biopsy results please translate..............................

High,

You were just coming to the important stuff. Typically if you have a 12 needle biopsy there are 6 on one side and 6 on the other. The info you were typing was where each one was taken.
The kinds of numbers you want to see are: 0/12 positive. That means they did not find anything in 12 samples. From my signature you can see "7/12" so that means they found it in 7 out of 12. There is a second number If they found something, you might see 5% in for example: left lateral apex. It is better if that number is low. Again from my signature I had some that were 70%. Not the best. There are guys here that had 12/12 and 90%. Look at signatures.
Also you want to know the Gleason score. It would look like GS 3+3=6. That is important. I won't get into what it all means. You can easily find details on line. Lower gleason is better. 3+3 is a typical "nice" value(as if any PC value is "nice") 5+5 is the worst, bad.
So if you get a chance to see it again, look for something like:"2/12 positive, 10% , Gleason 3+3."
Good luck,
Jeff

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DX Age 56. First routine PSA test on April 8th: 17.8. Start 2 weeks of Cipro to rule out protatitis.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next? See Uro 1/20/10
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day (Try cutting down on fluids. Bad idea. I know.)
11/14 4 months: Still 3 pads per day. 420ml/day, 91 um leak.
12/11 5 months: Still 3 pads per day. 400-450ml/day
1/11/10 6 months: Still 3 pads but leak is now 320 ml (5 day avg.)
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04 undetectable.

High, unfortunately, what you posted is too incomplete. The most important parts aren't shown, anyway you can a full copy and post the full results?

David in SC

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Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin

Sean, in your earlier post you said that "late stage cancer" was mentioned by the doctor. While there is not enough information in what you provided here to tell, one positive note is that the two key measurements you did provide (PSA=4.6 and Gleason=7) COULD be associated with an advanced case, but are more likely associated with an intermediate stage. Sorry, but beyond that, more info is needed...

hightimes,
The core information you listed is only description of the core samples, not the pathological analysis of each sample. My report had this information you listed but also had a second section that looked like the following:

1> right lateral apex - shows stroma and normal normal glandular formation
2> right lateral base - 80% of sample is positive for adenocarcinoma (Gleason 4+3=7)

Etc.

You need to ask for the complete pathology report...

Tony

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Prostate Cancer Forum Co-Moderator

Ok guys.  really appreciate the feedback.  My friend's father apparently wants to keep his health issues to himself but he goes to work at 430 eastern and since we are only trying to help him Amin is going to go dig for the information at that time.  I will start a new thread, hopefully by 530 eastern or whenever we can get the report in full detail.  thanks for the posts.  I'll get another thread started ASAP.

thx again.

sean/amin...............

I know you are motivated by a desire to help your friend's father.  I admire your desire to do so, and there are people on this forum who are very knowledgeable and could provide good advice.  Still, it seems to me you should at least consider respecting the preference of your friend's father to keep his medical information to himself, and not have it posted -- even anonymously -- on an internet board.  Assuming your friend's father is mentally competent, it seems to me he probably has the right to make all decisions concerning his own medical condition, including when and where to ask for help.  Just a thought....