AS is over:-(

[witantric]

On second biopsy GG 2 lesion found.

Thoughts welcome on next steps.

----------Biopsy results-----------------------------------------

A. Right Apex Prostate: Needle Core Biopsy:

Benign prostatic tissue

B. Right Mid Prostate: Needle Core Biopsy:

Benign prostatic tissue

C. Right Base Prostate: Needle Core Biopsy:

Benign prostatic tissue

D. Left Apex Prostate: Needle Core Biopsy:

Benign prostatic tissue

E. Left Mid Prostate: Needle Core Biopsy:

Benign prostatic tissue

F. Left Base Prostate: Needle Core Biopsy:

Benign prostatic tissue

G. Lesion #1 Prostate: Needle Core Biopsy:

Prostatic adenocarcinoma

Gleason pattern: 3 + 4 = 7/10

Percent Gleason pattern 4: 30%

Percent of Gleason pattern 5: 0

Grade Group: 2

Number of cores involved: 2/3

Maximum involvement of a single core: 50%

Overall involvement by carcinoma: 30%

Extraprostatic extension: Not identified

Perineural invasion: Present

H. Lesion #2 Prostate: Needle Core Biopsy:

Benign prostatic tissue

I. Lesion #3 Prostate: Needle Core Biopsy:

Benign prostatic tissue

[MateoBeach]

sorry you are off. AS. The 3+4=7 Gleason is moderately (not extremely) aggressive. What is additional worry some is the perineal invasion. So it must be considered more aggressive. Therefore I would be choosing a definitive treatment of the whole prostate, whether by surgery such as robotic assisted prostatectomy, or radiation including high-dose rate brachytherapy, or advanced external beam systems. Decisions now are more complex and require you to engage in careful study From reliable sources ( not google opinion nor anecdote cases). And discussion with experienced physicians of both urologic surgery and radiation therapists.

[MateoBeach in reply to MateoBeach]

That’s perineural invasion

[groundhogy]

Here is a good website to compare odds of cure for the major treatment paths. You have to determine your stage, low risk, intermediate, or high risk (risk of recurrence). So if you are intermediate, pull up the intermediate chart and you can see the odds of 10-20 yr survival, etc. based on the treatment you pick.

prostatecancerfree.org/comp...

It is best viewed on computer or just print it on paper. Not so viewable on phone.

To make the graphs easier to read, i drew a dot on the endpoints of the elipses, and then drew a line through the dots. This turns the elipses into lines.

Also be aware the the graphs don’t show any salvage radiation benefit. This would boost the surgery odds up a bit.

And, this is a very dysfunctional industry from my view. Loads of bad info mixed in with the good info. Same with the docs. Some of them are more dangerous than the cancer.