PHOTO IS OF ME AND A GREAT FRIEND I HAVEN'T SEEN IN 20 YEARS (1998) HE WAS PASSING THROUGH THE MIAMI AIRPORT AND WE GOT TO SPEND 4 HOURS TOGETHER GOING TO LUNCH AND HANGING OUT WITH MY PARTNER, RICHARD AND WITH MY DOGGIE, SPARKY. IT WAS AMAZING TO REMEMBER.
THE FOLLOWING IS COPIED AND PASTED FROM A PROSTATE CANCER GROUP MAGAZINE "PAACT" IN IT'S LATEST ISSUE. IT MAKES ME ANGRY..I WAS GLEASON SIX AND WAS NOT EVEN GIVEN SURGICAL REMOVAL AS A POSSIBLE (SENSIBLE) OPTION...IT WAS STRAIGHT TO THE RADIOLOGIST. READING THIS MAKES ME FEEL LIKE A MORON AS I DEAL WITH STAGE 4 AGGRESSIVE METASTATIC (OH, AND CASTRATE RESISTANT) PROSTATE CANCER. JUST WANTED TO PUT THIS OUT THERE...IT APPEARS THAT "DOCTORS" WOULD NEVER CHOOSE ANYTHING BUY ROBOTIC REMOVAL FOR THEMSELVES? THEY SEND THEIR PATIENTS TO THEIR RADIOLOGIST FRIENDS...TO SPREAD THE WEALTH...BUT WOULDN'T GO THERE THEMSELVES??? WHAT DO YOU THINK? OY...IT'S ALL ABOUT DESTINY AND $$$.
"3) WHAT PROSTATE CANCER TREATMENT IS BEST FOR ME?
I can only address my own personal situation. My prostate MRI showed two highly suspicious areas on the right and left side of my prostate. There is a relatively new prostate biopsy technique called Uronav that allows the urologist to superimpose the MRI image with abnormal areas clearly marked as “targets” with the live transrectal ultrasound. With this technology, the urologist can clearly sample the target areas seen on the MRI, as well as obtain other random samples of the prostate gland. My biopsy was performed in the office with local anesthesia. Although it was uncomfortable, I was easily able to tolerate the procedure with no major problems following the biopsy. My pathology report showed 7/17 biopsy samples (from both sides of the prostate) were positive of Gleason 3+3=6 prostate cancer. I knew the biopsy would be positive, but I was surprised that the cancer was as extensive as demonstrated by the pathology report. There were multiple areas of the prostate that looked normal on both the MRI and ultrasound that were positive for cancer. To me, this is very important since there are a number of potential treatment options (like HIFU and radiation therapy), that supposedly target the prostate cancer with minimal side effects. With the extensive cancer that I have on both sides of the prostate, I am very concerned that any treatment that treats less than the entire prostate will not be successful. I am also fortunate that my Gleason grade of the cancer is “mid-range” of 3+3 (total of 6). Cancers with a higher Gleason score (greater than 6), tend to be more aggressive with a high risk for spread (metastasis). Currently, although my cancer is bilaterally extensive in the prostate gland, it appears to be localized with a favorable Gleason score. For this reason, I plan to have a robotic radical prostatectomy early in February 2019. I believe that the surgical removal of my prostate offers the best chance for cure. Also, over the last few years I have noted some decrease in the strength of my urinary stream and a feeling of not always emptying my bladder completely. These are signs of the prostate causing some blockage to the flow of urine. Removing the prostate will eliminate this problem. Other treatments, like radiation therapy, will cause the prostate to “swell” and make this problem worse. Also, with aging, the prostate may continue to grow causing increasing problems with weak stream and bladder emptying."
T2c N1 M1a
Concerned
Did the Prostate Biopsy Pick Up What the MRI Missed? Or was it a Newer Developed Lesion
Too late for most men here, but Insist on pelvic MRI before submitting to a biopsy
New member
