Biopsy Results

Les

Age 58 at Diagnosis

Oct 2006 - PSA 2.6 - DRE Normal

May 2008 - PSA 4.6 - DRE Normal / TRUS normal

July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C

Robotic Surgery Sept 18, 2008

Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc

Seminal Vesicles and Lymph Nodes clear

Positive Margins Right Posterior Lobe

PSA 5 week Oct 2008 <.05

                   3 month Jan 2009 .06

                   6 month April 2009 .06

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

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

Gleason 4 +3 = 7

T1C

PSA 4.2

2 of 16 cores cancerous

27cc

Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 6/1/09.  6 month PSA now at 1.4 and my docs are "delighted"!

Tudpock's Brachytherapy Journey: https://www.healingwell.com/community/default.aspx?f=35&m=1305643

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).