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Re: Image Guide External Beam Radio Therapy or Da Vinci?
Well, you've succeeded in confusing me again, Simon.
In a previous post you said:
Therefore I had a minor TURP to get at that (Gleeson 3+4) AND a normal biopsy (Oh joy) 7 out of 12 cores positive most 3+4 but one small one 4+4!
Now you say:
1. Only 1 of 12 biopsy cores was positive - the 4+4 20%. - NOT 7 out of 12 apparently
and
2. 1g of material from the front (anterior) left and right ..... was 30% 3+3 and on the other side 31% (3+4 60:40).
This shows, as far as I understood the issues that 30% of the material in the focussed biopsy samples was positive for PCa.
As explained in the piece on Gleason Scores, the highest Gleason Score in all samples is taken for the purposes of 'scoring' the disease. Therefore you have a GS 8 disease unless an expert opinion changes the GS.
You can key whatver data you wish into the Partin and Han nomograms.
Re: Image Guide External Beam Radio Therapy or Da Vinci?
Terry, my apologies I am not sleeping and I got confused. The second post is the correct one (Ie 1 out of 12 positive the 4+4, but TURP showed both anterior lobes had cancer, but I am not sure it changes anything - as you say it is still Gleason 8.
Re: Image Guide External Beam Radio Therapy or Da Vinci?
BillG
Thanks - that is a good logic stream I think. I do like the idea of knowing what is going on - especially if it is good news! Perhaps less so if not! Then I might have wished I did something else! As far as I can tell from Terry's response it is a 50:50 toss up!
