biopsy report

Hi everyone.Iam new to your sight. doctor did a 5 core biopsy on me and one came back positive.

I have a small nodule that i was told 4 years ago that it felt normal and he would keep an eye

on it each year.my psa last year was 3.3 this year 4.1 dotor decided on biopsy and these are the

results.

one of 5 positive.

right base-atypical gland suspicious but no cancer

right mid-prostatic adenocarcinoma-3+4=7 50%

right apex-neg.

left apex-neg

left mid-neg

Iam worried about spread to bones as once in awhile i get small little pain right below ribs. i do have some

arthritis but not big time. dotor ordered bone and ct scan as he says he does with everyone diagnosed.

what are the chances of progression of this if anyone knows?

thank you so much

budrey

Hi Bud,
Very slim chances that it has spread to bones. You PSA is a low number. Your doctor is doing right by ordering additional scans. If you don't mind, what is your age?

Tony

hI tONY

Iam 63yo. Thank you for your response and i sure hope your right. Iam ingood shape and am not worried to much about surgery as i have decided to go that way as long as the cancer has not spread. I am just scared because of the small pain i have.

thank you so much for your reply

budrey

Hello and welcome Budrey, to the club no one really wants to belong to, but if you qualify, best on the next. I would agree with the others, unlikely from your specs so far that it has spread to bones, etc. I had that same fear due to all the lower back pain and hip pain I was having around the time of my PC dx. The bone scan and cat's showed clear, like it does in most early cases, hope the same for you.

David in SC

Odds are high that you are good for localized disease. I am qualified to know (hell no), but from alot of other cases out there and my own.

Clear scans (CT and bone) with these riduculous stats: bPsa46.7 12 pos. bio./75-95% in all of them, gleasons found 7,8,9's, gland size close to normal. I even have the actual Xrays I got a copy with is useful when you seek many second opinions, especially radiologists/onco docs would like to see them also.

Advice to all NEWBIES: get a copy of the pathology report in your hand, the actual copy, settle to nothing less, you may need it for discussions, review, and docs for second opinions also. Plus you with learn what it actually says after a while, the lingo and terminology etc.

Bob P. (aka-neutrondbob & zufus)

Got to agree with the other members. Although nothing is set in stone with this disease with such a relatively low PSA you are very unlikely to have any thing in the bones other than the "rumatiz". Take note of what Zufus said.........make sure you get a hard copy of all reports etc and maintain your own set of records and take them with you to any consultations.
Bill

Bud:

First, I agree with some of the earlier replies that with your situation it is highly unlikely that the PC has spread. However, I'll give you my story with a recommendation that you be maybe a little more aggressive with getting the right evaluation of your situation. Going in, my doc felt nothing on a DRE, so we watched PSA numbers for about a year before we did anything. Noting a "gentle rise" in PSA, my urologist recommended a precautionary biopsy. He took 13 cores and only found PC in one of them, with path at 4+3 Gleason with an estimated 5% involvement. Since my wife and I are very aggressive about wanting to be rid of it, after exploration and inquiry, we went with a robotic removal by a well qualified, high volume surgeon.. Now, the important point: though all margins, etc were clear, post op path showed 15% PC involvement. In short, nobody can really tell you what's going on until they look at it, and its not in a real good place to get a view.

On the brighter side, for me the surgery went well, I've had three "zeroes" on PSAs since, and very little incontinence issues. After almost a year, ED seems to be slowly working itself out as well. I certainly don't want to push you into anything, but do remember there is a reason they call what doctors do "practice"-even with the very best minds and science, it is still very much a guessing game.

Best of luck to you as you work your way through the many pathways available.