Last week i had hubbys slides sent to Epstein for a second opinion. I have to say the level of professionalism as i had read here truly is outstanding! Dr Epstein emailed himself from start to finish, and gave me a direct line for follow up questions!! Very very very impressive.
I thought i would share this because it is interesting to hear/see the differences and hear his opinion on treatment. He said that hubby is borderline on needing Radiation. He suggested an RO consult 6 months after surgery to allow further healing.
Here is his report, the original can be seen in my signature for comparison!
Gleason 3+4 - 5% pattern 4. - Grade group 2. - Dominant nodule
Secondary Nodule - 3+3. Grade Group 1
Tumor Extent: Moderate
location of dominant - Left, anterior, lateral, posterolateral
Secondary - Right, posterolateral, mid
Margins - POSITIVE - Left, posterolateral
Positive in an area of intraprostatic incision (II) - Length 3mm
Grade at margin: 6
Seminal vesicle not available, lymph - not available
Extent of invasion Primary - PT2X - organ confined throughout, unevaluable in are of positive margin.
Summary Margins - Positive (3) Verumontanum mocosal gland hyperplasia **can anyone tell me what that statement means
When on the phone Dr Epstein told me how the EPE couldnt be evaluated as during the surgery the surgeon made a mistake and cut through the prostate! This shocked me, he said is can happen! Its the first we've been told about
this. But he said due to this fact and that the margins are positive although a 3+3 he said its borderline for radiation.
Husband DX 02/08/17
Age 50 - 3 year old twins
PSA 09/15 4.1
PSA 01/17 5.6
DRE NEG, BX 4 Cores Positive of 12 Gleason 7 (3+4) (40%) - 02/17
RALP 04/03 .... 2 day Hosp stay
Cath removal 04/12 ... Continent!
..... ED work in progress
Final Pathology PT3A EPE+,PNI +, negative margins (<3mm), SVI and nodes (5 taken) Gleason (3+4). 50% tumor
1st PSA 06.20.17 <0.01