This is just a quick note for Australians doing second opinions on biopsies.
It's hard sometimes gauging whether our top specialists and our surgeons in Australia are as good as the best in the world.
We did the second opinion on the biopsy with Dr Delprado who came well recommended from BillyMac.
I have been in contact with Dr Epstein about my husband's path results and when he found out that Dr Delprado (Douglass Hanly Moir laboratories) had done the biopsy and post RRP, he stated that he knew Dr Delprado very well and had great confidence in his work.
So I think we should add Dr Delprado, details in link below as someone to go to for a second biopsy opinion for newcomers to this site. Otherwise people from Australia get referred to laboratories from Europe or the US from this site which are comparatively much more difficult to access.
Dr Delprado's resume is very impressive, he was part of the ISUP Consensus Committee on Gleason Grading amongst a whole list of other things. And like Dr Epstein he is accessible and open.
Husband's age: 52. Sydney Australia.
Family history: Mat. grandfather died of PC at 72. Mat. uncle died of PC at 60. He has hereditary PC.
PSA: Aug07 - 2.5|Feb08 - 1.7|Oct09 - 3.67 (free PSA 27%)|Feb10 - 4.03 (free PSA 31%) |Jun10 - 2.69. DRE normal.
Biopsy 28Apr10: negative for a diagnosis of PC however 3 focal ASAPs “atypical, suspicious but not diagnostic” for PC. Review of biopsy by experienced pathologist, 1/12 core: 10% 3+3 (left transitional), 1/12 core: ASAP (left apex)
Nerve sparing RP, 20Aug10 with Dr Stricker. Post-op path: 3+4 (ISUP 2005). Neg margins, seminal vesicles, extraprostatic extension. Multifocal, with involvement in the peripheral, apex, fibro-muscular and transitional zones.
Post RP PSA, Sep10 – 0.02