Help with Stage

We have had a new diagnosis via biopsy and sent slides to Johns Hopkins for confirmation. While the information was more detailed, there is NO STAGE noted. Where does that preliminary stage come from? The path report, the doctor, a rubric?

So many predictors need an accurate stage and I am not sure if we are a T1c or T2C.

Thanks,

FairRider

In the T classification system there are 4 T Categories described below. A biopsy pathology report only gives the Gleason score

"There are 4 categories for describing the local extent of the prostate tumor, ranging from T1 to T4. Most of these have subcategories as well.

T1: Your doctor can't feel the tumor or see it with imaging such as transrectal ultrasound.

T1a: The cancer is found incidentally during a transurethral resection of the prostate (often abbreviated as TURP) that was done for benign prostatic hyperplasia (BPH). Cancer is present in less than 5% of the tissue removed.

T1b: The cancer is found during a TURP but is present in more than 5% of the tissue removed.

T1c: The cancer is found by needle biopsy that was done because of an increased PSA.

T2: Your doctor can feel the cancer when a digital rectal exam (DRE) is done, but it still appears to be confined to the prostate gland.

T2a: The cancer is in one half or less of only one side (left or right) of your prostate.

T2b: The cancer is in more than half of only one side (left or right) of your prostate.

T2c: The cancer is in both sides of your prostate.

T3: The cancer has begun to spread outside your prostate and may involve the seminal vesicles.

T3a: The cancer extends outside the prostate but not to the seminal vesicles.

T3b: The cancer has spread to the seminal vesicles.

T4: The cancer has spread to tissues next to your prostate (other than the seminal vesicles), such as the bladder sphincter (muscle that helps control urination), the rectum, and/or the wall of the pelvis. "

From American Cancer Society