Biopsi results...

I'll add these to my signature line, but a few people suggested I post them for conversation.

I've requested the slides be sent to Johns Hopkins for a second opinion, but here's what I received on my 'Patient Portal' system, from my request of Emory Urology:

A.  Right Base, Biopsy:  Benign Prostatic Glands and Stroma

B.  Right Mid, Biopsy:  Benign Prostatic Glands and Stroma

C.  Right Apex, Biopsy:  High Grade Prostatic Intraepithelial Neoplasm (High Grade PIN)

D.  Left Base, Biopsy:  Prostate Adenocarcinoma, Gleason 3+3=6.  Present in one of two cores (<5%).  No perineural invasion present.

E.  Left Mid, Biopsy:  Prostate Adenocarcinoma Gleason 3+4=7.  Present in two of two cores (50% duscontinuous, 50% cores (20%).  No perineural invasion present.

F.  Left Apex, Biopsy:  Prostate Adenocarcinoma, Gleason 3+4=7.  Present in two of two cores (50% discontinuous, 50% discontinuous).  No perineural invasion present.

Thanks for any comments, suggestions, etc.

Like I've said, I'll probably decide between three or four treatments very soon.

 

yes Robert.

I'm 48 and really in good health otherwise. Never smoked, exercise hard, etc. I do drink 10 +/- beers per week (not all the same day... ;)

My PSA in 2013 was 2.5. I started taking a testosterone replacement shot once / 2 weeks in 2013. My testosterone level was like 300 and it went up to 'normal', around 800 after taking it.

However, my PSA test after 9 months to the T therapy went to 4.5. A month later I got PSA check at the hospital and it had dropped to 4.0.
DRE's have never resulted in any findings.

Dewayne

Post Edited (Dewayne) : 10/20/2014 5:11:57 PM (GMT-6)

Hi Dewayne,

Sorry that you're joining us at such an early age. But your results look very manageable and just about any of your potential treatments should be able to do the trick. That said, the profile of side effects for each treatment is different so keep that in mind as you shift through your options.

A couple of initial thoughts: have your biopsy slides reviewed by an expert. You can find out how to do that in the "newly diagnosed" sticky.

Next, take some time to learn as much about treatment options and talk to as many experts as practical. Every practitioner has his/her own biases so keep that in mind as you talk with them.

Good luck on your journey and do let us know how we can help.

Michael

Hi Dewayne .. sorry that you're here with us.

I was diagnosed two years ago at 56, with G6 in 2/12 cores. I did Active Surveillance for two years (formal program) and then had a 2nd biopsy earlier this year which was part of the program. This biopsy showed G7 (3+4) in 3 cores, G6 in two more .. so, I had progression. But, I also had two more years of "normal" life by watching vs. intervention.

After much more deliberation, I had surgery (RALP) 6 weeks ago (Sept 8th). You are young .. I am relatively young (now 58) and in good health. If you can find a highly experienced surgeon (look for one with hudreds of surgeries completed, with good results data), then you are a great candidate for surgery. Younger and healthy to start can improve recovery and reduce incidence of incontinence and ED. Older patients (65+?) will have a more difficult time choosing between radiation options and surgery.

In my case, I was essentially (98%) dry from removal of catheter, I am highly fortunate. Erections are about 30% at this point, but I am still early ... everyone reports that erections can/will improve over time (months) so we'll see.

You have time to make careful and thoughtful choices. Please do chat further with all of us here, and keep us posted.

Dewayne, it sucks going thru this at your age I was diagnosed at 54 and had surgery last Jan. If you decide to have surgery the fact that your in good shape will help your recovery. The hardest thing for me was not picking anything up over 5pounds. You mentioned John Hopkins, if you decide to go the surgery route and can get to John Hopkins. Theres a surgeon there named Dr. Han and he is the best what I mean is he really cares. It took them 6 yrs and 7biospsy to find my cancer and he was so plugged in. He called me once on a sunday at 7am with results. After my surgery on a tues I was told I would get the pathology report in about a week he called me thurs from the lab to tell me the cancer was organ confined, he sounded happier then me. He's not your ordinary surgeon/scientist you can call or txt him anytime. Anyway good luck with your decision only you know whats best for you I had read and was told theres more ED with radiation ect. I literally had no incontinence within a few days of removal of catheder. 9 months out the ED is getting better my wife an I have sex every weekend with help (Viagra) My nerves were already damaged from multiple biospys. If you need any contact info don't hesitate to contact me [email protected] GOOD LUCK!!!!!!!!!!!!!!!!!!!