I went for my follow up appointment after the MRI and 4K blood test but left so confused after I received information. It was like information overload and my brain was going so fast that I don't understand anything now. I wish he would have shown me the lesion with a picture so I could have had some visual information. I finally got his notes to review.
What does it mean?
Multiplanar MRI 10mm PI-RADS 3 lesion left medial PZ, No evidence of metastasis. 4K score 5
Can't tell you it means, except for "No evidence of metastasis" which would have me doing back flips with joy.
That does seem to be some good news.
Can't give you an explanation, but I have sometimes found that just plugging the medical terms into Google gives me some information and helps me prepare questions for my doctor. It's not medical advice and it can be wrong; so I've had to be careful, but often it at least explains what the alphabet soup letters stand for. Good luck.
Thanks
There's a 10mm wide area that might be prostate cancer (50-50 chance) in the outer part of the prostate, but they would have mentioned it if it was making the surface of the prostate bulge. That 4k score suggests that if it is cancer, it's probably not very aggressive, but 10mm is quite big, so I'd consider having a targetted biopsy.
Thanks for the information. I was taking Testosterone for low T. All the sudden my PSA jumped and I had Prostatitis. I was treated for Prostatitis but the PSA never returned to 2.5. I have been treated again for the Prostitus and continue to suffer from the symptoms of the Prostatitis. They stopped my testosterone treatment back in Nov because my PSA has still not returned to 2.5. I was having much more sexual activity when I was on the Testosterone so I thought maybe I overdid something.
The lesion could be the prostatitis having an effect. Prostatitis usually causes an increase in blood PSA. It can be very hard to treat.
If the MRI was not too expensive, you could ask whether a repeat MRI in a while (a period advised by your urologist) would be appropriate.
I'd be a bit reluctant to have a biopsy in an already inflamed prostate, and would definitely push for any biopsy to only target the MRI lesion - you don't want to increase the risk of worse prostate infection.
The low testosterone can be quite debilitating. Cancer is often found when PSA is tested while on testosterone replacement, but I think the replacement causes the testing, not the cancer. I have a friend who is on testosterone replacement again a year after his radical prostatectomy for prostate cancer and is feeling vastly better and more energetic.
Your words are helpful. Thanks for your taking the time to offer your insight. I am scared to do the biopsy. I am afraid they will cause more problem but understand the logic behind the Dr wanting to rule things out.
Yes after you start going to the doctor it's just like the chiropractor -- you have to keep going. For me has been every 3 to 6 months for the last 7 years. Which is how I got myself into this predicament in the first place -- not going to the doctor at all in my late 30s and early 40s to busy taking care of my father with PCa and mother with dementia not to mention demanding work schedules.
Lots going on for you..but I had similar situation taking clomid. It may have just sped up the cancer a bit but it was probably always there. No evidence of metastatic spread is the MOST important thing and you have lots of options. Not sure I would do anymore T therapy...but biopsy is a must in my opinion
Opinions on my 2nd MRI results 
AS going forward-recomendations
PSA RISING
Opinions requested – biopsy pathology report
