Finally got Biopsy Report

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Regular Member

Date Joined Oct 2007
Total Posts : 37
   Posted 10/23/2007 2:12 PM (GMT -6)   
I have finally read a copy of my biopsy report. I just didn't seem to know as much about my PC as the rest of you knew about yours. I am not sure that I still do. Basically I know 2 of 12 samples were 10% or less involved. I appears to me by reading many of your stories that does not mean much as once the prostate is removed it could be more than 10% involved as they just might have missed it during the biopsy. (is this correct)?
I have my consultation appointment on 10/29/2007 with Dr. Duke Herrell at Vanderbilt University Medical Center. I have heard good things about him. I have heard that he may be booked up and may not get my surgery done as soon as I would like. I will try to think positive that is not true.
Thanks to all of you I think I have a good idea of what to expect. I am still having my ups and downs but for the most part remain positive.
I am tying to eat properly and exercise more. If there are any nutritional supplements that you know of that might help me, I would appreciate hearing about them.
Alot of great folks on this site and I will say a big prayer for all of you.
Thanks for your help.
Diagnosed 10/15/2007
Age 55
PSA 4.2 9/15/2007
PSA 3.9 10/1/2007
Prostate, Transrectal Needle Biopsy 10/05/2007
Results 10/5/2007
A-D Right Base, Right Mid, Right Apex, Left Base;
Benign Prostatic Tissue
E. Left Mid; Adenocarcinoma, Gleason's Grade 3+3=6, 10% involved
F. Left Apex; Adenocarcinoma, Gleason's 3+3=6, Less than 10% involved
2 of 12 involved as two samples were taken from each area.

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 10/23/2007 3:04 PM (GMT -6)   

If there is any routine or common report results, you seem to fit into the medium of it.  That's similar to what lots of us here received.  Other than it being cancer, I see nothing alarming or unusual with that biopsy.  Others with more experience may differ or have more detail to add...

James C.

Cedar Chopper
Regular Member

Date Joined Mar 2007
Total Posts : 432
   Posted 10/23/2007 3:37 PM (GMT -6)   

The "6" means relatively slow growing and the 10% in two cores means it's not everywhere -
 - and yes they can miss things like capsular penetration with most any pre-surgery biopsy.

To get one of the best surgeons you will likely have to wait +/- two months.
You can book your preferred surgeon, ask to be moved up for any cancellations (stop taking aspirin now), and if you are so moved - you then could use your expected option of a "second opinion" to find another most qualified surgeon that can work on you sooner.
I'd personally get a second opinion regardless!

I waited two months with a "6."  You of course will need to make your own decision.
I got a second opinion. It confirmed my choices and gave me the opportnunity to learn a LOT more about the procedure as I questioned both the Physician and the Physician's Assistant (at M.D. Anderson).  It was worth the time money and drive.
I personally would NOT wait longer than 3 months.

Keeping you in our prayers.


2 Years of PSA between 4 and 5.5  + Biopsy 23DEC06 
Only 5 percent cancer in one of 8 samples.  +  Gleeson 3+3=6
Radical Prostatectomy 16FEB07 at age 54.
1+" tumor - touching inside edge of gland.  + Confined:)
Pad Free @ 14 weeks.  Six Month PSA <.003  :)
At 6 months, ED treated with Pump Exercises & 50mg Viagra Daily
Texas Hill Country FRESH Produce Department Manager
Have you had your 5 colors today?

Regular Member

Date Joined Sep 2006
Total Posts : 211
   Posted 10/23/2007 5:11 PM (GMT -6)   

I am tying to eat properly and exercise more. If there are any nutritional supplements that you know of that might help me, I would appreciate hearing about them."

It seems lifestyle can have a large influence on progression of PC as suggested by the relatively low instance in Japan and some other Asian countries.

To briefly answer you question on supplements, suggestions include Lycopene, slenium, vitamin E, vitamin D3. Fish Oil. Most of these are available in the diet or naturally, but supplements are  suggested for PC patients.

Dr Myers in his books suggests a mediterranean diet, and reduction of red meat and dairy fat consumption. 

Soy and green tea which is widely consumed in Asian countries is also often mentioned.

More extensive information is available online or in the books by Dr Myers or lifeextension foundation (lfe)

Veteran Member

Date Joined May 2006
Total Posts : 2542
   Posted 10/23/2007 5:33 PM (GMT -6)   

tongue    Hey ~ Educator,

Buddy & I invite you to read "Our Journey" listed in our signature below.  It won't hurt and you might find a stepping-stone in our path that might help you along your path.

Please continue eating good, exercise, and start kegels immediately.

Our thoughts and prayers surround you as you move forward.

Stay positive and if you find dark clouds starting to cover you ~ reach out to all of us.  And keep your little rainbow handy ~ especially at night!!!

We will definitely be sending extra strength to you.

In Friendship ~ Lee & Buddy


*This is your very own Rainbow and it’s sprinkled with Sunshine*







mama bluebird - Lee & Buddy… from North Carolina


v          We invite you to visit our personal thread:  Click Here:  “Our Journey” ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy

PSA 4.6   Gleason  3+3=6    T2a   Confined to Prostate

3rd PSA 08-07-2007 Less than 0.1 Non-Detectable :)

Regular Member

Date Joined Jan 2007
Total Posts : 165
   Posted 10/24/2007 11:23 PM (GMT -6)   

You seem to have made the decision for sugery.  I second that very strongly.  My numbers were very similar to yours, even age and Gleason scores.  I happened to have a worse than expected post surgical pathology report.  I'm very glad that I chose surgery, so my doctors and I would know just how much cancer I have.  With my surgical margins, I opted for adjuvant radiation therapy, which wrapped up October 6.  Now I'm waiting to see how everything worked.

You very well may have negative margins and everything contained, so after surgery, you'll be in great shape.  At least you'll know.  Good luck!

PSA 4.7 (up from 3.2 one year ago)
Biopsy November 8, 2006 1 of 10 cores positive 5% LEFT Side Gleason 3+3
Robotic surgery January 19, 2007
Post Surgery Pathology
     Stage T3a, Gleason 3+4, positive margins and
     capsular penetration RIGHT Side
Post Surgery PSA:  March 5:  0.01
5 month PSA, June 13, 2007:  0.08
Adjuvant therapy began June 26 with Zoladex injection
Radiation began August 23

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