u/Capital-Landscape492

Questions about changing Gleason numbers.

I will try to keep this short.

First biopsy in January returned Gleason 3+3. There were however concerns that it missed the “Region of Interest” (tumor) spotted on the MRI. I educated myself and requested a Fusion Guided MRI Biopsy to verify the results.

This happened this week and I just got the preliminary report and my follow up with my first urologist is Tuesday. One core from the ROI came back Gleason 3+4 in the guided biopsy. Boundaries are clean, nothing else bad. My PSA has climbed in the last six months.

How concerned should I be about the changes in Gleason and Psa? The tumor measured is 2x1.2 cm or something like that. I am starting to read and educate myself about treatments when previously I had assumed I would be on AS for a while.

Any thoughts, comments or suggestions for follow up questions would be appreciated.

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u/Capital-Landscape492 — 10 hours ago

Just did my major shakedown for SEVENTY/48

I finally did my major shakedown paddle for SEVENTY/48 and knocked out almost 28 miles in 9 hours. I missed a tide window launching 90 minutes late and had a nasty few miles at the end against about 10 knots of wind and 3/4 knot of tide in the rain…. That was not fun, but I now have a list of a bunch of things to tweak with my gear and in boat access to help me with the race.

My route was launching in Coupeville WA, then east out Penn Cove into Saratoga Passage and south to Baby Island outside Holmes Harbor on Whidbey Island. This was my longest day of my life on flat water. I am enjoying the new (to me) vintage Kevlar Discover. RIP Northwest Kayaks.

u/Capital-Landscape492 — 7 days ago