With my long history of chronic prostatitis, I keep wondering if my Gleason 6 at biopsy is accurate? Might the viewed cells be inflamed prostate tissue or atrophy.
it strikes me that viewing cell patterns under a microscope slide is somewhat subjective.
The urologist who did my biopsy seemed to imply at the time that it probably wasn’t cancer.
I have to trust the system and the diagnosis but it does make me wonder.
I’m currently midway through a course of antibiotics for dysuria.
if these significantly reduce my next PSA down from the current 8.0, where will that leave me?
Hello Andy B24
Thank you for posting an interesting question - don't forget that we are not medically trained so it's just a personal opinion.
The usual path for Prostate Cancer diagnosis is a biopsy and an MRI scan. I am sure the laboratory used will have trained staff and they can tell the difference between cancer cells and dead cells or cells with any other issue. It's possible that your Urologist is one who considers Gleason 6 not worth treating!! You have a raised PSA, that's another indicator, Having a UTI and being on antibiotics shouldn't make any difference to a diagnosis.
My analogy is if you cut your finger you wash the cut, cover it in a plaster and a week later it's healed. Someone tells you have cancer - you can't see it - you need to trust what your team are saying.
I hope the above helps.
Best wishes - Brian.
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