In a separate thread, F8 (Ed), who is approaching the 4th anniversary of his prostatectomy, asked what the largest percentage core was in my biopsy....because, like him, I am at the fourth anniversary of my surgery and just got an undetectable PSA reading.
Well, Ed, first let me thank you for asking, because your query finally caused me to look around and find my medical records related to the diagnosis and surgery. I haven't seen that folder in the last 3 years, but tonight I found them. Thanks!
But, I also want to mention them here because I still find them confusing, just as I'm sure a lot of newly-diagnosed guys find their biopsy and final pathology reports confusing. So, here we go:
On the biopsy, back in June of 2010:
Right base, right mid, right apex, right base lateral, right mid lateral, and right apex lateral: all benign prostatic tissue, no malignancy noted.
Left base, prostatic adenocarcinoma, Gleason 3 + 3, 20 % of total
Left Mid: Prostatic adenocarcinoma, Gleason 3 + 4, 60 percent of total biopsy
Left Apex: Prostatic adenocarcinoma, Gleason 3 + 3, 50 %
Left base lateral: Prostatic adenocarcinoma, Gleason 3 + 3, 30 % of total.
Left mid lateral: Prostatic adenocarcinoma, Gleason 3 + 3, 15% of total
Left Apex lateral: Prostatic adenocarcinoma, Gleason 3 + 3, 60 percent of total.
So, just one core was 3 + 4.
However, after surgery, the final pathology report reads, "Prostatic adenocarcinoma, Gleason 3 + 4 =7, present in the left AND right lobes (left much greater than right) and involving less than 10 percent of the examined prostatic tissue. Extensive perineural invasion; all surgical resection margins, negative for carcinoma; high grade intraepithelial neoplasia (HGPIN); Benign glandular and stromal hyperplasia; Bilateral seminal vesicles, negative for carcinoma. Note: Benign prostatic glands are focally present at the inked and cauterized apical resection margin. (I have no clue what this sentence means).
Weight of specimen, 80g
So, Ed, there you have it, and as you can see there are significant differences between the biopsy results and the final pathology. I especially notice that the biopsy only found cancer on the left, whereas the final pathology showed 3 + 4=7 in both the right and left lobes.
I don't know how those numbers compare with yours, but maybe they will help you, and others, come to some sort of conclusion about their personal situations. Good luck to all. Bill