Help please, PSA 18, biopsy after MRI

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3 posts since

23 Nov 2020

My husband is 52, otherwise completely healthy, no syptoms. 

 

Had MRI 2 weeks ago and we’ve just heard that they are recommending a biopsy. DRE completely normal, prostate not enlarged. 

 

Could this just be infection? I have read loads that benign prostatitis is diagnosed with biopsy too, but shouldn’t the prostate be enlarged for that? 

 

I am being super strong for him, he hasn’t taken it that well. 

 

Thank you in advance for reading and any answers

 

 

 

1402 posts since

12 Jan 2011

Hi myav. Welcome to the forum.

 

I’m not a doctor, but I had surgery for prostate cancer 10 years ago (almost to the day) when I was 56. The fact I’m still here should maybe give you some hope and reassurance.  In those 10 years I’ve been on the committee of my local prostate cancer support group and we’ve seen many men in a similar situation to your husband.

 

With a PSA of 18, it is usual and good practice to have a biopsy.  The MRI will guide the biopsy; I can’t deny that cancer is a possibility, but it’s not a certainty.  If it is cancer then there is every reason to hope that it won’t have spread, and that a cure could be achieved through surgery or other treatment.  However, you won’t know until all the results are in, and waiting is really difficult.

 

There are two excellent prostate cancer charities where you can find more information: Prostate Cancer UK, and Tackle Prostate Cancer. If you can face it, it might be worth finding out the next step, which is to understand the prostate cancer T gradings (T1, T2, T3 and T4) and what the implications are for treatment options. 

 

I know it’s really difficult for you right now, and cancer is a scary word, but the situation isn’t hopeless. 

3 posts since

23 Nov 2020

Thank you so much for taking the time to reply. 

 

I know it is a possibility, and it’s a real test of nerves until we know. My husband is a bit calmer now, I have read loads about this so am aware of treatment options if it is. And obviously just hoping it hasn’t spread if it is. 

 

Thanks for the information about other charities, I will look them up. 

 

Good to know you have beaten it. 

 

Best wishes and thanksa again

 

 

1402 posts since

12 Jan 2011

It gets a little easier when you know what you’re facing.  Please keep us posted with developments and ask if you have any questions.

Help please, PSA 18, biopsy after MRI

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