PET MR GaPSMA results question. - Active Surveillan...

Active Surveillance - Prostate Cancer

664 members373 posts

PET MR GaPSMA results question.

EJC61 profile image
0 Replies

I'm trying to decipher a few statements on my PET/MR PSMA report. The MRI report states in the Impression NO evidence for extraprostatic disease. In the report detail, however, it is stated "the above described left posterior peripheral zone lesion in the gland apex abuts the left posterolateral prostatic capsule without evidence of frank extraprostatic tumor extension." The PET report states in the Impression NO findings characteristic for locoregional or distant disease. In the Abdomen & Pelvis report detail, it is stated that "in the pelvis, known prostate carcinoma at the left posterior apex peripheral zone on dedicated pelvis slice #53 with maximum SUV of 20.7. No other suspicious foci are evident. No findings characteristic for locoregional or distant disease." So I know they are both talking about the same PiRad 4 lesion located in the left posterior zone at gland apex. Reading from a Radiology grading system, there seems to be alot worse grading than "abuts". This seems too close for my comfort. I don't want it escaping. Although it appears that this radiologist was more wordy, all previous 5 MRI’s just indicated No evidence without any additional comment. Also, I’ve never come across SUV. It appears 20.7 is not great. I don't do bx's well, and I don't think even a transperineal or any other bx will change my mind. I see my team tomorrow, and I think treatment is in my future. Any thoughts would be appreciated. Thanks.

Written by
EJC61 profile image
EJC61
To view profiles and participate in discussions please or .

Not what you're looking for?

You may also like...

Leave AS behind now?

Looking for some insight and perspectives here: I've been on active surveillance since August 2017....

Moderation team

Bethishere profile image
BethishereAdministrator
Number6 profile image
Number6Administrator
Darryl profile image
DarrylPartner

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.