The value of second opinions
When I was diagnosed last fall, all my test results, biopsy, Gleason, MRI and Oncotype testing pointed to Active Surveillance as the best mode of treatment. The original biopsy had one positive core with a Gleason of 3+3.
The the pathology report on my second confirmatory biopsy came back with two cores, 3 & 7% showing a Gleason of 3+4. These results could have potentially led to a decison not to persue AS but seek a more aggrresive form of treatment. My urologist suggested that we have the slides re-evaluated at Johns-Hopkins. I received the results yesterday at my urologist's and JH evaluated my slides as 3+3, so for the time being, I will be persuing AS. Medicare declined coverage of the JH review, but it might be the best spent $250 of my life.
Comments
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Great outcome!
I suggest you send your urologist a bouquet or a six-pack of his favorite brew! Not all of them are fond of second opinions. But if you look at the pictures on the Johns Hopkins urology/pathology site, one can see that the interpretation isn't always straightforward. Moreover, the Johns Hopkins pathologist (Dr Epstein ) is the ultimate source of wisdom with respect to the Gleason scoring system.
http://pathology.jhu.edu/department/services/secondOpinion.cfm
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wonderful news
You are far from the first man, myself included who has had a second opinion by a world class expert pathologiist that is different from the initial pathology results. This is all too common. There is a difference between the skills and facilities available to pathologists. Just like any other medical specialty, you want the very best, an "artist". Some of us at this board supported this decision. Hopefully others at this board who did not support having a second opinion will learn from this.
https://csn.cancer.org/node/315960
https://csn.cancer.org/no. Hopede/315620
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My urologist is a she, not aOld Salt said:Great outcome!
I suggest you send your urologist a bouquet or a six-pack of his favorite brew! Not all of them are fond of second opinions. But if you look at the pictures on the Johns Hopkins urology/pathology site, one can see that the interpretation isn't always straightforward. Moreover, the Johns Hopkins pathologist (Dr Epstein ) is the ultimate source of wisdom with respect to the Gleason scoring system.
http://pathology.jhu.edu/department/services/secondOpinion.cfm
My urologist is a she, not a he, and a rather attractive one at that.
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Wonderful
Tech,
Great news. Hope you manage staying on AS forever.
Please allow me to add in your thread the comments from another mate on the Value of Second Opinions, in here;
http://csn.cancer.org/comment/1290680#comment-1290680
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