Was your pathology report after RP , RALP upgraded, downgraded or stayed the same

Was your pathology report after RP or RALP upgraded, downgraded or stayed the same as your initial diagnosis?

Post Edited (toyoung) : 12/23/2013 8:02:01 PM (GMT-7)

I was upgraded from a 3+4 to a 4+3.

Mike

Since you said "initial" diagnosis I can claim to have gone from Gleason 6 (3+3) to Gleason 9 (4+5). There was a second opinion on my biopsy samples that upgraded me to a Gleason 7 (3+4) before surgery but it is still quite a bump up to get to 9.

Mine stayed the same at 3+4, with positive surgical margin at apex.

Stayed at 3+4. Why not make this a poll?

mine...same G9
Due to EPE...surgeon cut wide.
see mine signature....

Mine was diagnosed from the biopsy as 3+3 and, thankfully, it remained that way in the post-op pathology report. It was just one smaller tumor in a 98.3 gram prostate.

I have to give my local urologist, Dr. Alsheik, a real salute because he found it in 3 of 20 cores even though it was only 2% of a huge prostate. I suppose it could have been easily missed, especially since the doctor said he saw no suspicious areas on the ultrasound screen to guide where he took the samples.

I believe the post-op stats are that about 25% of surgical cases reveal a higher Gleason score than guessed by the biopsy. That's because there can be other tumors (with higher grade PC) within the prostate that are missed by the biopsy needle.

There is also a smaller percentage where the score is actually downgraded after surgery.

Chuck

Resident of Highland, Indiana just outside of Chicago, IL.
July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7.
Local urologist DRE revealed significant BPH, but no lumps.
PCa Dx Aug. 2011 at age of 61.
Biopsy revealed adenocarcinoma in 3 of 20 cores (one 5%, two 20%). T2C.
Gleason score 3+3=6.
CT of abdomen, bone scan both negative.
DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
My surgeon was Dr. Matthew Tollefson, who I highly recommend.
Final pathology shows tumor confined to prostate.
5 lymph nodes, seminal vesicles, extraprostatic soft tissue all negative.
1.0 x 0.6 x 0.6 cm mass involving right posterior inferior,
right posterior apex & left mid posterior prostate.
Right posterior apex margin involved by tumor over a 0.2 cm length, doctor says this is insignificant.
Pathology showed Gleason 3 + 3, pT2c, N0, MX, R1
adenocarcinoma of the prostate.
Prostate 98.3 grams, tumor 2 grams. Prostate size 5.0 x 4.7 x 4.5 cm.
Abdominal drain removed the morning after surgery.
Catheter out in 7 days. No incontinence, occasional minor dripping.
Post-op exams 2/13/12, 9/10/12, 9/9/13 PSA <0.1. PSA tests now annual.
Semi-firm erections now happening 14 months post-op & VERY slowly getting a bit stronger.

Post Edited (HighlanderCFH) : 12/23/2013 6:09:34 PM (GMT-7)

My husband went from a 3+3 to a 3+4. He was lucky to have been diagnosed at all as it was an anterior dominant tumour which are hard to catch in transrectal biopsies.

I was ungraded from a 3+4 to a G8

Not sure how to answer this.

My biopsy was originally 4+3 from Umich.

Ford Hospital then read those same slides as 3+4.

Had the surgery and it was 4+3. I guess technically an upgrade from the second reading, but not from the first.

Oh, Epstein at Hopkins reread the surgery pathological report and confirmed the 4+3.

Mel

Biopsy was Gleason 7 (4+3) and post-RALP pathology report also showed Gleason 7 but it was downgraded to (3+4).

Mike

Biopsy was a 9....right after surgery, Dr. told me it was downgraded to an 8....fast forward to followup visit 2 weeks later...upgraded back to a 9....

I went from 3+3 on one side to 3+3 on both, no other changes