My wife is a "cytotechnologist" and is helping me with this reply. Cytology is a part of the pathology laboratory. They look at specimens and evaluate the cells (not the larger tissue pieces) for cancer, pre-cancer and infection. Specimens commonly evaluated are urines, body fluids, pap smears, fine needle aspiration biopsies, sputa and bronchial and more. Cells are evaluated under a microscope (no fancy machines) and determined to be normal or abnormal for that specific body site. If the specimen is cancer or suspicious for cancer, they say so in the report. If there are cells that are "not normal" but the reason for the "abnormality" is not known, it is called "atypical". Reactive and reparative conditions in the body can cause atypical cells as a body's way of responding to a trauma or a procedure. Pre-cancer or cancer can also cause "atypia" when the cancer cells are not readily identifiable and recognized. A doctor may repeat the test or order a more conclusive tests if atypical cells are identified. The doctor can call the pathologist and consult as to what to do next (wait, repeat the test, order another test, such as immunos, FISH...). Hope this helps. DS
PSA 01/07 was 1.2, PSA 01/08 was 1.9, PSA 01/09 was 2.5.
BIOPSY 02/24/09, adenocarcinoma DX at age 52
Right: GS 3+3=6, tumor in 3 of 6 cores, 10% involvement,PNI-Yes
Left: GS 3+3=6, tumor in 1 of 7 cores, <5% involvement,PNI-No
Left-side nerve sparing, Right-side partial nerve sparing
Final pathology: GS 3+4=7, Margins uninvolved, 2 lymph nodes negative
Catheter removed 04/17 - was more painful than I expected.
Incontinence has not been much of an issue, still wear a pad for security.
ED treatment is 25 mg nightly.
First followup PSA results on 05/28/09