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How much of the prostrate tissue is removed during HoLEP
Prostate Cancer | Last Active: 7 hours ago | Replies (13)Comment receiving replies
What exactly is a number of cores? In my biopsy report after HOLEP there is no mention as to the number of cores, it was 3+4=7 with approximately 5% Gleason pattern 4, is present, and involves approximately 20% of tissue.
How bad is this? Anyone please!!
Replies to "What exactly is a number of cores? In my biopsy report after HOLEP there is no..."
This is something you can’t ignore. You could try active surveillance but knowing that 20% of the tissue was cancerous means that you need to keep track of this closely if picking AS.
If you got a decipher test and it came in very low, then active surveillance could make sense.
What is your PSA? You don’t mention it, If it’s low like below 3 then maybe active surveillance could work for you.
I would definitely ask the doctor what they would recommend for your situation. Get PSA tests every 3 months if you decide on AS.
It also would make sense to get a second opinion from a different doctor. A Doctor at a center of excellence would be a good choice for a second opinion.
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There are no cores in a HoLep - they remove the hypertrophied lining and analyze that.
I do not know how many samples of that tissue are scored, but a HoLep is far from a targeted biopsy, so relax for now.
Phil