I am concerned with the "Perineural invasion identified". Ironically, my Pi-rads 4 lesion is benign, but the doctor at Moffitt only took 1 core from the lesion itself. I am going to request an appointment at Mayo in Jacksonville for a second opinion, but here are my results. Thoughts? Thank you!

A. Right lateral base:

Benign prostatic tissue

B. Right medial base:

Benign prostatic tissue

C. Right lateral middle:

Prostatic adenocarcinoma, Gleason score 3+3 = 6 (Grade Group 1 ), involving 1 of 2 cores and 10% of submitted tissue.

Maximum linear length: 2 mm
Perineural invasion identified.

D. Right medial middle:

Prostatic adenocarcinoma, Gleason score 3+3 = 6 (Grade Group 1 ), involving 60% of 1 core .

Maximum linear length: 7 mm

E. Right lateral apex:

Prostatic adenocarcinoma, Gleason score 3+3 = 6 (Grade Group 1 ), involving 5% of 1 fragmented core.

Maximum linear length: 1 mm

F. Right medial apex:

Prostatic adenocarcinoma, Gleason score 3+3 = 6 (Grade Group 1 ), involving 70% of 1 core.

Maximum linear length: 8 mm

Perineural invasion identified.

G. Left lateral base:

Benign prostatic tissue.

H. Left medial base:

Benign prostatic tissue.

Additional deeper levels examined.

I. Left lateral middle:

Benign prostatic tissue.

Additional deeper levels examined.

J. Left medial middle:

Benign prostatic tissue.

Additional deeper levels examined.

K. Left lateral apex:

Benign prostatic tissue .

Additional deeper levels examined.

L. Left medial apex:

Benign prostatic tissue

M. Prostate, ROI #1, PIRADS-4:

Benign prostatic tissue