Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

173 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What do these MRI findings indicate?

Answered by
Dr.
Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 9820 Questions

default
Posted on Mon, 16 Apr 2018 in Cancer
Question: I received the results of an MRI of the prostate. States that cancer is likely. What is meant by comments, 'likelihood of extra-prostatic extension:1-Highly unlikely' and 'likelihood of seminal vesicle invasion:1-Highly unlikely". Thank you. My email address is YYYY@YYYY
doctor
Answered by Dr. P. T. Patil 58 minutes later
Brief Answer:
You seem to have Organ Confined Cancer of Prostate .

Detailed Answer:
Hello
Thanks for query .

Based on the facts that you have done MRI of pelvis as a part of investigation for suspected cancer of Prostate .

I shall be happy if you can post me more details to help me in making precise comments
1) What are your symptoms ?
2) What is your PSA ?
3) Have you undergone Biopsy of Prostate ? if so what is a Gleason's Score

Please upload reports of your investigations .

The treatment modality of Cancer of Prostate is governed by whether it is confined to prostate or has infiltrated (Spread ) to surrounding organs like seminal vesicle or in soft tissue around prostate . MRI is done to know this aspect .MRI finding reported as Highly likely indicates that it has spread to seminal vesicle and when the picture is not clear suggesting infiltration to seminal vesicle it is reported as likelihood of spread .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. P. T. Patil 1 hour later
My PSA is 7.12 and have had no biopsies. The report also stated that there were no pathologically enlarged lymph nodes, no aggressive bone lesions and no significant pelvic free fluid. It appears,then, that disease is confined to the prostate and not aggressive....at least at this point in time.
What would the more accepted protocol for treat this situation, in your opinion. Don't fear, as I only want this information to illuminate my own understanding.

Thanks so very much for your help, Dr. XXXXXXX
Take good care, XXXX
doctor
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
You seem to have organ confined cancer of Prostate .

Detailed Answer:
Hello
Thanks for follow up .

With given report there are two options of treatment
1) Radical Prostatectomy followed by Androgen depletion therapy.
or
2) Radiotherapy followed by Androgen Depletion therapy .

Your Urologist would be the best judge to decide the modality of treatment depending upon the availability of various technologies involved and his expertise .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. P. T. Patil 2 hours later
Dr XXXXXXX

What is my longevity using eithjer of these options as opposed to just monitoring
the situation in the coming months. Just an estimate, please. This will be my last inquiry.

Thanks again.

By the way, the size of the nodule is 6mm. Any other insights would be greatly appreciated.

Thanks again
- XXXX
doctor
Answered by Dr. P. T. Patil 8 hours later
Brief Answer:
Difficult to predict survival period ,

Detailed Answer:
Hello
Thanks for follow up .

Cancer of the Prostate is a very slow going cancer and survival depends totally upon the grade of cancer and the speed at it gets spread to distant places like bones or to regional lymph nodes and modality of treatment that is being taken .

Left untreated survival period can be expected to be 3-4 years.

Thanks and Regards.
Dr.Patil..


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Medical Procedures ,  
Lab Tests
Medical Topics ,   ,   ,  

Recent questions on  Prostatectomy

doctor1 MD

hi i had Prostatectomy 10 days a go due to cancer in my prostate but it didnt extend the prostate gland. now have severe burining in urination. i had urine tested and here the result. pus cells 12 - 15, red blood cells 3-5, epithelial celss few, my docotor didnt give antibiotics. do i need to take one? what about cepropay? am 49 years old.

doctor1 MD

Hi my father had turp operation for enlarged prostate in de ember 2010 after having been catheterised for 15 weeks with retention. 3months later after operation he is still urinating every hour day and night and has ad continual bladder infection and antibiotics. Is this normal for him to feel so so ill after operation or does he need help?

doctor1 MD

Hi I have been diagnosed with prostate cancer from a biopsy . They think it is confined to prostate. GS 3+4. 19/12 probes positive. 15% of tissue cancerous. 1) do you recommend radiation or surgery 2) for surgery do you recommend open, laproscopic...

doctor1 MD

I have had prostrate cancer surgery with nerve sparing. For the first two year everything was great. But now I am unable to ejaculate. I just keep going and get close sometime but for over a year I have not been able to achieve ejaculation. Also,...

doctor1 MD

I have a spermatocele that occured after I had an Open Retropubic Prostatectomy to correct an enlarged prostate. I hand the spermatocele drained every six months for the last seven years. Is there a simple procedure that could correct the spernatocele?

doctor1 MD

Radiation in prostate area (prostatectomy in 1996) performed in 2008---blood in urine started 1 year ago---bladder was scoped 1 year ago, no signs of tumors per Urologist ---was told this could continue for 8 to 10 years after radiation treatment----can certain foods or drink cause occasional blood i urine?