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Proton Therapy Vs Prostate removal?
Prostate Cancer | Last Active: 3 days ago | Replies (13)Comment receiving replies
Thank you JC, it appears the GC is 6, but then there is a statement stating
COMMENT:
A-G) Examined biopsy cores show prominent changes of glandular hyperplasia with abundant intermixed high grade prostatic intraepithelial neoplasia (HGPIN). Some areas of HGPIN have adjacent small atypical glands. Performed HMWCK immunostains of multiple biopsy cores show preserved (at least partial to focal) basal cell staining in most small atypical glands. While these background changes made interpretation more challenging, definitive carcinoma is identified in Parts B, D, and F.
This doesn't look good IMO.
Replies to "Thank you JC, it appears the GC is 6, but then there is a statement stating..."
@dude7707
If me would feel the same way about contradiction. Your pathology report has a lot of technical information that would be best explained to you by your urologist.
Not a medical professional and certainly would not try to diagnose or give you medical determinations, or treatment options that should come from your medical professionals including second opinions. If me I would asked our urologist to explain the pathlogy to you. .
Pathologists are the ones doing the pathology reports and what they are doing is comparing normal prostate cells with abnormal ones. It can be subjective and what one see another will disagree and that is where tests like Decipher are more specific.
The low Gleason Score of 6 is good. It is a determination of risks of the cancer. Wish mine had been 6. I was 3+4=7. But I can see your confusion and same confusion I would feel with the last sentence where states "definite carcinoma is identified in parts B,D, and F."
I would suggest going back to your urologist and have him or her explain the meaning of the pathology report and any questions you have. That will really help explain the report from a medical professional.
Pathology reports are very technical and thus your urologist should be explaining (both my urologist and my R/O explained mine) to you what they mean and any treatment options specific to you.
If me would be asking a lot of questions of urologist and get a good explanation of the diagnosis and pathology report. Then you will have a better clarification and any treatment options specific to you.
Good Luck!!!
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A Quick check of HGPIN Shows that it is just a possible sign that there could be cancer in the future. You could go on active surveillance with this.
The article about HGPIN Included this information which you may have already seen.
Certain medications, such as finasteride or dutasteride, may help to reduce the risk of developing prostate cancer.