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New prostate cancer diagnosis: Facing treatment decisions
Prostate Cancer | Last Active: Nov 4 5:18pm | Replies (11)Comment receiving replies
@jeffmarc
M. Prostate, MRI #1 left peripheral apex; core needle biopsy:
- Prostatic adenocarcinoma, Gleason score 3+4=7 (Grade group 2).
- Gleason pattern 4 comprises 10% of tumor volume.
- Tumor involves 4 of 4 tissue cores.
- The linear amount of tissue with carcinoma is 6.0 mm, 5.5 mm and 4.0 mm.
- Tumor volume is 60%, 60% and 30% of the involved cores.
- Perineural invasion is present.
Replies to "@jeffmarc M. Prostate, MRI #1 left peripheral apex; core needle biopsy: - Prostatic adenocarcinoma, Gleason score..."
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@ferguto1
That is a lot of tumor in those four cores. It is not a lot of four, but there’s a lot of three in those cores.
I guess this is something you really needed to discuss with your doctor. Do they feel that the low amount of four would enable you to go on active surveillance safely?
Yes, Perineural invasion is present, but it is found in so many biopsies. It was found in mine and I’m still here almost 16 years later. They do say it adds aggressiveness. Maybe that’s a reason not to consider active surveillance. This looks like a case SBRT radiation could be successful in eliminating the problem.