Diagnosed x2 weeks ago...request opinions
I've bren reading this forum for a couple of weeks and am very impressed with the information that I'm seeing.
My GP was concerned about my 1 year rise in PSA (from 1.98 06/2017 to 3.37 03/2018) and arranged an appointment with a urologist. The urologist did a DRE and located a nodule on my prostate. One week later they did a prostate biopsy. Urologist called on 05/18 and informed me that I had PC (Gleason 8). I requested that they get a second opinion on the slides from Johns Hopkins and am waiting for them to send the slides for review. The urologist is scheduling MRI/CAT/Bone scans to check to see if the PC has moved out of the prostate. He doesn't believe it has due to my low PSA.
Below are the results of my biopsy:
Biopsy Report Results
64 YO at time of DX (5/2018) PSAV: (06/17) 1.98 (09/17) 2.05 (03/18) 3.37
Initial DRE (05/18) revealed nodule on prostate, referred for BX. Results:
R. Apex biopsy: Benign Prostatic Tissue
R. Mid biopsy: Benign Prostatic Tissue
R. Base biopsy: High grade prostatic intraepithelial neoplasia (HGPIN)
R. Lateral apex biopsy: Benign Prostatic Tissue
R. Lateral mid biopsy: Benign Prostatic Tissue
R. Lateral base biopsy: Benign Prostatic Tissue
L. Apex biopsy: ADENOCARCINOMA Gleason 8 (4+4) 9mm involving 100% of the biopsy. Gleason Grade: Group 4
L. Mid biopsy: ADENOCARCINOMA Gleason 8 (4+4) 11MM involving 100% of the biopsy. Gleason Grade: Group 4.
L Base biopsy: High grade prostatic intraepithelial neoplasia (HGPIN)
L. Lateral Apex biopsy: Benign stoma.
L. Lateral Mid biopsy: ADENOCARCINOMA Gleason 8 (4+4) 6mm involving 60% of the biopsy. Gleason Grade: Group 4
L. Lateral Base biopsy: Benign Prostatic Tissue.
PVOL: 58ml / PSAD: 0.06 / PSA: 3.37
Needless to say, I'm scared as heck but I've had two weeks to read and become better informed. Now just trying to figure out my next steps based on the upcoming test results.
Thank you for any assistance/opinions that you might be a able to provide.
Dennie (US Army, Ret.)
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