I was diagnosed with moderately differentiated adenocarcinoma of the prostate on 12-30-2010. I am 53 years old in otherwise good health. My psa was 4.3. My last psa was 1.2 in 2007. Original biopsy report showed Gleason score was 6 (3+3), 8 out 12 bioposy cores positive, 4 on each side. Tumor represented 30% of total tissue volume of the samples. No perineural invasion noted.
A review of the slides by another institution says Gleason score is 7 (3+4) with perineural invasion. 70% of volume of biopsy sample from right side has cancer, 25% of volume on left side.
2.0 x 3.0 x 1.0 mass was seen at time of ultrasound. Stage is estimated to be t2c.
Is it unusual for pathologists to have differing reports based on the same slides? Which one do I believe? Does it matter?
Scheduled for robotic prostatectomy on Feb 10. Scared about extent of cancer. Scared about surgeon ability to save both nerve bundles. Very worried about complications from surgery. Really worried that cancer is outside the prostate.
I find it difficult to express my fear. I feel like I have to be strong for my family. I am married with 3 adult children. But I can't sleep and find it difficult to function in everyday living.
I guess I am hoping for a little help and support