Fusion Biopsy Results, SRP Scheduled

* C-11 Choline Scan prompted biopsy.

DIAGNOSIS:
A. Prostate, left lobe, needle biopsy: Adenocarcinoma, high grade,
involving 20% of the specimen (3 of 6 cores). See comment.

B. Prostate, right lobe, needle biopsy: Adenocarcinoma, high
grade, involving 20% of the specimen (3 of 7 cores). See comment.

C. Prostate, central region of interest No. 1, needle biopsy:
Adenocarcinoma, high grade, involving 20% of the specimen (2 of 4
cores). See comment.

Comment: The tumor in all cores is high grade, focally with
features of small cell carcinoma. There is marked treatment effect.
Special stains (CK903, p63/P504s, and CK AE1/AE3) support presence
of tumor (performed on blocks B1 and C) by demonstrating
infiltrative growth and altered keratin distribution. The small
cell component of the tumor is negative for PSA.
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Salvage Radical Prostatectomy scheduled for 8/18 (Thursday)@ Mayo.
I'm curious when others were able to fly home post SRP?

I've been told to expect 2 nights in the hospital. Hoping I'll be
able to fly a couple days later... Maybe Sunday evening the 21st?

Thanks!

-Matt

Post Edited (PCWarrior) : 7/7/2016 9:27:54 PM (GMT-6)

PC Warrior,
It sound that you have been given a good chance of getting ahead of a very unfortunate dx. Best wishes for the best of outcomes with your surgery.
Beth

Thanks Beth, JR and Tall Allen for the kind words.
I feel like I'm in good hands. Looking forward to
the surgery. They wanted to let prostate heal from
the biopsy. I'm ready now. Flight booked, motel booked.


Allen,

Dr. Karnes will be doing my SRP. I'm not sure how many he has done, but, he came highly recommended from Dr. Kwon who told me that he, "...has done many."

Plan includes "extensive lymph node dissections."
Should be interesting. Doctors seem very confident,
helps to keep positive about it all.

Thanks again,
Matt

That's reassuring! Thanks!

I'll have to read up about the ePLNG procedure,
it didn't come up as appts were before the biopsy.

It was interesting that the choline uptake was seen
in the middle of the prostate, yet areas with the
small cell carcinoma didn't light up the scans.
With your explanation above, it makes senses to
me.

Thanks!
Matt