My husband has been diagnosed with Pirads 4 of 13.5,mm..Hes going to see the urologist today.help pl
Posted , 7 users are following.
0 likes, 7 replies
We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.
×
Notes on My husband has been diagnosed with Pirads 4 of 13.5,mm..Hes going to see the urologist today.help pl
michaelrobin34 Barbsi
Posted
hello
This must be very worrisome I know, but i too was diagnosed with three lesions one Pirads 4 and too Pirads 5. naturally i feared the very worst!
I then had a Transperineal Biopsy which resulted in nothing! To say i was delighted was an understatement but at makes me a little dubious about how these radiologists interpret MRI scans! Two years and Two scans post biopsy my pirads scores are I and 2! Not sure whether your husband has had the biopsy yet as some hospitals do biopsy first! But if possible elect for transperineal as apposed to Trans Rectal as its much much more accurate and targeted and much less chance of infection post procedure!
i hope all goes ok x
Barbsi michaelrobin34
Posted
hello
thanks for your reply!
I m very worried about my husband, so i decided writing on this forum for a bit of support..
He has been suffering from pancreatitis on his early 30" he' s now
55 years old and his father had prostate cancer caught early and treated well.
this is the fifth biopsy that he does in the course of 9/10 years
His PSA is high due to this form of pancreatitis reaching between 6,7,8 even 10 !
The last MRI that he did last week resulted in a 13 mm nodule, PIRADS 4
without regional extensions.
He will go to see the urologist this week!
THANKS
barney34567 Barbsi
Posted
I am sorry for the situation your husband is in.
I was diagnosed with Pirads 4 gleason 9 carcinoma and have been treated with most of what is available.
My thoughts are:
Barbsi barney34567
Posted
HELLO,
thanks for your reply,
my husband suffers of Pancreatitis and his PSA is mostly high to very high only sometimes.
he had 5 biopsy in the last 9 years
but this time the MRI resulted in a 13 mm nodule PIRADS 4 without regional extensions.
He will see the urologist this week.
thank you!
barney34567 Barbsi
Posted
I see. Make sure you see a highly experienced urologist, ideally working in a teaching hospital. While all urologists do very similar work, their results depends on the volume of patients they treat.
What was he lastet PSA reading? What was it a year ago?
Barbsi barney34567
Posted
Yes this urologist he's a very experienced one, and also we will thinking to get another opinion as well..
his last PSA was 8.5 three weeks ago which is high i know but considering that it was 10 a year ago is a good improvement.
Thank you!!
barney34567 Barbsi
Posted
Glad I could help.
With the PSA, the key is not the number but the change.
You can have a PSA of 9 with cancer and a PSA of 600 and no cancer.
For instance, a doubling in a year is a bad sign.
In your case the PSA has fallen by 15% in a year so that is a good sign.
By all means see the experienced urologist. If you think he makes sense and others consider him as highly reputable, there may be no need for a 2nd opinion at this stage.