THERE WAS NO RESPONSE TO AN UPDATE REMINDER IN 2016 SO THERE IS NO UPDATE.
I am writing this for my husband.
Went to doctor in November for annual exam. PSA was 4.4. Doc gave Cipro and repeated PSA along with Free PSA abt 23 days later PSA; was 5.6 and Free PSA; was 13%. Sent to urologist. Dre was normal. But recommended biopsy. Thanks to information I learned here, I reqsted that my Mike have an MRI which showed 2 lesions suspicious for cancer 4/5.
We were petrified!
Biopsy on Feb 12th. After a single valium pill, Mike slept thru the whole thing. LOL. All that worry-time for nothing! But thank goodness.
Got results back last Thursday.
Biopsy done Feb 12, 2016. Mike had been prescribed a Valium and slept thru the whole thing.
Dr says he took 16 cores (3 from lesion1 identified by 3t MRI and 1 from Lesion 2 also identified by 3tMRI and 12 random)
Results:
Lesion 1: Adenocarcinoma. Length 0.8, 1.4, 0.8 cm (left medial peripheral zone) Gleason 3 + 4 = 7 involving 25% of the specimen (3 of 3 cores contain cancer) Gleason pattern 4 comprises 10% of the cancer. cancer length is .75 cm.
Lesion 2: Adenocarcinoma. Length 0.7, 0.5 cm (right medial peripheral zone) Gleason 3 + 4 = 7 involving 30% of the specimen (1 of 1 cores contain cancer) Gleason pattern 4 comprises 5% of the cancer. cancer length is .36 cm.
Of the 12 random cores: 5 were positive adenocarcinoma 3+3=6 All involving 5% or less of specimen. All .08 or less in length. variously located: right mid, right lat base, let apex, left lat apex, right lat apex.
1 atypical small acinar proliferation suspicious for but not diagnostic of malignancy in left lat mid. 0.8 in length-benign
5 cores benign
staging: T1c
Bostwick pathology
Consultation with urologist March 4th.
No matter how prepared you think you are, there's nothing like hearing the words, "cancer". We were really shook up for several days, but have calmed down now and are gathering information for decision on treatment. Leaning towards Di Vinci prostatectomy. Want the best opportunity for eradication and recovery.
Please offer feedback on treatment and prognosis given this report.
Questions:
- When we plug info into nomograms, do we count the 3 cores in lesion #1 as 3 cores or as 1?
-For purposes of staging, since cancer is found on both sides of the prostate, why is the stage t1c, instead of t2c? (Some sites say that a single tumor must extend into both sides of the prostate)
-With these numbers should we expect the cancer to be confined to the prostate?
-What are the most important questions we should ask the doctor at consultation?
-Since Bostwick was the pathologist that reported the biopsy and Bostwick is a recommended lab, is it still important to get a 2nd opinion?
-Should his treatment be influenced by the fact that he is African American and black men tend to have worse outcomes?
Thanks in advance for any advice.
Mike's e-mail address is: dbmcwhite AT yahoo.com (replace "AT" with "@")
NOTE: Mike has not updated his story for more than 15 months, so you may not receive any response from him.
