2 pathologist are disagreeing about my biopsy.

January 08 PSA 5.2 round of antibiotics went to 4.3

February 08 anpther round of antibiotics went to 4.2

March 17,08 had biopsy, 2 days later told cancer was on

one entire side of prostate.

Gleason 3+3

Doctor thinks its best to get the whole prostate with Perineal  Prostatectomy.

Surgery scheduled for this Thursday April 10th.

Cindy (the wife!!)

Surgery preformed and doing great. Only took 1 1/2 hours. Will know in two weeks about pathology report. Surgeon feels he he got all cancer and confined to prostate. Both nerves were spared.

Home 4-11 - incision looks completley healed on the outside by 4-25

Cath out 4-22 dripping some

Cancer confined to one side of prostate.

Cialis 5 mg at night to start

Outlook very positive!!

Age 57

Nerve-sparing, open prostate surgery November 13, 2007

Gleason score 9, PSA 14

Biopsy result - 9 of 12 sticks showed cancer

Despite high Gleason score, cancer was confined to the prostate

Possible post-surgery radiation therapy...decision likely in late April 2008, depending upon PSA at that time

Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of March 2008)

Began using Viagra 3 times a week December 2007 to stimulate blood flow

Began using Osbon Erec-Aid Esteem manual pump for therapy mid-February 2008

Will probably begin using bimix injections in addition to Viagra and pump in May 2008

January 08 PSA 5.2 round of antibiotics went to 4.3

February 08 anpther round of antibiotics went to 4.2

March 17,08 had biopsy, 2 days later told cancer was on

one entire side of prostate.

Gleason 3+3

Doctor thinks its best to get the whole prostate with Perineal  Prostatectomy.

Surgery scheduled for this Thursday April 10th.

Cindy (the wife!!)

Surgery preformed and doing great. Only took 1 1/2 hours. Will know in two weeks about pathology report. Surgeon feels he he got all cancer and confined to prostate. Both nerves were spared.

Home 4-11 - incision looks completley healed on the outside by 4-25

Cath out 4-22 dripping some

Cancer confined to one side of prostate.

Cialis 5 mg at night to start

Outlook very positive!!

Chris,

A similar thing happened to me.  My local urologist did the biopsy and sent the samples off to a lab.  Of the 10 samples one came back cancer.  I opted for a second opinion and went to Vanderbilt University.  Their pathologist read the slides and said that the one that the other lab had called cancer he was calling atypical.  My urologist at Vandy knows Dr. Epstein and he always sends any controversial slides to him.  This happens 4 or 5 times a year at Vandy.  My urologist said that everytime Dr. Epstein had called it as cancer the post op path report confirmed it.  In my case he called it as cancer and he was right.  Having the slides read by Dr. Epstein is the best thing for you.

Tamu

Da Vinci on 11/01/06, Catheter out on 11/13/06

56 Years Old

Post Op Path, Gleason 3+3, Approx. 5% of prostate involved

Prostate Confined, margins clear

Undetectable PSA on 12/18/06, 6/25/07, 1/8/08

No more pads as of 1/13/07

Began injections in April '07

For what it is worth, get the second and third opinions, but do it quickly. 

In my case, the post op pathology report stated the cancer "extends out to but not through the prostatic capsule".  I believe if I would have waited very long, it may have penetrated the capsule.

I had only one of twleve biopsy cores show cancer and that one was only 10%.  My PSA was only 3.4.

Good luck and best wishes.

Age: 50 (March 2008)

DX 1/08 @ 49 yo

7/05: PSA 2.6 DRE Normal

9/07: PSA 3.4 DRE Normal

1/08: Biopsy 1 of 12 cores with 10% involvement, T1c, Gleason 3+3=6

4/08/08:  Da Vinci Rad. prostectomy @ Banner Thunderbird, 5 hrs.

                Advised both nerve bundles spared

                Post Op Pathology Report: Tumor confined w/in prostate, pT2c, NX, DX 

    Gleason is 3+3=6, bilateral with 15% total involvement near apex

                Margins and Seminal Vesicles negative!!!

4/18/08:  Staples and Catheter removed. Drip, drip, drip, drip...