Since my original post ( healthunlocked.com/prostate... ) an MRI was completed and the conclusion was “no significant change from previous MRI”; although the original MRI from 2 years ago scored a second, smaller lesion as PI-RADS-2, the comments in the current MRI repot said it should have been graded as PI-RADS 4, but hasn’t changed since the first MRI.
1st lesion is 1.3x1.1x1.2cm; 2nd lesion is 0.9x0.7cm
Dr. Carroll and Dr. Shinohara both recommended a full spectrum biopsy together with concentrated cores of the two lesions identified in the MRI.
I have still elected to forgo biopsy for now and indicated that I would prefer a transperineal biopsy when one is performed on me. Their back-up recommendation is an ultrasound plus PSA sample in 6 months with Dr. Shinohara.
I have been in the “No way I am getting another biopsy” position for two years now but it is harder than I thought to disregard Dr. Carroll’s recommendation. He is the reason I came to UCSF for treatment and as the PA I met with Tuesday said: “Dr. Carroll is the one who created the Active Surveillance protocol .”
So, as of now I am undecided but re-considering having a biopsy…