Prostate Cancer Survivors

 

YANA - YOU ARE NOT ALONE NOW

PROSTATE CANCER SUPPORT SITE

 

 

Return to Website

This forum is for the discussion of anything to do with Prostate Cancer.
There are only four rules:

  • No fundraisers, no commercials (although it is OK to recommend choices of treatment or medical people based on your personal research; invitations to participate in third-party surveys are also acceptable, provided there is no compensation to YANA);
  • No harvesting e-mail addresses for Spam;
  • No insults or flaming - be polite and respectful at all times and understand that there may be a variety of points of view, all of which may have some validity;
  • Opinions are OK, but please provide as much factual evidence as possible for any assertions that you are making

Failure to abide by these simple rules will result in the immediate and permanent suspension of your posting privileges.

Since this is an International Forum, please specify your location in your post.

General Forum
Start a New Topic 
Author
Comment
biopsies

Hello people at YANANOW,

I'm not sure if this posting went through, so I'm reposting it.



I've been reading your page since I was diagnosed with Prostate Cancer a year ago. I'm on AS but I'm afraid this is going to change soon.




I have an appointment with my doctors in a couple of weeks, but there is something I would like to know, so I'm better educated to ask my doctor questions and reach an educated solution.




I had two biopsies made. One on 9/24/14, blinded, or guided by ultrasound, one cancer core out of 13 total.




Then came the MRI with a probe in January.

on 6/10/15 a guided biopsy, of fusion biopsy, in which Dr. use MRI images to guide him through the biopsy.




This last biopsy still shows Gleason 6 (3+3) T1c and Stage 1.

However, out of 13 cores, four were positive and one was "suspicious", but the cancer still considered low grade.




Genomic test done, with the biopsy slides (Onco-type DX) and Shows an intermediate risk (That[s sort of upgrading it a little bit).




But the question I have, and I count on the experience that many of you who went through it may have is the following:




The targeted biopsy, the one that shows 4 cores instead of 1, as the first one did, is because it is more accurate, but being 4 in that one is the same as 1 in the blinded biopsy?




Please don't think that I'm going to substitute your online feedback with a consultation with my doc. I will not. But doctors some times take things for granted and don't go into great details and them I clam up and don't ask many questions.




Thank you. I will contribute with my story in your forum soon.

Greetings,

Pablo

Re: biopsies

Pablo,

You ask a very good question. The MRI guided biopsy was probably not sampling your entire prostate but concentrated on sampling the tumor identified by the MRI. Obviously if you just take samples from a visible tumor they will all be positive. You still may qualify for AS as long as you have no cores over 50%. It was also good that your gleason score was not upgraded.

Fred

RETURN TO HOME PAGE LINKS