 lesions PI-RADS 5
I am 46 years old with 3 maternal uncles with prostate cancer. My PSA was high for 18 months. The doctor decided to do an MRI. Monday, 2/5/24, I received a call that I had 3 lesions within my prostate. 2 of the lesions were protruding in the a capsule wall into the fat tissue. All three lesions were rated PI-RADS 5. The…
Groin pain
Was diagnosed with prostate cancer about 5 1/2 years ago. Immediately had radical prostatectomy. Was 58 at time of procedure, now 63. Surgery went well, I was fortunate enough to not have any incontinence issues. Erections are a different story, just not happening. Just accepting that, it is what it is. PSA was…
Need opinions about questions for dr
Everybody knows my story failed radiation treatment. It’s not biochemical failure .. the radiation treatment didn’t work because I apparently Cribi form is radiation resistant so now one final meeting tomorrow and then I’m making a decision between Cryo or salvage surgery.. the doctor UCLA will have some serious questions…
Confused! Recently diagnosed with prostate cancer
No prior health issues at 67 years old, with PSA at 4.3 My urologist ordered MRI which showed "suspicious areas" He then performed trans-rectal biopsy which confirmed 3 samples out of 17 having adenocarcinoma. Gleason 3+4=7, 3+3=6, and 4+3=7 respectively. Also one other sample having HGPIN. After consulting with him, he…
Decision time on salvage treatment ..i am torn
Well, the first time should’ve been easy do surgery and get this crap out of my body but I chose the other radiation and now I have a reoccurrence.so I’m a candidate for both salvage surgery. Also cryotherapy and radiation radiation is out of the question. I’m not even thinking about it didn’t work the first time I don’t…
Robotic prostectomy Vs Radiation
Hi, My husband is 50 years old and is diagnosed with prostate cancer with gleason score of 6. The biopsy report also shows perineural invasion shows cancer spread in 15 out of 17 cores. The urologist initially recommended monitoring but when we questioned regarding perineural invasion and risk of spreading the cancer…
More than I imagined
I don’t know if it’s the hormone therapy or my physically demanding job or radiation treatment but after week one 5 treatments I am a little overwhelmed
HIFU
I'm just beginning this journey. I've posted in a couple of threads, but wanted to ask if anyone on here had or studied the HIFU (High Intensity Focused Ultasound) proceedure. My questions are, is it covered by Blueshield CA advantage medicare plan? Am I a good candidate? If the answer to the first question is no, then I…
Trying to make sense of this whole thing. Newbie here.
I was just diagnosed with PCa a little over one month ago. PSA rose to 4.9 at my annual physical, saw a Urologist who ordered an MRI which was Pirads1 nothing seen and biopsy. Biopsy-G. PROSTATE, RIGHT MEDIAL BASE, NEEDLE BIOPSY: PROSTATIC ADENOCARCINOMA, GLEASON SCORE 3+3=6 (GRADE GROUP 1). CARCINOMA INVOLVES 35% OF ONE…
Three different opinions need a recommendation for Telehealth consultation.
66 year old healthy male PSA 4.9, MRI Pirad 1, ExoDx 58, Biopsy 3/12 positive cores, 2 were 3+3, the other was 4+3 with 75% being a grade 4 and 25% a grade 3. Decipher score .44. Pet scan was normal except the two areas of concern mentioned above. Impression of PET "The prostate measures 4.4 x 3.3 x 3.5 cm. Focal increased…
When to Get Second Opinions
I started a thread last week about my situation having recently got the PRADS 5 score. My urologist moved up my follow-up appointment to late this afternoon. I'm trying my best to be calm and to get the most from the visit. I'm wondering at what point in the process it's recommended to get a second opinion. He'll almost…
PI-RADS Score of 5 - Next Steps
Hi all, Just to give a bit of background - my father died of prostate cancer as did my maternal grandfather. Both my mother and her sister died of breast cancer. My PSA has been followed since my early 40s. At age 50 which was 2 years ago, it tested at 5.1. I had an MRI that indicated only a benign condition. My PSA…
Eligard vs Orgovyx
Heys guys, I am currently undergoing ADT therapy for Gleason 4+3 with one lymph node metastisis. My therapy is currently 2 months of Firmagon then to switch to Eligard for 3 months. I do know of the newest drug on the market taken daily called Orgovyx. I do know one is an Agonist and the other is an Antagonist. The Orgovyx…
PSA jump in 2 weeks
I am a 50 year old and I have been diagnosed in April with Gleason 3+4 but only 5 to 10% of pattern 4 in 3 cores. I have been on active surveillance since then but my PSA has moved from 4 to 5 to 6 in the past 6 months. I did my annual blood work on 12/28 and PSA was 6. But I just did a PSA test as part of the active…
Nanoknife
I am 76 years old diagnosed with prostate cancer a few months ago. According to my urologist I am a candidate for this procedure consisting in zapping the cancer by applying electrical pulses at high voltage to kill the cancer cells. I looked at all the other methods and I am considering this procedure which I believe to…

Prostate Cancer

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