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It seems, from what you say, that these are your notes during meetings with your medical advisors - is that so, or are they from the copies of the biopsy report(s) that you have obtained? If the former, it would be better to get copies of the reports themselves.
I query this because there seems to be some information missing - like distinguishing between the samples from the left and the right side of the gland and the reference to a second biopsy.
If you get those reports and still don't understand them, we'll do our best to interpret them, although none of us on this Forum are qualified to analyse your diagnosis.
It is important to bear in mind two things about PCa - there are many variants and the effect of any specific variant will vary in it's effect on the man diagnosed, depending on a number of genetic and life style issues.
So it is not simply a question of a kitten or a tiger diagnosis, but if we are to continue the rather a whole series of 'cats', there are domestic cats, wild cats, feral cats, caracal, lynx, cheetah, puma, leopard, lion - you get the picture and it is important to try to get the best picture you can of the cat before deciding how to deal with it. Or as Dr Strum says ASSESS STATUS BEFORE DETERMINING STRATEGY
From what you have said, and bearing in mind all the uncertainty, it seems unlikely that you have either a tiger or a kitten - but something in between.
Good luck to you - and thanks again for the donation.
I agree with Terry in that it is somewhat futile to seek to categorise PCa in such a simplistic fashion. The most consistent thing about PCa is it's inconsistency.
Ok so having said the above, I am of the opinion that limited data in your biopsy reports suggest's that your PCa is eminently treatable. In fact your biopsy data is similar to my own. I am almost 2 years post treatment, and I now enjoy a good quality of life.
Hi Peter,
The two biopsies are contadictonary, so you had better get copies of the reports.
In biopsy two the classification is pT3a, which means that the cancer has left the prostate and spread elsewhere. Gleason 4+3 also approaches a high risk situation, so I think your cancer is something like "Garfield" (but not as lazy), if you want to think in those categories.
You should have a good talk with your uro and find out as much as you can about your cancer by further diagnostic like MRI, CT, and bone scan.
