Hi, second post, first thread:
RALP surgery early November 2023. I am recovering from this fairly well. But histology has come back as pT3b, Gleason 4+4 (pre op was "possible T3a", Gleason 3+4). Surgical registrar told me I would need further treatment, probably radiation. Hospital then lost my referral for 4 weeks, meanwhile I am in the dark as to how serious this is. No post op PSA result as yet after 11 weeks.
Histology report: "2.9 mm pT3b, bilateral microacinar type prostatic adenocarcinoma with ductal type adeno carcinoma of prostate involves both peripheral zones, apex and base of the gland beside left seminal vesicle, extraprostatic disease present in left seminal vesicle; anterior posterior fat is benign and right neurovascular bundle is benign; left neurovascular bundle is with tumour in the form of lymphovascular invasion."
NHS is being incredibly slow and finally given me an oncology appointment 8 weeks from now, despite losing the referral between two different trusts (one for surgery, one for oncology).
I've a two part question:
1. I'm thinking of going private for a consultant to get a face to face soon to discuss the above histology. Does anyone have any recommendations in the North London, Herts, Bucks, Beds areas?
2. Anyone have a similar diagnosis as to the above and can comment on their treatment pathway and timescales?
Thanks in advance,
Mike