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What are next steps for intermediate-risk prostate cancer?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 59 years old, and my intermediate-risk prostate cancer diagnosis followed a multiparametric MRI and biopsy. My urologist mentioned that these tests are highly accurate. Should I rely on these results, or would additional testing, such as a PET scan, offer more insights? What should the next steps be after the diagnosis? Please help.

Thank you.

Answered by Dr. Mona Kamal

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

PSMA PET (prostate-specific membrane antigen positron emission tomography) is an advanced diagnostic tool used for detecting prostate cancer (a type of cancer that develops in the prostate, a small gland in men that produces seminal fluid).

It works by identifying cellular changes in the prostate at an earlier stage compared to traditional imaging methods like MRI (magnetic resonance imaging). While it provides valuable information, in your case, since prostate cancer has already been diagnosed and scored, there is no immediate need for additional confirmatory tests.

The current diagnosis provides enough clarity to move forward with treatment. The next step is to begin treatment, and it is essential to consult with your oncologist (cancer specialist) to determine the most suitable treatment plan based on the specifics of your condition.

Typically, treatment options for intermediate-risk prostate cancer may include hormonal therapy, radiotherapy, or radical prostatectomy. In some cases, pelvic lymphadenectomy may also be recommended to assess and address lymph node involvement.

Hormonal therapy aims to reduce testosterone levels, which fuel the growth of prostate cancer cells. Radiotherapy is used to target and destroy cancer cells in the prostate, while radical prostatectomy involves the surgical removal of the prostate gland. Pelvic lymphadenectomy may be performed to examine and remove nearby lymph nodes that may have been affected.

Consult with your oncologist to discuss your options and tailor a plan that best suits your needs.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Answered byDr. Mona Kamal

Medically reviewed byiCliniq medical review team

Published At January 25, 2025
Reviewed AtMay 29, 2026

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