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Newly diagnosed
First I want to thank anyone taking the time to reply.
So I'm at the beginning of my diagnosis and recent follow up to discuss biospy has only left me feeling less confident of what direction to go.
Psa 4.37
Prostrate volume 31.88ml
MRI shows lesion 1.6-1.9-2.5cm oval shaped w/irregular margin
located inloving R trans zone extending into anterior and posterior lateral peripheral zone at base & mid gland.
PI-RADS 5
Decreased ADC
Diffusion restriction
Biospy Results
Stage T1c
Gleason II (3+4)
No PNI
EPE- No tumor in adipose tissue identified
(6) Left all clear
All (6) on right adenocarcinoma with (4) 3+3 avg 30% involved area and (2) 3+4 with 10% pattern and 35% involved area
Lesion 3+4 10% pattern & 45% involved area
Lymph 1%
Seminal vesicle 2%
Extraprostatic Ext 23%
Organ confined 74%
Note states Prolaris Biospy Test ordered
Uroligist basically gave me info on ALL treatment options OR just active watching which seems very unspecific given we have some results. So now what?
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HugInterested in more discussions like this? Go to the Prostate Cancer Support Group.
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It doesn’t look too bad actually. Must’ve meant they have referred to things that I have never seen referred to this way before giving percentages versus saying you do or you do not have something.
The way this is phrased is confusing. Does a 10% pattern refer to 10% pattern 4. Normally, they would tell you what percent is a four the rest is a three. I would ask for clarification on this.
Lesion 3+4 10% pattern & 45% involved area
Percentages for these items are quite confusing. Normally, they say you have it or you don’t. Was 23% Extraprostatic extensions Meaning that you have them or that there is a percentage chance you have them. 74% Oregon confined does that mean it’s not completely confined or is it a 74% chance that it is completely confined?
Are they getting out that you need a prostatectomy in order to figure out what the real numbers are
Lymph 1%
Seminal vesicle 2%
Extraprostatic Ext 23%
Organ confined 74%
I would want to ask the doctor for an explanation of this information.
It is possible you could go on actress surveillance. Here is a video from a doctor that talks about it for people that have intermediate diagnosis Like you have.
Excellent Fred Hutch doctor video: Dr. Claire de la Calle
Active Surveillance for Intermediate Risk Prostate Cancer w/ Dr. Claire de la Calle | Ep. 288
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1 Reaction@ireland1964
You might want to use your biopsy material for a Decipher test which doctors do use for treatment choices. A telehealth second opinion might also be helpful. I too had 3+4 Gleason with a higher PSA and chose a built in MRI radiation machine for treatment; less healthy tissue exposure so less side effects. The two in the market are the Mridian and the Elekta Unity. No doctor will be able to predict, in YOUR body, how quickly a tumor will grow.
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1 ReactionThose % numbers seem to be some sort of staging nomogram. Given variables like Gleason score, PSA, T stage, and whatever else was available and/or required for the given nomogram, it would spit out the % likelihood of whatever, i.e. 2% seminal vesicle invasion would be found later, even though things look good now.
Papers I found discussing things like this tended to be 20 or so years old. Obviously, the pathologist doing this biopsy seems to be doing something with one.