I got hold of my biopsy pathology report today.
Clinical results (Dec 2019):
Adenoma grade 1
fPSA/PSA 14.94 %
Pathology report (biopsy Feb 2020):
Right side of the prostate: 5 samples between 0.4 and 2.5 cm
Diagnosis: All five samples have adenocarcinoma, Gleason values 6 (3+3), covering 25%, 15%, 10%, 5%, 5% of the samples. Grade group 1.
Left side of the prostate: 5 samples between 0.8 and 2 cm
Diagnosis: 2 samples with adenocarcinoma, Gleason values 7 (3+4), covering 15% and 10% of the samples. Grade group 2.
No mention of TNM values.
What do you make of this? How bad is it? Do I need treatment now?
I am also wondering if I, before possible treatment, should have another biopsy or scan to find out possible metastases?
If there are metastases, would I have any symptoms? Which?
And finally then I would have to choose between the most appropriate treatments. How would you consider going only for active surveillance at this stage?
Any input to this will be highly appreciated.