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← Return to MRI Fusion Biopsy?
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@jc76 I had the Fusion transperineally biopsy. I was awake and they gave me 4 or 5 lidocaine shots for pain. They use some kind of transponder in your butt and go directly to the lesion as noted on my MRI. They took core samples there and then 12 other “random samples” in other places. It wasn’t painless but I didn’t have any bleeding or infections. Go back to see the dr on Wednesday. 14 cores with 7 positive. Gleason scores all 3+4=7 and one 3+3=6.
Replies to "@jc76 I had the Fusion transperineally biopsy. I was awake and they gave me 4 or..."
@kennyo Would advise LOTS of homework - and a Decipher test - before you make any decisions regarding treatment.
I don’t think AS is advisable with so many 3+4 cores, but you are in a kind of gray area, as is the case with most intermediate grades.
Certain biopsy findings - cribriform cells , intraductal carcinoma (IDC), and a Decipher test for aggressiveness, are critical in your decision making: choice of surgery vs radiation.
Many men choose surgery if their cancer is deemed more aggressive and has a higher chance of returning; radiation can then be used as a salvage treatment.
However, if you have a less aggressive form of PCa, radiation may be a better way to go ( factoring in your age, medical status, etc)… if you wish to avoid surgery.
Bottom Line: All Gleason 3+4’s are different and you need to know what type yours is before moving forward. Best,
Phil
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@kennyo
I had read and my urologist at Mayo Jacksonville mentioned some urologists now doing the biopsies transperineally without anesthesia.
Not for me though would like to be out. Some of us, like me, just have to much anxiety and stress over procedures. I wish I did not feel that way but we are all different. I developed PTSD back in 2015 and it caused a anxiety/panic disorder. Take medications since then but I work really hard to keep the stress and anxiety down as much as I can.
You probably are going to get a lot of choices for treatments. I had additional test done to help R/Os decide which treatments I needed and options. If you urologist or R/Os does not mentioned additional test asked them about Decipher (will give you a more accurate risk level), PSMA (see if cancer has spread. Many many more advances in other tests but not familiar with them.
Good luck,