Just heard from my Urologist and I am sharing the results of the biopsy - they are ordering a PET scan as soon as possible and it appears that the cancer may have spread to other parts of my body. To say I am freaking out at this point would be an understatement and I am looking for help, suggestions, support on anyone that has gone down the road I am about to travel............
A. Prostate, right base, needle core biopsy:
Prostatic adenocarcinoma, Gleason score 4+5=9 (Grade group 5), involving 2 of 2 cores (90%, 95%)
Perineural invasion present.
B. Prostate, right mid, needle core biopsy:
Prostatic adenocarcinoma, Gleason score 4+5=9 (Grade group 5), involving 2 of 2 cores (95%, 100%)
C. Prostate, right apex, needle core biopsy:
Prostatic adenocarcinoma, Gleason score 4+3=7 (Grade group 3, with 90% Gleason 4 tumor), involving 2 of 2 cores (10%, 60%)
D. Prostate, left base, needle core biopsy:
Perineural focus of prostatic adenocarcinoma (<5%)
E. Prostate, left mid, needle core biopsy:
Prostatic adenocarcinoma, Gleason score 4+5=9 (Grade group 5), involving 1 of 2 cores (95%)
Perineural invasion present.
F. Prostate, left apex, needle core biopsy:
Prostatic adenocarcinoma, Gleason score 4+3=7 (Grade group 3, with 90% Gleason 4 tumor), involving 1 core (90%)
Perineural invasion present.
G. Prostate, target 1, needle core biopsy:
Prostatic adenocarcinoma, Gleason score 4+5=9 (Grade group 5), involving 3 of 3 cores (95%, 95%, 100%)
Perineural invasion present.
Foci suggestive of extraprostatic extension.
H. Prostate, target 2, needle core biopsy:
Prostatic adenocarcinoma, Gleason score 4+4=8 (Grade group 4), involving 2 of 2 cores (80%, 90%)
Perineural invasion present.
I. Prostate, target 3, needle core biopsy:
Prostatic adenocarcinoma, Gleason score 4+5=9 (Grade group 5), involving 2 of 2 cores (80%, 95%)
Perineural invasion present.