biopsy 3 results

I was trying to find my original biopsy report, but could not find it on my computer. From my signature, it was 2 of 12 cores G6, 5%

Here are the results of my second biopsy, which was my first at Vanderbilt.


Diagnosis
1) PROSTATE, LEFT APEX, BIOPSY:
- BENIGN PROSTATIC TISSUE.

2) PROSTATE, LEFT MID, BIOPSY:
- BENIGN PROSTATIC TISSUE.

3) PROSTATE, LEFT BASE, BIOPSY:
- BENIGN PROSTATIC TISSUE.

4) PROSTATE, RIGHT APEX, BIOPSY:
PROSTATIC ADENOCARCINOMA, GLEASON SCORE 3 + 3 = 6 (GRADE GROUP 1), INVOLVING 10% OF 1/2 CORES.

5) PROSTATE, RIGHT MID, BIOPSY:
- BENIGN PROSTATIC TISSUE.

6) PROSTATE, RIGHT BASE, BIOPSY:
- BENIGN PROSTATIC TISSUE.

Here are the results of the biopsy done Monday afternoon. Biopsy number 3, done at Vanderbilt.

Diagnosis
1) PROSTATE, RIGHT APEX, BIOPSY:
- Benign prostatic tissue.

2) PROSTATE, RIGHT MID, BIOPSY:
- Prostatic adenocarcinoma, Gleason score 3 + 3 = 6 (grade group 1), involving 1/2 cores (35%).

3) PROSTATE, RIGHT BASE, BIOPSY:
- Prostatic adenocarcinoma, Gleason score 3 + 3 = 6 (grade group 1), involving 1/2 cores (30%).

4) PROSTATE, LEFT APEX, BIOPSY:
- Benign prostatic tissue.

5) PROSTATE, LEFT MID, BIOPSY:
- Benign prostatic tissue.

6) PROSTATE, LEFT BASE, BIOPSY:
- Benign prostatic tissue.

7) PROSTATE, ROI #1 RIGHT MID TO BASE TRANSITION, BIOPSY:
- Prostatic adenocarcinoma, Gleason score 3 + 3 = 6 (grade group 1), involving 15% of total tissue.

#7 was the regional of interest (ROI) that showed up on the MRI. They did 3 cores there.

Overall my Gleason has not changed, but it looks to me like there is quite a bit more volume. The Dr. told me I was still very much a candidate for AS if that is what I wanted to do. We talked about the sanity issue during our pre and post biopsy conversations.

He stated I could continue and do another PSA in 3 months and see what it shows, or he would set up an appointment with Dr. Smith if that is what I wanted. I told him I would like the appointment to see his opinion.

Is 30 and 35% a number that is getting high? It seems a lot high to me considering I started at 5%.

It does look like it is all in the same location as before. I suppose it is just more area that 2 years ago.

Not that I need to ask, but opinions are welcome as always.

Thanks in advance,

Larry

I have been keeping steady with the PSA tests and do the MRI and Biopsy close to 18 months apart as the Doc orders. I keep up with time for my PSA. Do a annual visit to the URO and that is when we book the expensive things.

I told someone recently, as much as I hate the MRI and biopsy I consider it a good thing if I get to do them again.

Larry

Age 53.

Nearly all of the clinical experience is based on guys 10 or 15 years older than you.

If I were you I would eliminate, with extreme prejudice, the problem. They only sample a small portion of your prostate. Things are not as precise as they appear to be on these seemingly definitive reports.

While this may be more the exception than the rule, read this guy’s history.


https://healthunlocked.com/user/greatjohn