Biopsy Results

Received call from uro today that all cores were benign. He said that three of the twelve showed signs of inflammation/infection indicative of prostatitis and that this could be asymptomatic. He is prescribing a three week regimen of antibiotic and anti-inflammatory drugs and we'll retest PSA in August. Thanks for the thoughts and prayers that went up in my behalf.

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Current age 50
Married - 4 children, 2 grandchildren
General health good - meds for hypertension; mitral valve prolapse (no meds)
No known family history of PCa
PSA 10/2005 = 1.2 (free testing site)
PSA 10/2006 = 1.22 (urologist)
PSA 12/2007 = 1.68 (urologist)
PSA 08/2008 = 1.5 (family doc)
PSA 12/2008 = 1.93 (urologist)
PSA 04/2009 = 2.9 (family doc - routine physical)
PSA 04/2009 = 3.4 (family doc sent in to different lab)
PSA 05/13/09 = 3.17 (urologist)
%fPSA 04/2009 = 15% (family doc)
4 DREs over the years - all unremarkable

Excellent news OKboy...glad that it turned out okay for you. Just stay on top of your PSA levels

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You are beating back cancer, so hold your head up with dignity

Great news! and a reminder that when they get the inflammation under control you can resume your membership in the zeros club.

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Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3 + 4 = 7
CAT scan 1/09 negative, Bone scan 1/09 negative

Robotic surgery 03/03/09 Catheter Removed 03/08/09
Post surgical pathology report. Lymph nodes negative, Seminal vesicles negative
Surgical margins positive, Capsular penetration extensive Gleason 4 + 3 = 7
At 6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.

Good news!

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Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (1/2 light pads per day)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0; 4/09: 0.0

 

Greetings, OKboy. Great news.  Keep an eye on it and we hope you never end up here again!  Actually, feel free to drop by any time - we just hope you never have to join the club.  David

That's really good news. Come back anytime..

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James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
21 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
PSA's: .04 each 3 months

Glad you did not have to set up residence! Stop by snd say hi anytime. Good luck.

David

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Age 53
Pre-op PSA 4.3
Surgery Feb. 17 2005
Post-op Path : Gleason 3+3=6
Right pelvic lymph nodes: negative for metastatic carcinoma
Left pelvic lymph nodes: negative for metastatic carcinoma
extent: right lobe 40% left lobe 10%
capsular penetration: Absent
Seminal vesicles and vasa differentia: Uninvolved
Prostate: 26 grams
Post-op PSA's <0.04 for 3 years
Feb. 08: 0.07, March 08: 0.08, June 08: 0.09 and Sept. 08: 0.1
IGRT scheduled.....November 17th....
FINISHED 01/14/09 YEA!
05/14/09
1st PSA after Salvage RT <0.04..... Another YEA!

Dear OKboy:

Congrats...sounds like a dream biopsy to me!!!  Glad you were just a visitor...and, I hope you don't need to come back (though you would be welcome).

Tudpock

Dear OKboy,

That is currently great news, it is most wise to get a copy of the pathology and know what the pathologist has written, I can mention stories about so called fabulous uro-docs. Sometimes the uro-doc fails to mention the pathology showed low grade or high grade P.I.N., because hey it was not considered cancer  (YET).  The patient would need to know as you paid for this stuff too, either insurance or cash etc., patients bill of rights is needed. In England the doc does not give your pathology and does not have too either(they can really keep patients in the dark), in USA it is legally your information, pay for the copying fee if need be.

Secondly if you wish to sleep most soundly have the pathology reviewed by: Bostwick, Epstein, Oppenheimer, Grignon and a few of the others that are "the experts" in this stuff. Have also seen reviewed pathology showing different results, this is the real world of PCa and not because I said so, because it is what happens to other patients. Maybe this advice is better for someones else's case too, but with PCa to much information does not leave bad side effects(lol).

 

 

I did ask for a receive a copy of the pathology report. The report stated that all twelve cores were benign prostate samples with two of the cores showing "chronic active prostatitis." With some recent burning and groin pain (starting about a week before the biopsy), I'll see what the Aug. 10 PSA reading is and go from there. I want to say thank you again to the regular posters on this forum - I've learned a great deal and probably most valuable has been coming to the understanding of how responsible I must be for my own health issues. Thanks again. OKboy

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Current age 50
Married - 4 children, 2 grandchildren
General health good - meds for hypertension; mitral valve prolapse (no meds)
No known family history of PCa
PSA 10/2005 = 1.2 (free testing site)
PSA 10/2006 = 1.22 (urologist)
PSA 12/2007 = 1.68 (urologist)
PSA 08/2008 = 1.5 (family doc)
PSA 12/2008 = 1.93 (urologist)
PSA 04/2009 = 2.9 (family doc - routine physical)
PSA 04/2009 = 3.4 (family doc sent in to different lab)
PSA 05/13/09 = 3.17 (urologist)
%fPSA 04/2009 = 15% (family doc)
4 DREs over the years - all unremarkable
Biopsy 06/05/09 = all cores benign; 3 of 12 showed inflammation/infection
prescribed 3 week regimen of antibiotic/anti-inflammatory meds.