DOB: July 1947
PSA: 2.0/2004 4.0/2010 5.8/2010 4.5/2012 5.6/2013 Normal DRE
5/18 PSA: 9.2
6/18 PSA: 10.2 & 8.4% Free
6/28 3T mpMRI PIRADS 3
18 cc gland=PSD 0.57 ng/cc
0.32 cc lesion in apical PZ with subtle T2 signal hypointensity
mild restricted diffusion of contrast into lesion prostate unremarkable intact capsule
7/18 4KScore 34% Probability Gleason =>7
8/03/18 Bx: Adenocarcinoma 6 of 13 cores ONLY L lobe
T1c / Grade II / unfavorable intermediate
extent of G3-G4 tissue far greater than indicated by MRI
G6 (3+3) 70% LL Base 50% L Lateral Mid 20% L Base
G7 (3 +4) 100% LL Apex 20% L Mid 60% L Apex
8/15/18 Clear CT scan and Bone Scan
RALP 8/23/18 pT3a, G7 (3+4), 20% involvement, SM+ (Focal 2mm G6), EPE(Focal G6)+, PNI+, LNI-, SVI-, LVI-
7g Tumor 20x size in MRI & biopsy report & in BOTH lobes not just L as biopsy reported
PSA
10/3/18 0.021
01/4/19 0.018
04/03/19 0.022
06/26/19 0.028
10/1/19 0.035
Decipher RP = 0.47 Average Risk