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Newly diagnosed T1c Gleason 3+4 awaiting Decipher results.
Prostate Cancer | Last Active: 1 day ago | Replies (13)Comment receiving replies
@jim18 thx for your thoughts. Here is biopsy report on Pirads 4 lesion. Right mid peripheral zone anterior. Gleason 3+4=7 (grade group 2); 10% Gleason pattern 4; 4 of 4. Cores involved, tumor measures 2.37cm in length, 35% tissue area involved by tumor.
Hope this answers your question.
Replies to "@jim18 thx for your thoughts. Here is biopsy report on Pirads 4 lesion. Right mid peripheral..."
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@pshea1
Four of four cores with 3+4 is enough to mean you need treatment not active surveillance.
Make sure that is actually what they meant to say. Were all four of those cores taken from the PIRADS 4 lesion Or were they from different spots? If from different spots that really does mean active surveillance is less attractive an option.
It might make sense to get a second opinion on your biopsy. There are a couple of places you can send it, which will review it, The doctors there are experts. It will cost you around $500 but Dr. Epstein will talk to you on the phone with the detailed analysis and cover any questions you have.
Dr. Epstein biopsy
https://advanceduropathology.com
Dr. Zhou
S
Send an email to Ming.zhou@mountsinai.org to inquire about a second opinion and ask for his specific instructions for the process.