Diagnosis and mestastasis

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Recently diagnosed with 2 small 3+4 and 2 small 3+3 tumors, picked up by biopsy not mri. 

  1.  17 mm core sample- 7mm tumor 10% gl4 0.7mm pattern 4. 
  2. 26 mm core sample- 2mm tumor 5% gl4 0.1mm pattern 4

MRI showed no EPE, no nerve involvement, no surrounding  fat, no prosthetic plane, no textual wall.  Etc issues. No lymph or bone invasion, all surrounding structures normal. Biopsy backed up those findings. Had a DRE and cyscoscopy as part of the biopsy completely normal. In fact radiologist specifically stated pattern 4 as ‘minute’.  Biopsy showed no Cribriform, no NPI, no vascular invasion, no metastasis. 

From what I can gather this is low/intermediate risk favourable grade 2 disease. Early detection. Just having a hard time getting any info from doctors and am looking for some info before my pet scan tomorrow. 

interested in info regarding people’s journey into cancer spread And treatments. 

  • Hello  

    Welcome to the online Community.

    Gleason 7,(low 7 (3+4) - no spread, and although I don't have your PSA I would have thought easily treatable on a curative pathway. I don't understand why you are having a PET Scan, am I missing something? Why are you asking about a spread when there isn't any sign of one?

    Best wishes - Brian.

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  • Yeah that’s the problem. I don’t know why my uro requested one and when I questioned him he got the poos. Might be time for a new one. I think I was really looking for the chances of spread with that presentation is all. I know the results don’t show it but all new to this and don’t know how accurate everything is, reports etc. 
    cheers

  • Hello  

    Sadly, you are at the diagnostic stage where you are unsure of everything and are like a rabbit caught in the car headlights. The other issue is some staff aren't too happy when you start to question them!

    The usual "gold standard" for a Prostate Cancer diagnosis is a combination of the results of your biopsy and MRI scan. From the results of these two any further scans - CT Scan Bone Scan are usually ordered.

    Don't forget I am only a volunteer here on the Community with no medical training BUT - I've been here over 4 years and still can't understand the need for the PET Scan with those results. All I can think of is the urologist has seen something he's not told you of OR he's not too confident and it's a "bib and braces" job where he wants to be 110% certain.

    After the scan, all the results will go to the weekly MDT meeting to decide on your best course of treatment.

    I hope the above helps - do let us know how you get on.

    Best wishes - Brian.

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  • I think from talking to a mate who went through it he said that it is standard practice in Aus if cancer is found a PET is ordered to make sure they know where it is and what the anatomy looks like for treatment. Maybe. 

  • Hello  

    Ah, possibly if you are "Down Under". I just have your user name to go off and quite wrongly assume everyone is in the UK. So if it's standard practice then things are as fine as they can be.

    Do keep us posted

    Best wishes - Brian.

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    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

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