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Biopsy results today

User
Posted 04 Aug 2025 at 15:59

Hi


My partner has now had his biopsy results , we were told in a meeting with a Cns from what I can remember he said:


Gleason 7


Cracking out of prostate


Think he said lymph nodes looked ok 


Need a bone and ct scan


We weren't given the full mri report like I see people on here with. 


Crappy bit of paper says T3 perinual invasion.


Another stressful wait now for scan results.


 


 


 


 

User
Posted 04 Aug 2025 at 16:52

I hope the waiting is not too long and stressful for you both. 


The amount of information they give out seems to vary wildly. When I went in for my biopsy I knew virtually nothing of what the mri scan had shown. But the doctor doing the biopsy explained it to me before the procedure and it sounded fairly grim to me. I'm not sure if knowing in advance would have helped or not, but I know that not knowing was very stressful and led to a lot of speculation and sleepless nights. 


When the biopsy results came back they didn't tell me anything at all. Just that they hadn't found cancer in any of the samples. 


I'm not sure what the protocols are for giving out test results but it seems they think the less information the better, people aren't equipped to deal with the type of information contained so might as well keep it from them. 


I think doctors are so removed from patients that the forget they are dealing with a human being and not just a set of test results and numbers on a score card. I had my scans and biopsy and got no information from them at all. The MDT never saw me and just pronounced on a set of data, not a patient. 


I know doctors are busy, but the impersonal way you are treated on this journey is pretty poor for my money. 


I saw a guy in A&E this morning when I went for a wound check. He'd broken his ankle by the look of it. The consultant orthopedic surgeon came out to see him in the waiting room and gave him more information about what was happening to him than I got through numerous visits to cancer clinics. And the nasty piece of work still had the cheek to curse and swear about the bloody state of the NHS and that the doctor was Asian after he had left. Nice.


 

User
Posted 04 Aug 2025 at 17:21

Yes I suppose having too much information would probably lead to more googling and stress , I guess all we can do is wait for more results as the outcome will be the same regardless of whether we had the full Mri report , just getting paranoid that information is being held back for some other reason. 


Thanks for your take on it.

User
Posted 05 Aug 2025 at 09:09

Hi MrsW.


I don't suppose you know if the Gleason 7 is (3+4) or (4+3)?


It's not great news that there appears to be capsular breach, which puts his staging to T3. However, it's good news that there appears to be no spread to the lymph nodes.


Try not to worry about the bone scan, it's common practice, just to be on the safe side.


I had capsular breach T3a and a much higher Gleason 9 (4+5). I opted for RARP, which appears to have sorted the problem. Two and a half years post op, my PSA has remained undetectable.🤞


Please keep us updated and good luck to you both. 👍

User
Posted 05 Aug 2025 at 09:22

Hi Adrian


It's 4+3 , on the scribbled bit of paper we had it says perinual invasion.  Scared now for bone and ct scans 

User
Posted 05 Aug 2025 at 11:39

Hospital just called ct scan tommorow and bone scan Friday,  really scared now as that seems fast .

User
Posted 05 Aug 2025 at 12:42

I don't think the speed of getting the scans booked is a reason to worry more.


PCa is usually a slow growing cancer and there is little to be gained by pushing tests through quickly. 


Everything depends on a given hospitals access to scanners etc. My brother had to shift hospitals for a scan recently because the one at his original hospital broke down. 


It's very hard to stay calm but please try not to let your thoughts get out of control. There is still some way to go before your husband gets a treatment plan when things will become clearer.


Keep doing the everyday things as normal and do try to do other things to keep you both busy. An idle mind will find it's way back to worrying very quickly and worrying will not affect the outcome of any test, so it's a pointless waste of your energy. 


Take the tests in your stride and try to be patient, although that is so hard to do.


All the very best, mick. X

User
Posted 05 Aug 2025 at 12:52

Yesterday the urologist was asking what hospital he would like for scans , then next day appointments have been made for this week , do you think they were holding back information and already had these booked in . 

User
Posted 05 Aug 2025 at 13:57

I honestly don't think the NHS is organised to withhold information deliberately. 


There would be little point in holding back bad news as its going to come out at some point. What they will do is wait until all the information they need is in before they will tell you what's happening. That's a bit hard to take, but they are in charge so we just have to accept it.


