What Happens After a Prostate Biopsy?

you after you have your prostate biopsy the tissue will be sent to the pathologist who will analyze that under a microscope if you are found to have prostate cancer the pathologist will give a Gleason scoring of that cancer this Gleason score is used to grade the cancer cells based on a scale of one to five one being slower growing less aggressive better differentiated five being faster growing less well dip less differentiated and more aggressive pathologists will look at the two dominant areas of cancer on the slide and give a summary of those two scores so typically your Gleason score will contain two numbers added together to give a sum most prostate cancers will give you a score ranging from 5 to 10 5 is more well differentiated slower growing and less aggressive 10 however is much more aggressive cancer poorly differentiated and faster growing the staging of prostate cancer is based upon several factors including your Gleason score your PSA score and your tnm score tnm refers to the staging system that is most commonly used t refers to the size of the prostate cancer and refers to the presence or absence of lymph node involvement and M refers to the presence or absence of metastatic disease to other organs t1 refers to prostate cancer that cannot be felt by digital rectal exam t2 refers to cancers that are large enough to be palpated on rectal exam t3 or first of prostate cancer that has escaped outside the prostate capsule or perhaps invaded the seminal vesicles where sim semen is stored t4 refers to prostate cancer that invades other organs around the prostate such as the rectum the bladder or the muscle wall we will often group prostate cancer into low intermediate or high-risk low-risk prostate cancer is men who have a PSA less than 10 and have a t1 or t2 disease that is a Gleason 5 or 6 intermediate risk is in men who have a PSA between 10 to 20 a Gleason score of 7 or 8 or t2 or t1 disease poor risk or high-risk prostate cancer is men whose PSA is over 20 or they have a Gleason 9 or 10 or they are t3 or t4 staging some prostate cancers are high risk aggressive and more likely to spread others are low risk least likely to have bad outcomes the biopsy says cancer but current diagnostic tools provide limited information about how aggressive a man’s individual disease is so most men decide to treat prostate cancer immediately once treated many men experience serious long-term side effects like incontinence and sexual impotence immediate treatment is not always needed but right now a man can’t be sure if his cancer is the kind that is likely to require treatment or if he is okay to wait for now what if there was a test that could determine how aggressive prostate cancer is genomic health is developing a new test to do just that by reviewing the underlying biology of the tumor and using genes from multiple biologic pathways the test can predict the aggressiveness of prostate cancer when diagnosed allowing a man to make a more informed treatment decision with confidence taking care of himself with more information and greater peace of mind you

What Happens After a Prostate Biopsy?
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