Possible cancer? I’m so scared

Think your urologist is correct.  I would just stay on Active Surveillance as I am on although I have confirmed cancer.  Regular PSA and yearly MRI and only have biopsy if PSA  much higher or MRI indicates some suspicious area

I think that your Dr is right just have annual PSA blood tests to see if anything changes and try to relax until there is something to fret about.

Good luck Richard. Who had prostrate cancer four years ago.

The problem is that a biopsy can find cancer but because the needles can miss where there might be cancer cells, it cannot eliminate the possibility of cancer being present. I had a 12 needle biopsy and only one suspicious cell was found. Several years later I had a 'saturation' biopsy of 36 samples and a couple of cells were found. I therefore have a diagnosis of Gleason 6 (3+3) adenocarcinoma of prostate. My PI-RAD is 3. I remain on active surveillance. No treatment for the cancer.

Relax - you don't need a biopsy!

There is a blood test you should have completed called the 4Kscore. This can completed prior to biopsy, or after a negative biospy, and can predict the likelihood of cancer spreading to other parts of your body in next twenty years.

Be great if you had more PSA tests done for a few earlier years. Then you could see if there is any steady but relentless doubling progression. It is the rise in PSA over say a 12 month period that gives the warning signal. I would be ecstatic with your 0.33 PSA. Mine hovers between 2.2 and 2.5 over the last 15 years.

 

The PIRAD of 2 is very good. If you had the MRI with a good MRI machine and good radiologist, then you probably have no issues. That was the same score I achieved. Radiologist said, unusual to get a PIRAD of 1 in an adult, as the prostate tissue becomes more dense as we age, and a score of 2 is good. 

Do not go down the very invasive biopsy route unless absolutely warranted..eg, the MRI can see and measure the PCa lesions, your PSA is rising and you want to assess how aggressive the PCa is.

 

I would wait three months and get another PSA done and go from there.

For me, it turned out I'd previously had a massive UTI attack my prostate a few weeks before my annual blood tests, which spiked the PSA to 15(in 3 months) from my average of 15 year average of 2.4. DRE was normal. All the various blood tests(PSA Free and PHI) said high chance of PCa. The MRI said PIRAD 2...stop worrying. My PSA is still falling back, indicating the prostate can take many months to recover.