I do think however, that the left hand doesn't know what the right hand is doing a lot of the time. Even with serious illness the ball is dropped so many times by poor communication, staff not knowing what their role involves and systems that are too complicated to navigate.


Things get lost and forgotten and it's really tough to be told tests need repeating or that your results have gone astray. My cardiology results disappeared three months ago and I'm still in limbo wondering where things stand. 


I think it's just down to the sheer workload on the NHS as a whole. The bigger an organisation the more likely it is  that things will get missed or lost.


Mick 


 

User
Posted 05 Aug 2025 at 14:41

Hi Mrs W.


 


I understand where you're at today - we are in a situation a bit similar/not but you get what I mean. My husband has been peeing more than normal (he divulged to me 2 wks ago that it was up to 15 times a day) so I got him an appt straight away with his GP who did an internal and said his prostate was enlarged. Got an appt for one week later for mri/ultrasound/psa test. Followed by a meeting last friday with the urologist who said the mri is showing an abnormality and that his GP report said the prostate was "raggy" and hard. His psa was 2.8 fairly normal, but she spoke about cancer from the start of the conversation and the options. We came out of there in a daze. He has a biopsy scheduled for next Monday. It's all very quick and difficult to digest. My husband is a fit healthy 57 year old and I feel crushed for him. I know everyone says prostate C is slow developer and loads of treatments etc but each individual case is different and I'm petrified it has spread already as he said he has a bit of pain in his upper right back (it may not be related but the mind works overtime) and his father died from it (aged 76 and didn't look after himself at all), one year after diagnosis. It's a head wrecker and difficult to make sense of any of it, like being in some kind of a time warp at the moment and I keep giving myself a good talking to, to stop panicking yet. But it's kind of impossible - is it? I hope you'll be ok.

Edited by member 05 Aug 2025 at 14:46  | Reason: updated

User
Posted 05 Aug 2025 at 14:51

Hi


I hope your Husband wilk be ok too, I really hoped at yesterday's post biopsy meeting that they would say it was contained as we had already resigned ourselves to it being cancer and with the help of this forum optimistic for the treatment.  Do you know what your Husbands Pirad score is ? 


 

User
Posted 05 Aug 2025 at 15:10

Hi


 


This is the thing-the urologist said nothing about Pirad score or gave us any information on the mri result, she only said the mri showed an abnormality on the prostate and she had the screen up and pointed to it, so we could only see a darker area on the lower left side of it. Then she went on to say that my husband needs a biopsy to determine what it is and if it's early cancer they'll monitor it and if it's worse the prostate would have to come out. She was very matter of fact with little empathy. I asked her about the psa reading of 2.8 and if a reading could show normal and still be cancer and she said yes. That left us wondering if the psa's are any good in the first place now. So we are here now with one word in our minds - CANCER. It's exhausting because the mind is working overtime. I understand these professionals are busy etc but this is someone's life being dealt with and we're just expected to digest the information at the meeting, pay the bill and walk out. I don't know how long after the biopsy will we get the results - it's private healthcare so I'm hoping a week. Seems like a lifetime. My husband works with a guy of 47 who is T3 and having his prostate out in October, he had no symptoms at all and it was only spotted because he presented to the hospital on another matter that they did his bloods and his psa was 3.5

User
Posted 05 Aug 2025 at 15:24

We didn't get the Pirads score until after the Biopsy was taken but before biopsy results were given . Maybe it's better that way as would ultimately lead to more worrying , but seems some chaps on here get their full report at every stage . Are you in the midlands by any chance ? 

User
Posted 05 Aug 2025 at 16:00

No not in the Midlands - I suppose all we can do is wait and see what the biopsy shows and take it from there. But I do think personally the more information the better as we could get our heads around it more, at the moment we have nothing to go on other than "abnormality" and the wait is stressful to say the least. I hope everything works out ok for ye, and that ye can deal with whatever is ahead with courage and success.❤️It's helpful to get on a forum like this and get a bit of insight from people in the same situation.

User
Posted 06 Aug 2025 at 10:43

Just a note also to thank Mick Whitts on here, I read your posts and what you said about overthinking is so true, my head is boiled from going through scenarios that may never even happen so I will try and take some of that sound advise you posted. Thank you.

 
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