greg, did you get the written pathology report? One thing isn't entirely clear to me:
You say 2 of 12 positive cores, G3+4. Is that in both cores? Because another place you say 4+5. This is a critical difference.
Your gleason score is a visual descript
ion of what the cells look like, there are various patterns, and They mean "Gleason pattern 3, 4 or 5" and there are usually two scores: the dominant pattern plus the minor pattern. So, you have a dominant of Gleason 3 with some Gleason 4. (A pretty common score). The higher the number, the higher the risk of spreading cancer.
I would suggest having your slides sent off to Dr. Epstein at Johns Hopkins for a second opinion. Once that is back you've got a good bit of information.
Have your urologist refer you to a prostate cancer radiation oncologist to talk about
the radiation options. Even better, if you can get all the specialists in the same room at the same time, you'll get all the questions answered at one time.
Age at Diagnosis: 56
Biopsy: 3 of 12, G3+3, all on LT side, 20%, 5%, 3%
Clinical Stage T2C
Bone Scan, CT scan negative for spread
RALP on 2/17/15, BJC St. Louis, Dr. Figenshau
58.5g, G3+4, 20%, 4 quadrants involved
PSA 3/10/15: 0.10
My Story: www.healingwell.com/community/default.aspx?f=35&m=3300024