I had prostate cancer in 2006, addressed with alleged success via brachytherapy and external beam radiation. The PSA was very low and stable until late 2011; since then, it has seen short periods of rapid velocity and longer periods of plateau. It has risen from a nadir of about 0.6 to 3.3 in the last 22 months.
I've just now received the report from a pelvic MRI w/o contrast, as an ongoing exercise to troubleshoot this rising PSA. But, I won't be able to discuss this with my urologist for 3 more weeks - and was hoping I could get some impressions from someone on this forum earlier than that.
If so -- and thank you in advance! -- here are some of the key phrases from that report:
1- enlargement of bladder with severe trabeculation compatible with chronic outlet obstruction (yes I know this increases possibility of UTI with associated rise in PSA) 2- no evidence of mass within seminal vesicles (this sounds like a good thing, i.e. no metastasis) 3- modularity in periprostatic region, with soft tissue signal intensity although there is unusual susceptibility artifact on top of nodule. Most likely related to focal nodular fibrosis from seed implantation. This nodule has been stable since January, as per a previous MRI. (this sounds anywhere from slightly troubling to somewhat good) 4- no evidence of pelvic lymphadenopathy or mass-like involvement of seminal vesicles, or of marrow-replacing lesion (again, this sounds good to me)
My take-away is that there is no evidence of metastasis, and increasing evidence that my rising PSA is related to chronic prostatitis (a previous MRI had indicated "benign prostatic hypertrophy"), perhaps UTI or something else that's benign. Do you agree?
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