Pls help me read my father Pathology report .

[Kai77]

Please help me to undrstnd more about my father pathology report result..

I am confused by the difference in the results of the psma pet scan and MRI,

He is 56 and just got prosratitis last year

Thnx alot..

Ps : the link of the result pic incase they blurr

drive.google.com/file/d/1oc...

[Tall_Allen]

Sorry, I can't read that. When I increase the size, it just gets blurry. You may PM me for my private email if you like.

[Kai77 in reply to Tall_Allen]

Okey..thnx alot allen..

[CHPA]

Yes it would sure help if you could post it so that it is clear enough to read. But... I'll give it a shot...

On the lower left side, is the meat of the report. The first paragraph talks about the size of the tumors. The sentence where it says "the largest nodule on the left... appeasements to be at the margin... however no extracapusal extension noted." This implies where in the prostate the tumor lies. The concern is that more more advanced the tumor, the larger the tumor, it eventually gets close to the prostate capsule and then eventually breaks through. So in your dads case, it is near the margin, but it hasn't broken through. this is good

Okay I see it notes recent biopsy.

Seminial vessels unremarkable.. Bladder and rectum unremarkable. This is good. If the cancer leaves the prostate one of the places it goes is to the seminal vessels. It can also go to the lymph nodes, the bladder, or the rectum. This all adds up to hopefully just state 2 which is very treatable.

On the upper right page, "prostate andocarcinoma reconfirmed" This means based on this report the radiologist believes there is prostate cancer. I don't know the sequence of his tests. When I went through this last year the MRI was just a guide while the biopsy actually confirmed cancer. But that is what this report says. Gleason 7 grade group 2. Serious but could be a lot worse.

I AM NOT a doctor either urologist, radiologist, or oncologist. However having gone through all this a year ago I went through the same discovery you are going through and just passing on what I remember.

Your dad has prostate cancer. I'd recommend you dig into the Prostate Cancer Foundation web site which as a lot of reading which is easy to digest. The good news, in all likelihood your dad will live to be an old man and die of something else. But in the mean time he needs to deal with this.

He has to choose between surgery or radiation. I know my first reaction was "oh, a knife or lay on a table and get radiated... that's easy". But it gets more complicated than that and this is where he needs to consider the options, look at his health, and look at the after affects. I can offer some solid opinions on why I went the surgery route, GET IT OUT, but different people have different considerations.

Don't worry... or at least don't worry much. It is good he is willing to talk about this. It is a journey best shared.

[Kai77 in reply to CHPA]

Thnx alot for your reply..

I just put a link incase the pictures blurr..

My father just 56 years old..

I so worry how many years he will handle the treatmnt..

If i may..i just want to ask why you choose to surgery?

How about the side efct? Did you get any of that? Thnk alot

[CHPA in reply to Kai77]

I was 57 last year when this came up so similar to your dad. I really didn’t have to think to hard. With surgery the cancer is in most cases gone and you move on. With radiation you hopefully get rid of the cancer but it takes a few years to know for sure. I could love with that uncertainty. With surgery you tend to have side effects of urinary control and errection issues which get better over time. With radiation you are relatively free of this but it tends to get worse over time.

I’m sure others would offer a different perspective but if your dad is otherwise healthy as am I, surgery tends to be the preferred route. For older men for whom health makes surgery less attractive, surfer isn’t always a choice.

I’m 8 months post surgery at this point and I’ll tell you it wasn’t so bad. Pain was only mild and gone after three months. Urinary issues took about four months to come under full control but I’m fine. Errection is improving. And cancer is gone so I can go on and love the next 30 years without worrying about it. That is the outcome I hoped for.