I noticed my PSA was increasing slightly over the past few years. Nothing major, but the Doctor was watching it and when it creeped to 4.4, requested that I go and get it checked. No history of prostate cancer in the family at all.
I saw a specialist who found nothing during the physical examination, but suggested I get an MRI just to be certain. Turns out it was lucky that I did, because the results are not very positive. I am booked in for a biopsy in two weeks, but have so many questions before it that I didn't ask the specialist. I wasn't expecting anything to be found, so I think I went into shock when I got told it didn't look good and I couldn't regather my thoughts.
My MRI results are below, but it would be great to get some preliminary feedback on what peoples views are and what other things I should be asking my specialist before the biopsy. Seeing a PI-RADS 5 is honestly that scary.
Estimated prostate size = 51 cc. (PSA density = 0.09 ng/ml.)
There are no suspicious findings within the anterior fibromuscular stroma.
Abnormality No. 1 located at the mid gland to gland base, right transition zone extending into the
right anterior transition zone at the gland base, 22 x 15 x 22 mm homogenous T2 hypointensity
with markedly restricted diffusion. Suspicious of intermediate/high-grade neoplasia.
Score T2W: 5
Score DCE: Non-diagnostic
Score DWI: 5, minimal ADC value = 624
This fits best with: Intermediate/high-grade neoplasia and a PI-RADS 5 lesion.
LYMPH NODES AND BONES.
There are no suspicious pelvic lymph nodes or focal bony lesions within the imaged volume.
The seminal vesicles outline normally.