Posted 2/20/2020 12:28 AM (GMT 0)
I had an mpMRI done on Tuesday. I have RARP scheduled for next Tuesday. My urologist ordered the test as he uses it for presurgery planning . He feels like its a game changer . Not sure why. What i liked about it lets you know if any cancer Has left the prostate, and if seminal and lymph node invasion exists. I have had 3 different path reports since dx 12-15-19. One was order by insurance company, one was done by local uro group pathologist. They was a big discrepancy between the two so i sent slide to JH Dr Epstein. His was worst outcome of all three but using JH report as the gold standard. I have 9of 12 cores return positive with one core of 4+3 =7 several 3+4sand two 3+3. One Hgpin. Stage T2C psa at biopsy was 2.2 If MRI had come back with EPE or node involvement i was going to go straight to seeds , Ebrt or imrt and possible ADT. Trus biopsy have wide margins of error and cant tell you if any cancer is outside of prostate.
What questions should I ask about MRI test ?? It had a prad legend on report but dis not specify what my prad #s are. I dont think i have the whole report.
The MRI has helped to decide To go with surgery . He emailed me the report and said all cancer was confined. I have a phone call to discuss report in the am in greater detail.