Frequently Asked Questions
about Prostate Cancer
Of course. The section for the Newly Diagnosed Support Group gives you some suggestions about what information would be helpful, but you'll still benefit from some solid guidance and hear good experiences from the other attendees.
Your prognosis and treatment options are based on the pathology report, so you want to be sure it's correct. Even though the pathologists are highly skilled, they are human and the ranking process is human, so getting a second opinion makes sense.
Up to 30% of pathology reports are changed after a second opinion.
Certainly. Our meetings are held over Zoom, so you can use the Chat feature to let the moderator know you don't want to speak at this time.
It may be enough, but only if you are lucky. The standard biopsy is random in that it's essentially probing in the dark, albeit systematically, hoping to hit something. By contrast, a biopsy that is guided by an MRI targets suspicious areas that have already been detected by earlier imaging.
If you "cut it out" you cut out the whole prostate (that's called a radical prostatectomy). That will take out any cancer that's in the prostate gland, BUT there is a very significant chance (no mattter how skilled your surgeon may be) that some of the important bits beside your prostate will be nicked or damaged, resulting in urinary and/or sexual side-effects. Any treatment, of course, risks side-effects, but these days prostatectomy seems to run the highest risk.
Gleason scores that add up to 7 are generally intermediate risk. 3+4 is generally a favorable intermediate risk, and 4+3 is generally an unfavorable intermediate risk. The difference is the amount of problem cells (Gleason pattern 4) present. The more pattern 4, the more aggressive the tumor. 3+4 means fewer than 50% pattern 4, and 4+3 means more than 50% pattern 4. The pattern 3 cells are basically not a problem.