Hello all - Introducing myself - new to the forum - hope I'm not giving too much info but here goes:

67 y/o recently diagnosed. Initial PSA was 5.8 with % free 0f 9.
MRI Results:
1. 1.5 cm right posteromedial peripheral zone lesion and 1.1 cm left posteromedial peripheral
zone lesion in the mid gland consistent with PI-RADS 5 and 4 lesions respectively. Mild capsular irregularity associated with both these lesions concerning for extracapsular extension. Abutment of the medial aspect of the right seminal vesicle by the right base
peripheral zone lesion concerning for seminal vesicle invasion.
2. No pelvic lymphadenopathy.

Biopsy Results:
A. PROSTATE, RIGHT APEX, BIOPSY:
--ADENOCARCINOMA, GLEASON SCORE 3+4=7 (GRADE GROUP 2),
INVOLVING TWO OF TWO CORES AND 70% OF THE SUBMITTED TISSUE
B. PROSTATE, RIGHT MID, BIOPSY:
--ADENOCARCINOMA, GLEASON SCORE 4+3=7 (GRADE GROUP 3),
INVOLVING TWO OF TWO CORES AND 95% OF THE SUBMITTED TISSUE; Note: Perineural invasion is identified.
C. PROSTATE, RIGHT BASE, BIOPSY:
--ADENOCARCINOMA, GLEASON SCORE 3+3=6 (GRADE GROUP 1),
INVOLVING ONE OF TWO CORES AND LESS THAN 5% OF THE SUBMITTED TISSUE; Note: Perineural invasion is identified.
D. PROSTATE, LEFT APEX, BIOPSY:
--ADENOCARCINOMA, GLEASON SCORE 3+3=6 (GRADE GROUP 1),
INVOLVING TWO OF TWO CORES AND 5% OF THE SUBMITTED TISSUE
E. PROSTATE, LEFT MID, BIOPSY:
--ADENOCARCINOMA, GLEASON SCORE 3+3=6 (GRADE GROUP 1),
INVOLVING TWO OF TWO CORES AND 20% OF THE SUBMITTED TISSUE
F. PROSTATE, LEFT BASE, BIOPSY:
--ADENOCARCINOMA, GLEASON SCORE 3+3=6 (GRADE GROUP 1),
INVOLVING TWO OF TWO CORES AND 20% OF THE SUBMITTED TISSUE

Meeting with the Urologist next week to go over results so I'm just starting doing research into various options of treatment and found this group as a nice resource. I know the Perineural invasion and possible extracapsular extension could have a bearing on treatment options. Would be happy to hear from others with similar findings as to their experience. Thanks.

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