Biopsy report in

Steve1961
Steve1961 Member Posts: 625 Member

Everybody knows my story, but if you don’t prostrate cancer five years ago, 3+4 radiation treatments plus the breakytherapy booster. Now five years later PSA dropped from its lowest point of 0.9 up to 1.9 but here are the results. Very confusing. I do have a follow up visit on November 8, looks like it’s 4+ 4 this time but then again they’re saying it’s so small I can’t really tell very confusing I guess the good thing is I caught it early and it is very small and hopefully it looks like it’s still contained but maybe you can have a look . I guess I’m going have to definitely treat it again.

COMMENT:

In this case we note prostatic adenocarcinoma with no treatment effect

in parts D and I for which Gleason score has been provided. In addition

there are scattered foci of prostatic adenocarcinoma with radiation

changes; this is seen mostly as discontinuous single cells and single

glands. Gleason score is not applicable in treated carcinoma, and as

such Gleason score is not provided for treated tumor. Lastly, radiation

changes are seen in benign prostate tissue. 


In part I, there is carcinoma with no radiation changes and small

scattered foci of prostate carcinoma with radiation changes. 


In part D, the tumor focus is too small for accurate grading and Gleason

score 4+4=8 is favored. 


Gleason pattern 4 is comprised of expansile cribriform and poorly formed

gland types. 


Slide for part I was also reviewed by Dr Simko at the GU case consensus

conference on 10/25/2023 with agreement on the Gleason score and

interpretation. 

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