It seems my journey is beginning. I went to the Cancer Treatment Centers of America in Newnan, GA today and met with Dr. Rabbani (urologist). After reviewing my charts and performing a DRE, he did not think I had cancer, but possibly a prostate infarct. To be on the safe side, since my PSA was high he scheduled an MRI. On the way home, he called with the results. It doesn't look good...
1. The prostate is enlarged measuring 36 cc. There are imaging findings suspicious for multifocal carcinoma particularly associated with the posterior lateral left base which makes broad contact with the capsule with possible early extracapsular extension. Additional carcinoma suspicious lesions within the mid body and right apex are visualized. No neurovascular invasion or seminal vesicle invasion is specifically appreciated.
2. Enlarged right internal iliac and mesorectal lymph nodes raises concern for metastatic disease.
3. No concerning areas of marrow signal alteration.
They are going to call me tomorrow to bump my biopsy up to next week. I will know more then. One lesion was 1.8 cm and graded as PI-RADS5.
How bad is it?