Diagnosed last month with Gleason 6 and 7 (3+4)
Been reading Survivng Prostate Cancer boook by Dr Walsh which has been extremely valuable. I had biopsy done which found 2 lesions from 14 samples, one a 3+3 and the other 3+4, the pattern was labeled a cribiform. Urologist recommended surgery, I am 54 years old. Now comes the interesting part of the story, I was referred to next step getting a MRI, well, went last night, Filling out the form they asked if I ever had any shrapnel, BB’s or metal in my body. Well, when I was 10 my best friend shot me with a BB Gun. The BB hit me in my eye. At the time didn’t think the BB went in. Just bounced the corner. Well, they needed to be sure. So, I told them I had a CT Scan of my head done end of last year, they pulled that up and saw a round object behind my eye in the spot I got hit, the radiologist looked it over and determined the BB is there from almost 44 years ago. So, they could not do the MRI.
I am scheduled to meet surgeon today to discuss surgery to remove the Prostate. I am guessing since I cannot do a MRI, they will do a PSMA PET/CT next. Seems the PSMA PET/CT would have been better option than a MRI from what I have looked up. What have others done that have not been able to do a MRI? What about long term imaging options after getting surgery, would it always be a PSMA or other type of imaging avaialble?
I will ask these questions to Dr today. Any other questions I should be asking you think? Here is my biopsy results:
FINAL PATHOLOGIC DIAGNOSIS
A. PROSTATE, RIGHT BASE, NEEDLE BIOPSY:
- BENIGN PROSTATIC TISSUE
B. PROSTATE, MID, NEEDLE BIOPSY:
- PROSTATIC ADENOCARCINOMA, GLEASON SCORE 3 + 4 = 7 (PATTERN 4 =
30% OF TOTAL TUMOR, GRADE GROUP 2), INVOLVING 1 OF 2 CORES (TUMOR
MEASURES 1.5MM IN A 13MM CORE).
- CRIBRIFORM GLANDS PRESENT
(SEE COMMENT).
C. PROSTATE, RIGHT APEX, NEEDLE BIOPSY:
- PROSTATIC ADENOCARCINOMA, GLEASON SCORE 3 + 3 = 6 (GRADE GROUP
1), INVOLVING 1 OF 2 CORES (TUMOR MEASURES 0.5MM IN A 13MM CORE).
D. PROSTATE, LEFT BASE, NEEDLE BIOPSY:
- BENIGN PROSTATIC TISSUE
E. PROSTATE, LEFT MID, NEEDLE BIOPSY:
- BENIGN PROSTATIC TISSUE
F. PROSTATE, LEFT APEX, NEEDLE BIOPSY:
- BENIGN PROSTATIC TISSUE
Comment
Cribriform glands represent a high-risk histologic subtype of
Gleason pattern
4 prostatic adenocarcinoma, and are associated with
increased risk of upstaging and a higher risk of recurrence after
treatment.