← Return to Not Good News after prostate biospy when MRI didn't look too bad

Discussion
Comment receiving replies
Profile picture for Jeff Marchi @jeffmarc

@diverjer
It really comes down to that large cribriform. That makes it very aggressive and eliminates focal therapy as an option. It can be very difficult to eradicate even with surgery or radiation.

Jump to this post


Replies to "@diverjer It really comes down to that large cribriform. That makes it very aggressive and eliminates..."

@jeffmarc
I think that is right, those 2 large cribriform in center (LMM & RMM) unofficially jump the score up 1 point. Even though officially they call it unfavorable intermediate. The whole scoring system for prostate cancer seems to be a mix bag.
The doctor here in town (DR Rupp) that will be doing surgery seem to talk some about involving percent of needle core tissue in each biopsy, which nobody had mention before.
He has couple thousand RPs under his belt with the Da Vinci robotic system. Our daughter has been floor RN 12 years at hospital I will be at (she is just a few months of finishing up her APRN) says patients are pleased with his results. Also, said the staff like him and think he is funny. I thought beside having the experience, it was nice the nursing staff liked him.