Prostate Cancer Survivors

 

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Re: Second Pathology Report

Wendell, get the second opinion. Your uro told you that when they send for second opinions: "there has very rarely been any difference." That means there HAVE been differences. You need to know if yours is one of them.

Also get second opinions about which form of treatment.

Ted from England

Re: Second Pathology Report

Concur with all the above. My 2nd opinion from Bostwick was almost an exact match with the original path report I received from my urologist. I am glad I did it because I am now more confident with what I am dealing with and how to approach treatment.

It's definately worth the getting 2nd opinion just for the peace of mind it offers.

MP in the Netherlands

Re: Second Pathology Report

Wendell,

MP really makes a good point about peace of mind, and I think you'll find that your insurance will cover a second opinion.

Re: Re: Second Pathology Report

Wendell:
A second opinion is worth the extra time & cost. There have been mistakes in the interpretation of the biopsies, and remember "regret is forever". My second opinion came back the same as the original, but I did talk with one individual who wished he had gotten a second opinion because his post-surgery pathology came back cancer-free!
Mike C

Re: Second Pathology Report

Hi Wendell,
A Gleason of 7 is usually considered a dividing point of where the effectiveness of a more agressive treatment than RP alone would be indicated. You should go for that second opinion! - p (Alaska, USA)

Re: Second Pathology Report

Wendell,

I was initially diagnosed in August 2008 with 3 biopsy cores positive

The first lab saw my cancer as:

mid apex 3+4 80%
left apex 3+4 30%
right mid 3+4 20%

Three weeks later I sent my biopsy slides to a second prestigious pathologist in New York. The results were:

mid apex 4+4 75%
left apex 4+3 30%
right mid 4+3 15%

My PSA is 2.1 but based upon the upgraded Gleason score I was designated "high risk" and chose HT/Brachytherapy/EBRT as my treatment.

Even though I did not like the news from the second pathology report I'm so glad I did this as I might have otherwise been undertreated.

Al

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