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Pathology interpretation help!

Prostate Cancer | Last Active: Oct 26 4:29pm | Replies (63)

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Profile picture for topf @topf

All the cores except 2 are positive. Even if you only have two 3+4 cores with relatively little pattern 4, the extent of the 3+3 cores means you should probably get treatment.
The good news is that is does not look very aggressive. You should get that confirmed with a Decipher test.
You should have plenty of treatment options and would likely be a goid candidate for some RT only to the prostate and without ADT. You could also look into whole gland Tulsa.

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Replies to "All the cores except 2 are positive. Even if you only have two 3+4 cores with..."

@topf I agree. The days of surveillance are over for me.

@topf do you think this is a "favorable intermediate" or "unfavorable intermediate Grade Group 2? I'm just trying to understand the difference and how it might impact decision making.

@topf from what I understand. 17/20 cores positive, 14 3+3 and 3 3+4 10% volume. So yeah a lot of cancer but predominantly 3+3. Of course it’s the 3+4 that matters.