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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
@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
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@jeffmarc
Thank you for that Jeff.
I'm a little unclear on whether he can provide second opinions on tissue pathology, resulting from my RP, as opposed to results from needle biopsies. The biopsy I had a year ago did mention Perineural Invasion, but nothing about Cribriform, although as I said, it actually showed a higher Gleason grade than turned out to be the case after the RP.
Unsure whether a second opinion at this point will affect any future decisions, as I expect that will be more dependent upon PSA than anything, e.g. if it reaches the 0.2 ng/ml level.