One of Six "Highly Suspicious"

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New Member

Date Joined May 2011
Total Posts : 19
   Posted 5/24/2011 10:00 AM (GMT -6)   
Ok so I received the pathology report and it does not have much information, except for one  note that got my attention.  One of six specimens was discribed as "highly suspicious".  My doctor has sent up more PSA testing in a couple of months and said that we will need to keep a close eye on the numbers.  Just wonderring if I'm on the path towards cancer?

New Member

Date Joined May 2011
Total Posts : 19
   Posted 5/24/2011 10:13 AM (GMT -6)   
Also there was a number at the end of each summary. All of them were 20 except for the highly suspicious one which was 30. What does this mean?
3/07 - PSA 2.4
2/10 - PSA 5.6
4/10 - PSA 5.9 - Biopsy negative
11/10 - PSA 6.6
12/10 - PSA 6.8
3/11 - PSA 8.6
5/11 - Biopsy (one of six "highly suspicious")
8/11 - PSA scheduled

Veteran Member

Date Joined May 2011
Total Posts : 1313
   Posted 5/24/2011 2:31 PM (GMT -6)   
I think you will need another biopsy at some point. Taking 12 or more core samples is common.
The rise in PSA is suspicious as well. Good luck.

Post Edited (robertcool) : 5/24/2011 1:36:02 PM (GMT-6)

Regular Member

Date Joined Apr 2011
Total Posts : 416
   Posted 5/24/2011 2:48 PM (GMT -6)   
Did the biopsy give any indication as to the size of your prostate? It might explain some of the PSA number but the rise of two full points in a year's time is concerning.

It might be helpful to post the actual biopsy details here for a more accurate review.
John (HD_Rider)
Age: 49
PSA: 3.5, 6/07
PSA: 4.5, 3/11
Biopsy, 12 cores: 04/13/11
Dx: 04/19/11
Gleason: 3 cores at 3+3=6 and one core at 3+4=7 (primarily on right side with <5% on left side)
DaVinci: scheduled for 06/09/11, hoping and praying for the best

John T
Veteran Member

Date Joined Nov 2008
Total Posts : 4269
   Posted 5/24/2011 3:42 PM (GMT -6)   
Get a 2nd opnion on your slides from Bostwick Labs or from Dr Epstien at John Hopkins.
66 years old, rising psa for 10 years from 4 to 40; 12 biopsies and MRIS all negative. Oct 2009 DXed with G6 <5%. Color Doppler biopsy found 2.5 cm G4+3. Combidex clear. Seeds and IMRT, 4 weeks of urinary frequency and urgency; no side affects since then. 2 years of psa's all at 0.1.

Regular Member

Date Joined Jun 2010
Total Posts : 74
   Posted 5/24/2011 6:40 PM (GMT -6)   
I'm no expert, but taking 6 cores seems an insufficient number to take.  Should you go for a biopsy again down the road, after 3 to 6 months, ensure the uro takes at least 12.  My first, and only biopsy, had one core of 12 initial Gleason 3+3 =6.  Surgery provided a clearer picture: Gleason 7 and more widespread than a positive sample in one core might suggest.

Age at Dx: 56
DaVinci Prostatectomy: 10/28/09

Stage: T2C

Gleason - 3+4 = 7

Prosate: 52 grams

Incontinence - absolutely at first, better with time and kegels

ED - Indeed
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