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Thread: prostate cancer?

  1. #61
    Top User
    Join Date
    Aug 2016
    Posts
    1,922
    I'll reinforce Djin's comment about the number of samples taken. Make sure the standard 12 sample array is taken in addition to those targeting the PIRADS4 area. Often MRI's miss significant cancer. I know it does not seem fortunate, but you are fortunate if you find it the first time.

    Also, ask the doctor if the PIRADS4 is in a reachable location. Some areas of the prostate are difficult to reach with the biopsy.
    Last edited by Another; 11-18-2019 at 11:18 PM.

  2. #62
    Regular User
    Join Date
    Sep 2019
    Posts
    15
    Hello!
    Finally my husband did the trus fusion biopsy. 20 cores were taken, 4 from the suspicious lesion and 16 from all over the gland.doc was questioned regardind the score and he said that only biopsy can diagnose cancer. A pirad 4 lesion could be many things, including cancer of course.
    I forgot to ask him regarding the importance of psa density (0.09)
    Results in about 3 weeks.
    Last edited by Sushi2911; 11-28-2019 at 12:12 PM. Reason: Adding -grammar

  3. #63
    Quote Originally Posted by Sushi2911 View Post
    Hello!
    Finally my husband did the trus fusion biopsy. 20 cores were taken, 4 from the suspicious lesion and 16 from all over the gland.doc was questioned regardind the score and he said that only biopsy can diagnose cancer. A pirad 4 lesion could be many things, including cancer of course.
    I forgot to ask him regarding the importance of psa density (0.09)
    Results in about 3 weeks.
    Factors that are used to decide whether to biopsy or not take a back seat once the decision to biopsy is made, since the biopsy result determines what to do next. Interestingly, a recent study found that 20 cores were statistically sufficient for saturation biopsies after mpMRI, so your husband has the combined advantages of a fusion + saturation biopsy!

    PIRAD scores are not infallible as Forum Brothers can attest, but be prepared if some cancer is found.

    Best of luck,

    Djin
    Last edited by DjinTonic; 11-28-2019 at 03:54 PM.

  4. #64
    Three weeks?!

    I get my biopsy results online in three working days. Usually the date on the report is the next working day.

    Are the samples being sent away for assessment? That seems like an unreasonably long wait, especially if the report is sitting on your doctor’s desk for two weeks.
    DOB: May 1944
    In Active Surveillance program at Johns Hopkins
    Strict protocol of tests, including PHI, DRE, MRI, and biopsy.
    Six biopsies from 2009 to 2019. Numbers 1, 2, and 5 were negative. Numbers 3,4, and 6 were positive with 5% Gleason(3+3) found. Last one was Precision Point transperineal.
    PSA has varied up and down from 3 to 10 over the years. Is 4.0 as of September 2019.
    Hopefully, I can remain untreated. So far, so good.

  5. #65
    Experienced User
    Join Date
    Oct 2019
    Posts
    81
    I’m glad he had the biopsy. Hoping for good news!
    Wife posting
    Age 51
    PSA 9/2019 - 4.8
    fPSA - 9%
    4K score 12%
    Bx 9/2019
    Final Diagnosis - prostate carcinoma
    Highest Gleason Score - 3+3=6
    Number of cores positive - 4
    Percent of cores positive - 28.6% (4 of 14 cores - 12 samples taken. 2 broke in half)
    Maximum % of tumor in positive cores - 60%
    Overall prostatic tissue involvement - 5.8%
    Perineural invasion - present
    Lymph-vascular invasion - not identified
    Periprostatic fat invasion/extrsprostatic extension - not identified

    Left base - G3+3=6. 4% involved. Perineural invasion present.
    Right apex - G3+3=6. 40% involved.
    Right lateral mid - G3+3=6. 5% involved.
    Left lateral apex - G3+3=6. 40% involved.

    OncoDX score 23. Low Risk.
    High Grade Disease 14%
    Non Organ Confined Disease 16%

 

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