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Post-PAE MRI Shows "7m abnormal signal"

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Howard31850
Howard31850

I just got back the results of a 3T-MRI performed 13 weeks post-PAE to assess progress. I was shocked to read in the report that there was a "7mm focus of abnormal signal within the left peripheral zone at mid gland which could represent clinically significant prostate cancer".  Yikes!!

Over the past 20 years I have had 3 TRUS 12-needle biopsies - all negative. I was wondering if anyone else ever got a similar report which could be caused by the scars left by the needle biopsies?? Also could the PAE itself cause this signal since I will still have tissue scarring?

I did have liquid biopsies for PCa last year (MiPS and Apifiny) that look at the molecular level in urine and blood samples for cancer biomarkers and both tests were very good.

My uro said to speak with my IR guy (and added that he told me not to do the PAE). On the positive side the MRI did show about  a 40% reduction in my prostate volume from 280gm to 175gm though strangely I have not seen any symptom improvements.

Any help on the MRI-scare would be much appreciated.

Thanks.

Neil

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  • alan1951
    alan1951 Howard31850

    Posted

    For the life of me, I tried rereading all of these posts to find one direct quote, but I couldn't find it.  Thus, I'm paraphrasing ...  PCa is overdiagnosed and overtreated.  My guess is that if you did have [u]aggressive[/u] PCa, you would know it.  My friend, PCa is common.  To quote the professionals, "we'll probably die with it, but not necessarily of it."

    • Howard31850
      Howard31850 alan1951

      Posted

      Yes I agree 100%. I have heard so many times that the probability of my having PCa is my age. So at 67 I have a 67% chance that there is microscopic PCa cells in my prostate. But so what! As Dr. K says it is not important until it becomes clinically significant - that is visible. Even if my lesion were cancer he was not concerned as long as it was confined to the capsule. He said since it was focal he would just go in and ablate it in a few minutes. He said if it were cancer then when he did FLA for my BPH instead of taking 3 hours it would take 3 1/2 hours to get the cancer first. So are totally correct.
  • davidha
    davidha Howard31850

    Posted

    Dr. Pisco in Lisbon Portugal a radiologist is the one who invented the PAE and I had mine done on February 9, 2017 GREAT RESULTS HAPPY HAPPY HAPPY and we were dicussing in his office about him going to Washington to recieve an award from the radiologist department on the Pae. He told me he has done 4 cases on postrate cancer and cured them . I would check with him on this . 
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