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Pathology report is in 😮💨
I was diagnosed with Gleason 4+4=8 in late December 2024. Had RARP on 06/16/25. PSMA was negative and Decipher 0.2. My last PSA was 5.5.
Pathology:
Negative surgical margins
Gleason 3+4=7
Stage T2c
No SVI
No LNI
Cancer involvement 11-20%
No adverse features such as Cribriform, IDC, or pattern 5.
Hugely relieved. Surprised by the downgrade from 4+4 to 3+4 (After Gleason 8 diagnosis I went into a mental tailspin of anxiety and depression).
Only fly in the ointment is that the stiches did not heal and that I will have to wear the catheter for another 10 days. 🤦
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No symptoms thus far. But it is still early days. I hope the catheter issue resolves. I recenrly turned 52. My ladt PSA pre-biopsy was 5.5, before it had fluctuated around 4.0 for ten months.
Congratulations on the downgrade. Best wishes for quick surgical recovery and getting back to doing all of the things that you want to do.
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1 ReactionSuch good news, one day at a time… God Bless
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1 ReactionGosh - another example of why a second opinion could be beneficial.
Congratulations on the great results!
Thanks! I did get a second opinion on the biopsy with Hopkins-same result.
The issue is that a biopsy is too small a sample size to to yoeld a reliable estimate. And in order to err on the side of caution, the highest grade core is reported as the overall Gleason score. The parhology Gleason score, by my understanding, is based on the two prevalent patterns in the entire prostate specimen.
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5 ReactionsI too was diagnosed at Gleason 8 that was downgraded after pathology to 7. That was 2 1/2 years ago with (so far) no recurrence
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3 ReactionsI hope it stays that way.
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1 ReactionHappy for you ..............did you have treatment or just do AS with your Gleason 7?
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1 ReactionJust AS (PSA test every 6 months) as PSME showed it was contained to the prostate - they also took some lymph nodes and they were negative.
Luckily, same for my lung cancer but that's another story 🙂
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1 ReactionI was targeted at 4+3 with the biopsy . After operation they do a detailed look of Prostate and I can in at 3+4 . It was a nice surprise .... like yours ! Keep up the good work ! God Bless . James
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