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Has anyone had anything close to this experience: My PSA was 40, then 10 days later 31. Then I had a biopsy with 12 of 14 cores showing positive for cancer with perineural invasion and extra prostatic extension. Gleason score of 4+3/7. Then I had a bone scan which, thankfully was negative/no bone cancer seen. Then I had an MRI with:
"No visible suspicious lesion by MRI to correlate with the known
prostate cancer (according to a surgical pathology report from a
prostate biopsy dated 4/29/2021). No visible extracapsular
extension from an underlying mass."
Pi-RADS score: 2 (Clinically significant cancer is unlikely to be present)
I don't understand how 12 of 14 biopsy cores could show cancer but a subsequent MRI deems cancer unlikely to be present. Any explanation/theory/guidance would be appreciated.
P.S. I started on ADT hormone therapy a week ago--after the biopsy but before the MRI.