Post MRI report seems bad.
Had my first MRI after PSA jumped from 3.1 on April 2021 to 13.6 on Feb 2024 then a week later to 15.6. Was tested for possible infection but came back negative so the MRI was scheduled.
The Report Impression: Highly suspicious lesion of the anterior right apex as above marked for possible fusion biopsy. The lesion demonstrates definite extracapsular extension anterioly.
Pi-RADS CATEGORY 5, PROSTATE VOLUME 53.8ml
Follow up with Urologist was scheduled for April 1 but they called today and want to see me tomorrow. (Will post update) Thus my interpretation of bad. My guess for the next step is a biopsy.
Any thoughts are appreciated.
I have a feeling I'm now a member of the not so sought after but very popular club.
Comments
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Hi,
The biopsy will grade your cancer with a Gleason score. Your Prostate volume is about twice the normal volume of about 25ml. Some of your higher PSA scores might be related to Benign prostate hyperplasia(BPH) which will inflate your PSA. Good luck and pray for the best………
Dave 3+4
1 -
Hi,
Yes, extracapsular extension means the cancer has spread outside of the Prostate. Your Urologist should be able to determine if you have BPH.
Dave 3+4
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Extracapsular extension does not mean it has metastasized (spread throughout the body) it does mean it has expanded its way out of the boundary of the prostate. It could still be localized to the prostate area. But obviously the odds that it has or will further spread are greatly increased. Smart that your care team bumped up the schedule for you.
2 -
Your prostate is bigger than average (prostate hyperplasia). The “benign” part requires a biopsy to determine.
I think EPE and ECE are the same thing.
Does the EPE always mean cancer…I think anything is possible, but it does correlate strongly with cancer, unfortunately. Let’s hope you are the exception to the rule.
1 -
Hi,
The Urologist should measure the size of the Prostate from the MRI data.
0
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