Prostate Cancer. PSA 21.7. Stage 3B. Tumour 30mm.

Hello, my husband has recently been diagnosed.  He was not referred by the GP as a cancer query and subsequently waited 2months to see a Urologist.  The Urologist used the term ‘possibly cancer’ and then referred for a nuclear bone scan on 12/3/2026.  This was a 6 week wait, so we paid privately for an MRI in the meantime. The results came back 48hours later and confirmed Stage 3B with tumour of 30mm and a spread in to both sides of the seminal vesicles

we have an appointment now to see a Urology surgeon in 2 weeks time, although the initial Urologist mentioned that there wouldn’t be any treatment options due to my husband’s many health issues.   There is a MDT meeting tomorrow to discuss his case.

So, my question is, are they likely to do biopsies, because at this stage we have no idea how aggressive the cancer is, or are they likely to think no point as they are not planning treatment, just a watchful waiting scenario!

  • Hello,I am in the same situation as your husband with PSA 21  and the similar scan results and yes I’ve had a biopsies taken. I’m now on a course of Bicalutamide. With an injection to follow. 

  • Thank you for your reply.  How are you coping with the treatment 

  • Hello Again,   I’m 75years old and in pretty good health, I’ve had no problems with taking the tablets as yet but was warned of possible side effects. Due to have injection next week 

  • Hello Annea66 and thank you for getting in touch.

    I’m very sorry to hear about your husband’s situation. This must be an incredibly difficult and worrying time for you both.

    Because we are not involved in your husband’s care, we’re unable to say for certain whether biopsies will be taken. Decisions like this are usually made at the multidisciplinary team (MDT) meeting. The MDT includes specialists such as urologists, oncologists, specialist nurses and radiographers, who review each person’s scans, overall health and treatment options in detail.

    A biopsy is an invasive procedure, so the team will carefully weigh up the potential benefits of taking samples against the possible risks or side effects. They will also consider your husband’s other health conditions and how well he might tolerate the procedure. In some situations, particularly when someone has significant health issues or when the MRI gives a clear picture, the team may decide a biopsy is not necessary.

    I appreciate that waiting for the MDT discussion and a clear plan can feel very stressful, and it’s understandable to have many questions at this stage. The doctors who know your husband’s full medical history will be best placed to explain what will happen next once the MDT has met.

    If it would be helpful, we have general information on prostate cancer on our website.

    If you’d like to talk things through with one of our nurses on the helpline, we’re here to support you. You can reach us Monday to Friday, 9am–5pm, on our freephone number: 0808 800 4040.

    Jemma