Can someone please help us understand our results
My husband got a call yesterday from a urology PA and she made his 3mpPri sound dire. We are waiting for an appointment with a urologist oncologist but it may take a couple weeks which has us in knots over here:( hopefully some of u who have more knowledge on this can help me better understand the reading of the mri and what this means.
husband 45yrs old, Jewish (no breast or prostate cancer in his family)
Symptoms: for the past 6 yrs he's had problems emptying completely, night sweats, weak stream, getting up 3-4 times at night, urge to urinate (in the course of a meal at a restaurant he will go to the bathroom 4times on average) nawing pelvic pain at times but goes away after a couple days
We've been telling multiple docs about his problems for years but since his psa is low and he has no family history they never took us seriously. Finally i insisted on a 3tmpmri of the area because my gut just felt something was off. We didn’t do the invasive elorectal coil in the rectum instead my husband wanted the weighted diaper thing around the pelvis which the ordering physician said produced comparable results
psa: Nov 16 .72, dec 17 .6, Jan 18 1.0
MR Prostate WO+W/CST AZ MR Prostate WO+W/CST AZ
CONCLUSION: Small area of abnormal signal within the left lobe of the prostate, peripheral zone, base. PIRADS 4.
HISTORY: No Family history of prostate cancer, PSA 1.0 COMPARISON: None
Image quality is good.
Prostate: Size 3.7 x 3.6 x 3.6 cm, 24.3 mL. Central gland: Negative
Peripheral gland: 1.1 cm region of abnormal signal within the left peripheral zone at the base of the prostate. This abnormal signal is in the area of known pseudolesion, but it does extend to the left of midline and cannot be totally discounted. Minimum ADC value 755.
Seminal vesicles: Negative Extracapsular extension: None
Bladder: Normal. Bladder invasion: None.
Lymph nodes: Normal
Bones: No focal suspicious osseous lesion.
PROSTATE MRI TECHNIQUE: Multiparametric MRI of the prostate was performed at 3 Tesla with an endorectal coil using axial, coronal, and sagittal T2 weighted
series, axial diffusion weighted series, and axial dynamic IV contrast
enhanced T1 weighted and delayed T1 weighted fast gradient-echo series. Gadolinium-based contrast media was administered intravenously; see PowerChart
for the amount and type of contrast media administered and wasted.
from what I’ve been reading in my research the low ADC value isn’t a good sign. And the fact that he has this leission and a low psa can indicate the very aggressive type of cancer.
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