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What can I expect after my biopsy?
Prostate Cancer | Last Active: Apr 3 5:02pm | Replies (45)Comment receiving replies
@ericp502 My 1st piece of advice to you is to EDUCATE YOURSELF , on all aspects of Prostate Cancer , as you are obviously unaware , as we all were at your stage of the journey , of the test procedures and reading their results . i.e How do you get a Gleason Score , and it's NOT from a MRI . Immediately purchase Dr Patrict Walsh's book " Guide to Surviving Prostate Cancer " . It will walk you through all the warning signs , tests , what the results men and your various treatment options , typically, but not 100 % , based on your Gleason Score . Additionally follow Dr . Mark klotz U -Tube Series -- His series will answer most off your concerns .
My 2nd " CRITICAL " piece of advice , and this is covered in Dr. Walsh's book .
Upon receiving your Biopsy Pathology Results -- Get a 2nd and even a 3rd Opinion of your Biopsy slides .
Google : John Hopkins or Cleveland Clinic , plus others regarding 2nd Opinion of Prostatte Biopsy results .
WHY : In my case . MY 1st Biopsy was negative with an MRI RADS 5 Score . Obviously a conflicting result .
My 2nd Transperineal MRI Fusion Biopsy ( same as the 1st ) came back 6 Cores out of 16 Gleason 3 +3 = 6
A 2nd Opinion of these results ALL 6 Cores were upgraded to Gleeason 3 + 4 = 7 - Favourable Intermediate PC
a 3rd and Final opinion was : 4 Cores Gleason 3 + 3 = 6 and 2 Cores Gleason 3 + 4 = 7 .
What did I learn : A Prostate Biopsy is one of the most difficult to diagnose . A breast Biopsy for example is not .
You must find a PATHOLOGIST performing a high volume i.e. On a regular basis , of prostate cancer Biopsy intrepretations . It is not uncommon for pathologists to disagree even witth todays assistance of AI .
John Hopkins as example receive thousands of requests worldwide , for 2nd opinions .
Good luck .
p.s. Do not rush and make a knee jerk treatment decision you may regret the rest of your life . Money spent on Dr. Walsh's book may well change your life -- Money well spent .
p.p.s. With respect to BPH there are many options to treat this condition , WITHOUT removing your prostate Resum being one . I was on Flowmax for several years and have been switched to Dutasteride for the past 5 years . My prostate is 80 cc.
Replies to "@ericp502 My 1st piece of advice to you is to EDUCATE YOURSELF , on all aspects..."
Also I’ve been on Flowmax for almost 25 years, not long after it came out. I’ve had diagnosed BPH for 10+ years and have tried anything and everything and the pain/symptoms are worse than ever. It’s changed my life for the worse and I avoid leaving my house or doing anything social because of it. I have a high pain tolerance and have passed 30+ kidney stones and had 12+ removed via basket retrieval, laser and lithotripsy. My BPH pain is constant and has mentally wore me down.
@clandeboye1, @ericp502, and everyone on the forum, I appreciate the passion with which members dive into research to make important decisions, and that you share your research and decisions in the forum.
I am, however, posting a friendly reminder about the Community Guidelines https://connect.mayoclinic.org/blog/about-connect/tab/community-guidelines/
In particular, see guideline #2.
2. Remain respectful at all times.
- Exercise tolerance and respect toward other participants whose views may differ from your own. Disagreements are fine, but mutual respect is a must.
I believe that you agree on more than you disagree. On this forum, we only have text to communicate without the benefit of enhancing our messages with tone of voice or body language. Let's do so with respect.
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So you are saying the studies, urologists and radiologists that say an MRI can tell the difference between a Gleason 6 and Gleason 7+ (7 - 10) are wrong?
This is from my MRI report. You are saying this is totally false information?
This test is designed to evaluate for clinically significant prostate cancer defined as Gleason 7 are higher including either Gleason 4 + 3, or Gleason 3 + 4 with a significant Gleason 4 component. Patients with Gleason 7 (3+4) cancer without significant Gleason 4 component, Gleason 6 or less prostate cancer are not expected to have significant abnormal imaging findings.