Hello, New to the board looking for some advice on Doctors in North Carolina/Virginia/DC area for 2nd opinion. I underwent MRI, and MRI guided Transperineal Biopsy with Inova Schar Cancer Institute in Fairfax VA.
MRI on Oct 9 2023 resulted in PI-Rad 5 Score for 1 suspicious lesion, Seminal Vesticles (within normal limits, Neurovascular bundles (within normal limits), Lymph nodes (no enlarged nodes), bladder (within normal limits) Bone Marrow (No suspicious bone lesion confirmed). Impression from MRI was 1. Focal area suspicious for clinically significant prostate tumor, centered at the midline, extending bilaterally at the apical peripheral zone. 2. Prostate Volume 33cc 3. No evidence for extracapsular extension.
Results of biopsy on Nov 1 2023 were Gleason 3+4=7 on 8 of 15 cores, Grade group 2. Gleason 3+3=6 on two cores and the remaining cores benign. All positive cores 5%, or Less than 5%. Pattern 4 lacks large cribriform morphology. PSA was 5.9
Scheduled for a Bone Scan on Nov 24 2023
A Decipher test has been ordered and awaiting results as of this post date. Inova has scheduled me for a Dec 7 meeting with the multi discipline group with Surgeon (Urologist who did biopsy), RO, and MO.
I was hoping someone had experience with the Inova Schar Cancer Institute they would be willing to share and also a recommendation for a Dr or facility for 2nd opinion after my Dec 7 meeting with Inova. I live in Southern Virginia, so from DC down to North Carolina. The Raleigh/Durham area is only a 2 hour drive for me. Charlottesville is about 1 hour. DC is about 3.5 hours.
There is a great deal of knowledge on this board and as a newbie I really appreciate the effort everyone puts forth to help.
Thanks for the help.