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← Return to Surgery or Radiation if large cribriform found in biopsy?
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Surgery or Radiation if large cribriform found in biopsy?
Prostate Cancer | Last Active: 1 hour ago | Replies (29)Comment receiving replies
We learned about cribriform and IDC the hard way, so I will try to be restrained here with my usually panic-inducing posts.
My concern is IDC (intra ductal proliferation) If you just had cribriform and the "small kind", with that low Decipher SA would be reasonable choice. It is still a good choice IF you repeat biopsy every single year - do NOT trust cribriform and IDC to stay "low Decipher" forever. Actually they can progress to very aggressive cancer in no time. Since your results are inconclusive - how about you send your samples to be examined by another lab and get a second opinion ?
I will just say that if we knew what we know today about PC in general, gland would be taken out much sooner and my husband would have had biopsy done every year. We however had very incompetent urologist and my husband had one biopsy that showed 3+3 and than another in 5 years which than showed 4+3 unfavorable which again proved to actually be 4+5 after prostatectomy : ((((.
Wishing you all the best and please, please stay on top of your PC care. MRI every year and biopsy every 1.5 to 2 years 🙏.
Replies to "@dacaesar We learned about cribriform and IDC the hard way, so I will try to be..."
Thank you so much! I am anything but complacent. That's why I originally posted here. As I wrote in another reply, I have some great doctors working with me. I'm not going to post their names, as I'm not sure of the protocol here. I am determined to stay vigilant. MRI's don't seem to be very worthwhile in my case as my previous one all came back PIRADS 2. I was the one who ditched my original urologist, he saw my MRI and said "See you next year". I found another group and asked for the biopsy. Glad I did.
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@surftohealth88 Thanks so much.
I have the utmost faith in my team (actually 2 teams Hartford Health and Yale). I did have the original pathology reviewed by the director of Yale's pathology team. They did downgrade what was an original 3+4(5%) to 3+3, but kept the AIP suspicion. I'm not taking anything for granted. When I met the Hartford surgeon, the PSMA and Decipher were still to be done. He advised that if no spread (PSMA) and high Decipher - redo biopsy in 6 months. If Decipher good, redo biopsy in 18 months (30 core,. concentrating on the suspicious areas. Have yet to meet with Yale. I'd be inclined to have Dr. Epstein look at my samples as well, but I wonder if there's anything left after it being analyzed by 2 pathology departments prior.
I just found this site today - it's wonderful!