2nd Opinion on Biopsy

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YaYa Princess
New Member

Date Joined Apr 2010
Total Posts : 11
   Posted 3/13/2011 4:55 PM (GMT -6)   
What do we need to do to get the biopsy slides sent to another lab for a second opinion?
age at dx 59; PSA 9/08 .91, PSA 12/09 1.96, prescribed Cipro, PSA 2/10 1.91, 22% free; Biopsy x 12: 2/25/10, Prostatic Adenocarcinoma, GL 3+3=6, R Mid <5%, L Base 20%, L Mid rare atypical glands
PSA 7/10 2.47
PSA 9/10 1.52
2nd Biopsy (2/17/11) R Mid 10%, L Mid 5%, GL 3+3=6

Regular Member

Date Joined Dec 2010
Total Posts : 144
   Posted 3/13/2011 6:22 PM (GMT -6)   
Generally you as you doctor who did the biopsy to send the original slide to the doctor who will doing the second opinion
Age at diagnosis 48
Gleason 3+3
Pre-Surgery PSA 5.1, 5.7
Cores Positive: 10 of 12 up to 40%
Treatment: open Surgery Dec 2010
Feb 14, 2010 PSA < 0.10 (effectively zero)

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 3/13/2011 6:33 PM (GMT -6)   
Here's info at the Bostwick website, as to their procedure.

James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RP, Path: pT2c, 110 gms., clear except:
Probable microscopic involvement-left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09, 12/10-.09, 02/11-.08
ED-total-Bimix 30cc

Veteran Member

Date Joined Jan 2006
Total Posts : 650
   Posted 3/14/2011 5:47 AM (GMT -6)   
I have seen, what seems like, quite a few people talk about Dr. Epstein @ Johns Hopkins and he seems to be considered as an authority on Geason scores of slides.
Here is a post I found by doing a search of this site using the term "johns hopkins slides". 
Veteran Member

Date Joined Jul 2006
Total Posts : 731

My biopsy slides were sent to Dr. Jonathan Epstein at Johns Hopkins for a second opinion.  My urologist initiated the request and the pathology lab here in Seattle sent them to JHU. 

I had a confirmatory second opinion on the slides back in about 10 days. Dr Epstein confirmed the positive biopsy and the Gleason score of 3+3.

My post-prostatectomy pathology slides were not sent to Johns Hopkins. 

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