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Surgery or Radiation if large cribriform found in biopsy?
Prostate Cancer | Last Active: 4 hours ago | Replies (29)Comment receiving replies
I'm a little concerned about all this.
I had my RARP about 6 months ago, and will be reviewing my latest PSA reading with my surgeon's PA this afternoon (still negligible, but has risen a bit, which freaks me out some).
My pathology actually downgraded the biopsy findings from Gleason 8 to 3+4, with 4 comprising around a quarter, which is nice, but it also says Cribriform glands are "present" (no reference to size), along with Perineural Invasion.
It also mentions <1mm of unifocal, gleason 3 margin involvement.
So I had been thinking I had done really well given the Gleason reduction, but now I'm a little unsure...
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@sandguy
You want to find out if the pathologist that did the analysis of your prostate was a specialist in prostate cancer or was he a specialist and some other type of disease.
This is one thing discussed in the ancan.org Video from the discussion with Dr. Jonathan Epstein who is a specialist in biopsy second opinion. He seen hundreds of thousands of them and can really let you know what’s going on. He does charge $500 however for a review. You contact his office and they arrange to get the tissue and do the testing. He actually can call him ahead of time and discuss it and after he does the analysis you can talk to him for quite a while about exactly what’s going on.
If you don’t feel you got the complete answer yet he can give it to you.
Dr. Epstein biopsy
https://advanceduropathology.com