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Prostate Cancer Patient Guide

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  • Prostate Cancer Patient Guide

    A good read...explains allot
    YOB: 1953

    Pathology report July28/2020

    Right apex anterior x4 prostatic adenocarcionoma, gleason score 6/10 (3+3), Grade group 1, 2/4 cores involved, 20% &< than 5%
    Left mid lateral : prostatic adenocarcinoma, gleason score 7/10 (3+4), grade group 2. 4% pattern : 15%. Tumor involves 40% core.
    Left mid peripheral zone x4: prostatic adenocarcinoma, gleason score 7/10 (4 + 3), grade group 3. 4% pattern: 85%; cribriform pattern. 2/4 cores involved (fragmented), 75% of overall tissue
    Left apex: prostatic ad enocarcinoma, gleason score 7/10 (4+3), grade group 3, tumor involves 5%
    HIFU treatment, Toronto Canada on Nov.22/2020....Volume prostate prior to HIFU 43cc

    PSA History:


    Aug/2011 2.42, Oct/2012 3.1, Feb/2016 5.1; Apr/2017 6.0; Sep/2018 6.7
    Oct/2019.. 8.5; Nov/2020 10.6 HIFU treatment Nov22/2020 Feb/2021 2.9
    Jul/2021 3.2; Nov/2021 3.0 Next...Feb.23/2022 3.5

    MRI Aug/2021 & Volume 30cc
    Ablation defect on left posterior. Low signal extending from left peripheral zone from base to apex. Left peripheral reduced in size. No discrete high signals present on right/left peripheral. No suspicious lesions.

  • #2
    Thanks for the link. It was helpful.
    2/17/22 PSA of 19.2 in blood lab from general physical. Referred to Urologist.
    3/10/22 Urology 1st visit. DRE (unremarkable) New PSA lab 18.8
    4//14/22 12 core biopsy.
    Left base - Gleason 4+3, Gleason pattern 4/60%.. carcinoma 2 of 2 cores 5-10% of tissue..
    Left mid Gleason 4+3 , Gleason pattern 4/90%..Cribiform 4 present, carcinoma 2 of 2 cores, 10% of tissue
    Left Apex Gleason 4+4, Gleason pattern 4/100%, Cribriform 4 present, carcinoma present in 2 of 2 cores, 5-10% of tissue. Perineural Invasion
    4/22/22 Bone scan (negative for MET) CT with contrast (also negative)
    5/12/22 EKG (ECG) UA and blood labs prior to Da Vinci LRP.
    5/30/22 Buy diapers. LOL
    6/2/22 scheduled procedure
    Let the journey begin

    Comment


    • #3
      Good read as it looks like I am on the way towards more treatment as well as my PSA has almost doubled in the last 6 months. Dr still says nothing to do until reaching .2?
      DOB 1959
      RP Mayo MN. 4/3/19
      Gleason pattern 4 + 4 = 8
      right and left sv+
      surgical margins-
      24 lymph nodes-
      4+4 8Extraprostatic Extension-
      Bladder Neck Invasion-
      Seminal Vesicle Invasion+
      Margins- 12/14
      pT3bpN0
      PSA 7/23 .74
      PSA 8/13 .78
      Lupron 8/14
      ART 9/3-10/31 68GY
      lupron 11/3
      PSA 3/3/20 <.01
      PSA 6/8/20 <.01
      PSA 9/14/20 <.01
      PSA 12/14/20 .01
      PSA 3/8/21 .03
      PSA 6/7/21 .04
      PSA 9/7/21 .07
      PSA 12/6/21 .09
      PSA 3/10/22 .13
      PSA 6/6/22 .17

      Comment


      • Rob Lee
        Rob Lee commented
        Editing a comment
        0.2 is the limit at which modern scans might be able to detect the presence of any prostate cancer. There are two paths forward: either let it continue to rise and hope it can be located on a scan, or suppress your PSA with ADT and hope it's not spreading.
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