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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Biopsy Test Result For Prostate Indicate?

I am 67 after biopsy the report is: Part A: Right prostate:Adenocarcinoma of the prostate,Gleason score 7(3+4), 8mm, 40% of sumited tissue,2/5 cores involved, perineural invation identified.Part B: Left prostate Bening prostatic tissue Elevated PSA: 9.5, GR 2,R/O,PROSTATE CA,CPT Codes: R83502 ICD Codes: 185 I need some comments, I don t see no stage # for sure I need operation.And how I find out if spread or not Before op or after op Thank you for helping me. Mihai
Thu, 24 Dec 2020
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General & Family Physician,  's  Response
Hi,

Suggestive of the stage-II prostate cancer. Based on the given report you seem to be having prostate cancer stage IIa to IIb.

A Gleason score 3+4=7 tumor is small but may have an increasing risk of growing and spreading.

Perineural invasion means that cancer cells were seen surrounding or tracking along a nerve fiber within the prostate. When this is found on a biopsy, it means that there is a higher chance that the cancer has spread outside the prostate.

The spread of the tumor can be detected before surgery by means of lymph node biopsy, CT scan, bone scan, and PET scan.

Hope I have answered your queries. Let me know if I can assist you further.

Take care

Regards,
Dr. Mohammed Taher Ali
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What Does This Biopsy Test Result For Prostate Indicate?

Hi, Suggestive of the stage-II prostate cancer. Based on the given report you seem to be having prostate cancer stage IIa to IIb. A Gleason score 3+4=7 tumor is small but may have an increasing risk of growing and spreading. Perineural invasion means that cancer cells were seen surrounding or tracking along a nerve fiber within the prostate. When this is found on a biopsy, it means that there is a higher chance that the cancer has spread outside the prostate. The spread of the tumor can be detected before surgery by means of lymph node biopsy, CT scan, bone scan, and PET scan. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali