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I am 77 in good health with no symptoms of prostrate cancer…

I am 77 in...

I am 77 in good health with no symptoms of prostrate cancer but I had a psa of 8.7 that had jumped from 1.4 from 9 years ago

Doctor's Assistant: Any pain or burning sensation while urinating? What color is your urine?

So I had a biopsy 12 core and they found 1 core that was 70% grade 4 so they graded me 4+3 and 6 cores with 0 cancer and 3 cores with 3+3 my question is I don't want treatment what else would you recommend

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I have no pain urinating and my pea color is fine as long as i drink 6 glasses of water

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Customer reply replied 2 years ago

FINAL PATHOLOGIC DIAGNOSIS:
____________________
Prostate, right base, needle core biopsy (A1):
- no tumor seen
Prostate, right mid, needle core biopsy (A2):
- no tumor seen
Prostate, right apex, needle core biopsy (A3):
- prostatic adenocarcinoma, Gleason grade 4+3 = score 7
involving 20% of tissue (1 of 2 cores; 70% grade 4)
Prostate, left base, needle core biopsy (A4):
- no tumor seen
Prostate, left mid, needle core biopsy (A5):
- prostatic adenocarcinoma, Gleason grade 3+3 = score 6
involving 5% of tissue (1 of 2 cores)
Prostate, left apex, needle core biopsy (A6):
- prostatic adenocarcinoma, Gleason grade 3+3 = score 6
involving % of tissue (2 of 2 cores)
NOTE:
The Composite WHO Grade Group is 3 (Gleason Score 4+3=7)

Customer reply replied 2 years ago

psa 2010 1.93 psa 2011 1.4 psa 2013 2.6 psa 2015 4.4 psa 2019 8.51 9.2 8.7Posted by JustAnswer at customer's request) Hello. I would like to request the following Expert Service(s) from you: Live Phone Call.Let me know if you need more information, or send me the service offer(s) so we can proceed.

Answered in 3 hours by:

7/18/2019

Urologist: Ross, Urologist replied 2 years ago

Ross, Urologist

Category: Urology

Satisfied Customers: 847

Experience: urologist

Verified

Hello Dr Ross Im a urologist 30 years I will try to help. I do not do the phone calls sorry. At 77 your survival is good just doing active surveillance According to partins table from John Hopkins you have a 4% chance of it being in your lymph node, 53% organ confined and 32$ extracapsular penetration. Or would be a good candidate for radiation. Taking Finasteride can decrease volume of the prostate that can become involved with cancer

Ross, Urologist

Category: Urology

Satisfied Customers: 847

Experience: urologist

Verified

Ross and 87 other Urology Specialists are ready to help you

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Customer reply replied 2 years ago

I’m waiting for a 2nd opinion
And I had to pay again?

Customer reply replied 2 years ago

Second opinion] WHAT DO YOU THINK AND RECOMMEND? What is a possible survival rate for me? How many years do I have to live without treatment? I want to do watchful surveillance and don’t want to do any treatment I am 78 in December LEWIS CARLTON HISTORY Finger wave exam 2019 NOTHING FOUND WRONG I have had no other scans or mri exams I had turp surgery in 2003 Only biopsy I’ve ever had 6/16/2019 results Prostate, right base, needle core biopsy (A1): - no tumor seen Prostate, right mid, needle core biopsy (A2): - no tumor seen Prostate, right apex, needle core biopsy (A3): - prostatic adenocarcinoma, Gleason grade 4+3 = score 7 involving 20% of tissue (1 of 2 cores; 70% grade 4) Prostate, left base, needle core biopsy (A4): - no tumor seen Prostate, left mid, needle core biopsy (A5): - prostatic adenocarcinoma, Gleason grade 3+3 = score 6 involving 5% of tissue (1 of 2 cores) Prostate, left apex, needle core biopsy (A6): - prostatic adenocarcinoma, Gleason grade 3+3 = score 6 involving % of tissue (2 of 2 cores) NOTE: The Composite WHO Grade Group is 3 (Gleason Score 4+3=7) PSA tests I’ve had 2010=1.93 2011=1.4 2013=2.6 2015=4.4 2019= 3 psa tests = 8.51,8.7 and 9.2 Pee color good, no ed, no pee habit problems, and no symptoms of any kind for prostrate cancer. No family history of prostate cancer, I’m Caucasian.

Urologist: Ross, Urologist replied 2 years ago

Active surveillance is what we do watchful surveillance was from the 90s. recommend repeat bx in a year to see if stage migration them in 5 years. no one can predict live expectancy with prostate cancer how old was your dad when he died. you have low volume intermate low risk cancer . so active surveillance is the recommendation.

I would add finasteride to eliminate the bph of aging psa increased

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