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Biopsy follow up meeting questions?

Prostate Cancer | Last Active: 15 hours ago | Replies (10)

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@jeffmarc

Ask if there’s going to be a PSMA PET scan to make sure it is not in anywhere else in your body.

Find out if there was anything else in your biopsy intraductal, cribriform, seminal vesicle invasion, or any other unusual result.

It would be interesting to know what percentages of the cores was 4+3.

it’s always nice to have your full biopsy report saved for future reference.

You of course, want to discuss what they feel your best treatment would be. Are you going to speak to a radiation oncologist as well as a surgeon? Are there other options besides that? There are other treatments that might make sense, Cyberknife SBRT , HIFU , NanoKnife , Cryotherapy and TULSA-PRO. Ask the doctor? Get second opinions if you want to be proactive.

If they’ve already made a decision on radiation, what would it be specifically? How many treatments of what type of radiation?

If they want to do surgery, are they able to spare the nerves?

Let us know what happens.

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Replies to "Ask if there’s going to be a PSMA PET scan to make sure it is not..."

Thanks for the reply. Here are the actual results from the biopsy. The first two are the cores that were positive from the pattern coring, the last one is the three cores from the lesion shown on the MRI. Meeting with Urologist to start this week.

Gleason score 4 + 3 = 7
Percentage of pattern 4: 80-90%
Grade Group: 3
Tumor involves 80-85% of overall specimen (1 of 1 core).

Gleason score 4 + 3 = 7
Percentage of pattern 4: 80%
Grade Group: 3
Tumor involves 40-50% of overall specimen (1 of 1 core).

Gleason score 4 + 3 = 7
Percentage of pattern 4: 90%
Grade Group: 3
Tumor involves 30% of overall specimen (3 of 3 cores).
Most affected core is involved by tumor over % of its
length.
Perineural invasion: Present
Cribriform glands: Present