My doc gave me results by phone but I just got a look at the actual report and his summary.
I didn't know I was supposed to be worried about
"perineural invasion"! I asked the doc on the phone if there was anything to suggest it had or hadn't spread outside the prostate, and all he said was it was statistically unlikely. Does a 100% core and PNI mean it is likely or has already happened?
Here's my best re-typing of the results. Spell-check is useless, of course.
He says the cancer is "early stage (clinical stage T1c), moderate grade (Gleason score equals 7), adenocarcinoma of the prostate with a PSA of 5.2. Taken together, these are favorable prognostic indicators."
Okay, I like the favorable part.
Here's what came from the cores:
R med apex Vol 5% - G1 3/50 - G2 3/50 - Gleason 6 - no PNI
L lat apex 1/1 Vol 100% - G1 3/80 - G2 4/20 - Gleason 7 - PNI seen (??)
L med apex - Vol 30% - G1 3/80 - G2 4/20 - Gleason 7 - no PNI
L ant - Vol 30% - G1 3/80 - G2 4/20 - Gleason 7 - no PNI
L lat base - Vol 5% - G1 3/50 - G2 3/50 - no PNI
2, 7-9, 11. Prostatic adenocarcinoma, Gleason score 3+4=7. Focal perineural invasion identified.
1 - right lateral apex - Focal high-grade prostatic intraepithelial neoplasia (HGPIN)
3-6, 10, 12 Benign prostatic tissue.
So here's the question I've been asking for the past two months and with every bit of news: Should I be freaked out?
I have a meeting with Dr. Stricker on Monday (Jan 31). I'll be taking these results, of course, along with the actual slides. I can't wait to hear his opinion.
Age 43 at diagnosis (2011-01) with PSA of 5.2
PSAs 2008-03: 2.6, 2008-06: 3.4, 2008-07: 2.5, 2009-11: 2.9, 2010-12: 6.4
Biopsy 2011-01 - Gleason 7 in 5 of 12 cores - Staged T1c so far
Posts telling the story at .
At my age with 4 young kids I am freaked out and in "GET THAT THING OUT NOW!" mode