We are concerned, Dads age 72, how’s the prognosis and treatment options?
*Multiparametric MRI shows:*
*Lesion overall PI RADS category: 5/5*
*Neurovascular bundles: Likely involved on the left*
*Seminal vesicles: not involved*
*Lymph nodes: no significant lymphadenopathy*
*Bones: no osseous enhancing lesions are seen on the post contrast study.*
*Other pelvic organs: bladder is partially distended and appears unremarkable.*
Psma pet scan shows:
**Prostate appears enlarged in size and shows PSMA expressing lesion in peripheral**
**zone of left half of prostate** ***- known primary neoplastic pathology.***
**No evidence of PSMA expressing distant metastatic disease seen elsewhere in the**
**body.**
Biopsy:
Acinar adenocarcinoma of prostate involving left lobe in cores from LBL,LML,LAM,LAL.
Gleasons score 3+4=7,Grade group 2 seen in LBL, LML ,LAM and LAL.
Tumor site: Tumor involves left lobe.
Number of positive cores:04
Greatest percentage of core involvement by cancer in any core: 80% (LAL,LAM)
Perineural invasion seen.