Hello making a follow up post about my dad. He's 65 years old, he did not experience any symptoms that are associated with prostate cancer such as painful urination, polyuria etc. He is a very active guy and works construction. PSA was 16.5 prior to biopsy. I got a second opinion from John Hopkins. The urologist suggests surgery to cut it out. We have an appointment Dec 10th 2020 with a radiation oncologist at Sunnybrook hospital (Dr. Andrew Loblaw). CT scans of abdomen did not show any obvious spread. Bone scan did not show any obvious bone mets. The urologist is saying it is most likely contained in the prostate. I've been doing as much research as possible to decide on the best procedure.
The following are the biopsy results
from St. Josephs.
John Hopkins biopsy results will be bolded
A) left paramedian apex (G 3+3=6) percentage of core involved with tumor 10%
3+3 = 6 (Grade group 1) involving 10% of one core
B) left lateral apex (G3+3=6) percentage of core involved with tumor 3%
3+3=6 (Grade group 1) involving 5% or less of one core
C) left paramedian middle (G3+3=6) percentage of core involved with tumor 30%
3+4=7 (Grade group 2) discontinuously involving 70% of one core, less or equal to 5% of Gleason pattern 4
D) left lateral middle (G3+3=6) percentage of core involved with tumor 35%
3+4=7 (Grade group 2) discontinuously involving 90% of one core, less or equal to 5% of Gleason pattern 4
E) left paramedian base (G3+3=6) percentage of core involved with tumor 30%
3+3=6 (Grade group 1) involving 30% or less of one core
F) left lateral base (G3+4=7) percentage of core involved with tumor 20%
3+4=7 (Grade group 2) discontinuously involving 60% of one core, less or equal to 5% of Gleason pattern 4
G) right paramedian apex (G3+3=6) percentage of core involved with tumor 30%
3+3=6 (Grade group 1) discontinuously involving 30% or less of one core
H) right lateral apex (G3+3=6) percentage of core involved with tumor 15%
3+3=6 (Grade group 1) discontinuously involving 40% or less of one core
I) right paramedian middle: High prostatic intraepithelial neoplasia (PIN)
Benign prostatic tissue
J) right lateral middle (G3+3=6) percentage of core involved with tumor 1%
3+3=6 (Grade group 1) involving 5% or less of one core
K) right paramedian base: High prostatic intraepithelial neoplasia (PIN)
Benign prostatic tissue
L) right lateral base (G3+4=7) percentage of core involved with tumor 35%
3+3=6 (Grade group 1) involving 30% or less of one core
Comments: The percentage of pattern 4 overall is very low (approximately 1%)
according to St. Josephs.
Perineural invasion present
according to St. Josephs hospital
We live in Toronto, ON. Any feedback, advice or experience would be greatly appreciated at this time! Stay well everybody