Tall Allan,I was not aware of risk categories for post treatment recurrence? When I was first diagnosed close to 4 years ago. I was a gleason 6 3+3, later upgraded to 3+4 on reread slides from U o Washington, upgraded postop path went 4+3 +tertiary5= gl9.
When learning about
the disease at local urologists office , I distinctly remember a little card diagramed with artist conceptions of differientations shades of grade 1 thru 5 of the cells.
I remember the grade 3 was classified intermediate risk and then on up to grade 5. It was my belief up to now that this was the only risk classification out there,i.e., pretreatment. As time has progressed I see that grade3 alone or gl6 combines is arguably cancer at all, but at the worst would be low risk. Do you know what I mean about
the " grade differentiation cards that used to be out there. Some books actually show pics of actual slides, and would give the risk factor using those. This was specifically pretreatment risk factors. Just found it, diagram. 2nd edition walshes book 185, grade 3. I could be mistaken but my memory of the card Isaw, showed grade 3 as intermediate risk. Actually at his point in time, it matters not. Point is this was the only risk factor classification, I was aware of. With out boring you, I would add that in reading my actual path report it, in describing it in lay mans terms, re tert5. Said " Although the gland is primarily grade 3 and 4 cells, there are a few foci of grade 5. With my nuance for words and how they are strung together, I felt because it read primarily 3 and 4 not primarily 4 and 3 that the sequence of diff was 3+4+5. Then figured well it might be because that When they said primarily 3+4, they said that, because 3 came before 4 numerically. Again moot pt, it is at least a gl8 probably a 9. My noms are good up to a 9 due to , other than upgrade, the great path report, plus node disection minus arguably and controversial extensive pni. which is a whole other story. thanks for your time. Actually a response is not required, but any comments are always appreciated. Logo ps my chatter is due to an excessive amount of mynah bird seed I had for breakfast, tee hee
44 mos post op <.1 Pathology 4+3 tertiary5 pni+organ confine 27nodes disected-svi margin- age 70 " Do you not see how necessary a world of pain and troubles is to school an intelligence and make it a soul? " John Keats 1795-1821 25 TB.
Post Edited (logoslidat) : 7/3/2013 7:00:53 PM (GMT-6)