Max Vision said...
Boon1 said...
But I suspect there are quite a few undiagnosed G10s around, given the truncated biopsy process through which so many go. I started out diagnosed as a G7. It was only when I had an 85-core mapping biopsy that the tiny G10 tumors were found.
Boone, I was in a situation similar to yours. I was on AS as a G(3+4), monitoring with MRI guided biopsies. I made the decision to go with SBRT as a monotherapy and actually scheduled an appointment for treatment. Two weeks before the treatment, as a last "sanity check", I went to UCLA and asked to be examined as a new patient with no history of PC. Another MRI guided Bx confirmed the original G7 (left apex), but a grid biopsy performed at the same time found a core of G(4+5) invisible on the MRI and in a completely different area of the prostate. Scary thing is that my "medical team" was completely ready to treat me as a G7.Max Vision, thanks very much for sharing your experience. You were so smart.
You experience parallels mine somewhat in that I was diagnosed as a G7 (4+3) after a 3T mpMRI and follow-up MRI-guided 3-core biopsy from the "index lesion" the MRI found. I got a second reading from Johns Hopkins. When JH pathology scored the cores a G9's, I did not stop there. I went for a tie-breaker and the transperineal 5mm mapping biopsy I mentioned in a previous post. You can't get properly treated if you're not properly diagnosed. Boon