In my opinion a 3T multiparametric MRI would give you considerable peace of mind or otherwise it will indicate the need for a biopsy. If this is the case, I hope not, it will also be of great help to localize the suspicious areas to investigate in the biopsy. I guess this is more standard and effective than test as PHI (and more expensive as well so sometimes you have to convince your urologist to order it.). Currently, the PIRADS evaluation of a mp-MRI is in most cases accurate to indicate if there is significant cancer or not. In any case, after so many years with doubts as it hapenned in my case, I also advice you to take it easy and do not overreact by a single new information. It is always a long journey whatever the last findings are.
69 years old
PSA: 2008:2.8; 2012-2016: 4.5-5.5. 2013: 2 BXs (ASAP, neg) mpMRI (-).
Feb to July 2017: 5.5-7.6; free: 25%-20%
mpMRI, July 2017: PIRAD5 5.
Dx August 2017,Gleason 3+3, 1core left 5%, 1 right 3%.
Prostate > 100 g. DRE +.
LRP, nov. 6, 2017.
Bilat., 18%. G 5+3. Clean margins, T2, LVI and PNI (-).
Psa: 2018; 1-31:0.08; 4-16: 0.05; 7-16: 0.03; 10-22: 0.07. 2019: 3-20: 0.03; 9-23: 0.05.
Post Edited (jmadrid) : 11/2/2019 12:47:51 PM (GMT-6)