Biopsy results

[Sttickman]

OK finally getting my biopsy results up.

Prostate, left lateral base, needle core biopsy:

Prostatic adenocarcinoma, WHO Grade Group 1 (Gleason Score 3+3=6), involving one needle core and approximately 12% of the tissue submitted.

B. Prostate, left mid lateral, needle core biopsy:

Benign prostatic tissue.

C. Prostate, left apex lateral, needle core biopsy:

Prostatic adenocarcinoma, WHO Grade Group 2 (Gleason Score 3+4=7), involving one needle core and approximately 5% of the tissue submitted.

D. Prostate, left base medial, needle core biopsy:

Prostatic tissue with rare atypical glands consistent with high-grade PIN (prostatic intraepithelial neoplasia).

E. Prostate, left mid medial, needle core biopsy:

Benign prostatic tissue.

F. Prostate, left apex medial, needle core biopsy:

Prostatic tissue with rare atypical glands.

G. Prostate, right base lateral, needle core biopsy:

Benign prostatic tissue.

H. Prostate, right mid lateral, needle core biopsy:

Prostatic adenocarcinoma, WHO Grade Group 3 (Gleason Score 4+3=7), involving one needle core and approximately 17% of the tissue submitted.

I. Prostate, right apex lateral, needle core biopsy:

Prostatic adenocarcinoma, WHO Grade Group 4 (Gleason Score 4+4=8), involving one needle core and approximately 30% of the tissue submitted.

J. Prostate, right base medial, needle core biopsy:

Benign prostatic tissue.

K. Prostate, right mid medial, needle core biopsy:

Prostatic adenocarcinoma, WHO Grade Group 3 (Gleason Score 4+3=7), involving one needle core and approximately 40% of the tissue submitted.

L. Prostate, right apex medial, needle core biopsy:

Prostatic adenocarcinoma, WHO Grade Group 2 (Gleason Score 3+4=7), involving one needle core and approximately 8% of the tissue submitted.

[Tall_Allen]

Did Epstein confirm?

Since you are only 2 hours from Wheeling WV, you might want to talk to Gregory Merrick at Wheeling Hospital about brachy boost therapy - he is one of the world's experts. You can probably arrange to get the external beam part of the therapy (20-25 treatments) done locally.

You might qualify for the PSMA PET scan at UNC:

clinicaltrials.gov/ct2/show...

[Sttickman in reply to Tall_Allen]

Thanks Tall_Allen, Hopefully my biopsy is in the mail today. There were some differences of opinion, lab / Urologist, on who needed to OK the second opinion.

[Sttickman in reply to Sttickman]

Just to follow up, my second review of my biopsy from John Hopkins was similar to original, per my urologist. I haven’t actually seen the report.

[Sttickman]

Received my biopsy from John Hopkins. They rated the previous G8 as a 7. The rest are pretty much the same, 4-7’s and a 6,except they didn’t rate one slide(G7 on first review). Their comments: “slide C- High-grade PIN with adjacent small atypical glands where it is difficult to determine whether these adjacent small atypical glands represent outpouchings(sp?)from adjacent high-grade PIN or represent associated focal infiltrating adenocarcinoma. Findings are highly suspicious for carcinoma.” Whew!

I have an appointment with a local oncologist and working on one with a local urologist that supposedly very good at RP. I should also be hearing shortly from Dr. Greg Merrick at Wheeling Hospital to set up an appointment per Tall Allen’s suggestion.

Thanks all!

[aceace12]

I had 3 different doctors , Johns Hopkins , Harvard, and Saint Francis --(local) in Memphis ,

all came back with 3 different diagnosis on biopsy ... Its common unless its advance cancer

they all agreed it was low grade so I am on AS since Dec. 2018 . Have PSA every 3 months so far ...

[Sttickman in reply to aceace12]

Good luck to you!

[Sttickman in reply to Sttickman]

Ok, it’s been awhile. The wife and I had consultations with a local oncologist and an experienced surgeon. Oncologist was suggesting one bout of ADT and 5 weeks of radiation. The surgeon has performed thousands of RP operations, all schooling at John Hopkins, and actually did a friend of mine last summer. I ended up going with Tall Allen’s recommendation after seeing Gregory Merrick at Wheeling Hospital in WV.

I’m going this Monday to get a Space Oar inserted. I know some don’t think this is necessary but I’m not questioning. I’ll get 3 weeks of radiation starting March 2 and April 2 I’m receiving brachytherapy.

It’s a 2 hour drive for me from Columbus, OH, but luckily I’m retired and it’s a very easy drive.