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Cribriform Pattern 4: What did you learn about this?
Prostate Cancer | Last Active: May 8 12:56pm | Replies (7)Comment receiving replies
I am glad your PSA is staying down and I hope it stays this way! I have watched a lot of what Dr. Scholz has to say and it is very helpful. He is pretty much pro-radiation in lieu of surgery in almost every case. I see you had prostatectomy and I am interested in you reasoning? It looks like I may be looking at both a prostatectomy followed by Radiation and ADT but we will all decide that next week.
I have several links to articles that are current and very informative regarding Cribriform Pattern 4 but the system won't let me post links; however, if you search for Cribriform Patten 4, you will find many articles on studies related to this topic. Even though most articles are techinical in nature, I recommend reading through as there is much information even for a lay person. I only look at studies completed in the past three years or so. If I am able to provide these links in the future I will.
Good Luck, Steve
Replies to "I am glad your PSA is staying down and I hope it stays this way! I..."
I choose surgery due to some pre-existing urinary issues. They were some difficulty starting urination, split stream sometimes during, and sometimes not completely emptying my bladder. I was concerned about radiation irritating and swelling my prostate. I was afraid of the urinary retention that sometimes happens to a small percentage of radiation patients. I also watched a couple of youtube videos of guys who have had to self cath for quite some time. I also wanted the definitive path results that surgery could offer. (cancer was upgraded)I really wanted cyberknife sbrt and was leaning that way. I ended up choosing surgery and am glad I did. It turns out they found a medium lobe of my prostate growing up into my bladder. That's what was causing my urinary issues. After my surgery, I saw another Dr. Scholz video of him recommending a TURP ot the like for people with urinary issues before getting radiation because the tissues don't heal well if you get a procedure after raidiation
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@stevemaggart, I noticed that you wished to post URLs to articles with your post. You will be able to add URLs to your posts in a few days. There is a brief period where new members can't post links. We do this to deter spammers and keep the community safe.
Allow me to post them for you:
- Cribriform Prostate Cancer: Clinical Pathologic and Molecular Considerations https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9165084/
- Prostate Cancer Morphologies: Cribriform Pattern and Intraductal Carcinoma Relations to Adverse Pathological and Clinical Outcomes—Systematic Review and Meta-Analysis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10000112/
- Prostate cancer growth patterns beyond the Gleason score: entering a new era of comprehensive tumour grading https://onlinelibrary.wiley.com/doi/full/10.1111/his.14214