Totally confused anyone been there?

Hello everyone,

I have been following the posts on this forum for over a year and find everyone to be so helpful, honest and extremely courageous given yoursituations.

Over a year ago I was referred to the urologist with a psa of 22.4, dre was enlarged but smooth. Had MRI, bone scan and 18 core biopsy all were clear (apart from a suspicious area showing on scan). This was followed with a CT scan and a second targetted, 13 core biopsy. Again no positive cores and no pin.

The urologist then removed me from the cancer pathway, so we assumed all was ok. However moving forward a few months to the next psa test and result was 37.4. Had another Mri.  Prostate is large at 90cc No change in suspicious area. Suspicious area is peripheral zone possibly PI-RADS 4.

MDT  meeting now want a template biopsy and a second bone scan.

Worried that rapid increase in psa over a short time is indicative of spread. Have seen here on this blog and others where psa levels can be high due to other causes but such a rapid rise is causing some concern.

Just totally confused at present and more than a little concerned.

Thanks in advance for any comments

  • Hi all,

    Just to clarify my situation re "all clear", with PSA of 37.4.

    I have had 3 MRI scans, 1CT scan, 2 bone scans, 1 x 18 core TRUS biopsy, 1 x 13 core targetted biopsy and 1 x 24 core Template biopsy. All were negative for PCa. Apart from a "suspicious" area on MRI's possibly PIRADs 4. Despite that no cancer.

    For the sake of clarity, both TRUS biopsies (totalling 31 cores) are taken horizontally through the prostate and the template biopsy (24 cores), vertically. Hence a thorough sampling of the whole prostate. A total of 55 cores. My pathology report shows all cores clear of PCa. Prostate is very large at 90cc. Some evidence of inflammation in 2 cores.

    Hope this clarifies my situation and experience of my journey so far!!

    Rabjohn

  • It does indeed. As comprehensive as it could be. Your prostate about same size as mine. Sounds like you have nothing to worry about

  • Cheers mickym1,

    Sounds very much like we are both in the same boat.

    Rabjohn.