Prostate Biopsy results

Naturally you are anxious to know how you stand but I wouldn't read much into this as there could be a number of reasons why this has been changed, one of them being that changed hospital load has enabled them to discuss your case earlier. Unfortunately, there are often long waits for diagnostic results and also sometimes for treatment where this is recommended, particularly where surgery is a likely option.

Edited by member 16 Mar 2023 at 01:05  | Reason: spelling

Not necessarily Colin, I got my results of the biopsy over the phone.

I then got all the paperwork relating to the treatment options open to me & a meeting with the consultant a few weeks later to talk over the preferred treatment I would like to have.

I know the waiting is an anxious time but the news you receive could still be good news so try not to worry too much.

All the best Jeff.

So I have now been diagnosed prostate cancer, gleeson 7 (3+4) T2.

It's taken me a few days to get my head round it but I'm glad it's been caught early. Based on what the specialist nurse told me when she gave me the results, it would seem that they will be recommending surgery. I think this would be my preference too.

I have a meeting with the surgeon on Friday to discuss the results and options moving forward. 

The only thing I've noticed since on my biopsy report was that it mentions Perineural invasion. Should I be worried about this?

Colin 

The cancer has been seen tracking along nerve sheaths inside the prostate. This does provide a possible route for microscopic cancer to have tracked outside the prostate in the nerve sheaths. This risk is usually ignored in treatment decisions, but it might slightly increase your chance of needing salvage radiotherapy later.

Really? The PNI is not the erection nerves, it's the nerves inside the prostate.

I would in any case ask what the chance of nerve sparing surgery is. I did, and it was close to zero for me, which was one reason I went the radiotherapy route.

Edited by member 27 Mar 2023 at 22:12  | Reason: Not specified