Mar 07, 2011 - 10:23 pm
I'm not sure of the rules for these forums. I just joined today, and I'm very glad to have found this site. I picked up some stuff today from the last 65 days: Prostate MRI imaging, CT imaging, Bone scan imaging, Biopsy report, Bone scan report, and CT scan report. While I've spent much time reading internet material about PCa, most of these technical reports are confusing.
My immediate concern is how to decipher the biopsy report. While I've had three prior biopsies, they found no cancer so I never asked for a copy of those reports. The latest biopsy (2/14/11) was done after getting a Prostate MRI in which the radiologist identified 2 "areas of concern" in the imaging. Happily (for me) he assisted the urologist doing the biopsy by confirming the location of the biopsy gun to concur with the MRI. 31 cores plus 20+fragments went to the pathologist, taken from 8 locations all on the right side of the prostate: Right Mid 1 through Right Mid 4, and Right Apex 1 through Right Apex. I presume that the middle section and the apex section of the right side of the prostate was subdivided into 4 zones/areas and that is was these location reference pertain to. Is this the case??? Is each zone a "slice" of the section? Is the section "quartered" in 4 parts? I'm trying to understand the actual location of the cores in the report.
The first area/zone report is as follows:
A: Right Mid 1: Prostatic adenocarcinoma, Gleason score 8 (4+4), 6mm focus, involving 1 of 3 biopsy cores, and representing 10% of the biopsy cores.
Similar reports using the same format follow for all 8 zones.
The specific items that confuse me are "6 mm focus", "... 1 of 3 biopsy cores",
Any help decoding this report format is appreciated.
Thanks for any assist.