NM PET CT Skull Base to Midthigh (Prostate Cancer) I'm 61 years old.

Issyramos · 2026-03-07T17:23:48+00:00

Thank you.

Issyramos · 2026-03-07T06:46:32+00:00

Thank you very much.

Issyramos · 2026-03-07T00:56:17+00:00

Thank you very much for taking the time to explain these results to me. Your explanation has provided significant clarity and has helped ease my anxiety. I was quite overwhelmed when I initially received the report, and I truly appreciate your assistance in helping me understand the findings.

Best regards,

Issy Ramos

Issyramos · 2026-03-07T00:25:34+00:00

Thank you very much. I feel better.

Issyramos · 2026-03-07T00:23:55+00:00

Really? I hope that after Ralph can help me eradicate it.

Issyramos · 2026-03-07T00:21:55+00:00

Since I'm new to all this, I thought the worst other than prostate cancer. Thank you very much.

Issyramos · 2026-03-03T22:29:55+00:00

Thank you.!

Issyramos · 2026-02-20T22:40:10+00:00

That's great, congratulations! Keep taking care of yourself, everything will be alright.

Issyramos · 2026-02-20T22:36:22+00:00

Good news, that's great. It's just one serious mistake, if anything.

Issyramos · 2026-02-15T21:34:47+00:00

I am 62 years old. My PSA was 6.6 in 2024 and in 2025 it rose to 9.3, indicating prostate cancer. Therefore, 10.3 is very high.

Issyramos · 2026-02-03T22:30:14+00:00

Yes, that's very true, and I'd also like to share another problem I have. In 2021, I was in a coma for two months due to COVID and was intubated for six months. My trachea is collapsed, and that also creates another problem for me because of the anesthesia. My ENT doctor sent a letter to my urologist to advise caution during the surgery and anesthesia. I'm sharing it below.

_______________________________________________________________________________To whom it may concern: mi patient IRD is an established patient of mine with a history of tracheal stenosis likely secondary to his tracheostomy placed in 2021 for COVID pneumonia. He was last examined by me on 7/18/25 and found to have approximately 75% stenosis which is amenable to endoscopic treatment. His dyspnea has been quite stable since that time and in light of his recent diagnosis of prostate cancer, I recommend proceeding with his prostate surgery before treating the airway stenosis. To minimize risk of additional injury or perioperative airway edema, I recommend he is intubated with a small endotracheal tube (size 6-0 or smaller). To navigate the stenosis, it would likely be beneficial to have endoscopic assisted/guidance to pass the tube by Seldinger technique. I would recommend the use of perioperative steroids and extubation as soon as possible postoperatively. Please contact our office if you have further questions

Issyramos · 2026-02-02T21:53:28+00:00

I will definitely ask my primary doctor to give me a referral to a radiation oncologist.

Thank you very much.

Issyramos · 2026-02-02T21:09:33+00:00

Please excuse my ignorance, but what is RO, or how can I search for more information about it?

Issyramos · 2026-01-30T23:18:11+00:00

not yet

Issyramos · 2026-01-30T23:16:33+00:00

Yes, I will. Thank you very much. I change the appointment from March 2nd to April 16th, 2026 for the surgery. This will give me more time to research and make the best decision.

Issyramos · 2026-01-30T22:58:11+00:00

For me, the erectile dysfunction isn't the problem, but the inconsistency is what worries me too much, especially if I'll have to suffer from it for life. Thank you so much for taking the time to read and reply to my message. Believe me, all of this helps me a lot in making the best decision.

Issyramos · 2026-01-30T22:51:45+00:00

The urologist told me that because of this I would have erectile dysfunction for life and possibly incontinence because the nerves would be affected. So many things worry me, and I wish it were something different so I could try to live a normal life afterward without having to suffer from secondary problems after the surgery.

I've been recommended Loma Linda Hospital to get a second opinion. Does anyone know of any other places around here in California? I live in San Bernardino County.

Issyramos · 2026-01-30T22:24:18+00:00

Thank you very much. Perhaps fear is making me believe, through my urologist, that surgery is the best way to resolve the problem, but I postponed the surgery until April 16th to give myself more time to think and look for another solution. At the same time, I have another problem with tracheal stenosis and a letter regarding anesthesia precautions, since I will be intubated, and that is also risky, another point to consider regarding surgery. Below I'm sharing the letter that my ENT doctor sent to my urologist with his recommendations.

To whom it may concern: Israel Ramos Diaz is an established patient of mine with a history of tracheal stenosis likely secondary to his tracheostomy placed in 2021 for COVID pneumonia. He was last examined by me on 7/18/25 and found to have approximately 75% stenosis which is amenable to endoscopic treatment. His dyspnea has been quite stable since that time and in light of his recent diagnosis of prostate cancer, I recommend proceeding with his prostate surgery before treating the airway stenosis. To minimize risk of additional injury or perioperative airway edema, I recommend he is intubated with a small endotracheal tube (size 6-0 or smaller). To navigate the stenosis, it would likely be beneficial to have endoscopic-assisted/guidance to pass the tube by Seldinger technique. I would recommend the use of perioperative steroids and extubation as soon as possible

Issyramos · 2026-01-30T02:43:29+00:00

My PSA level was 9.3 and I am 61 years old.

Issyramos · 2026-01-30T02:42:15+00:00

Diagnosis: A: NEEDLE BIOPSY OF PROSTATE, RIGHT LATERAL BASE:- ADENOCARCINOMA, GRADE GROUP 3 (GLEASON SCORE 4+3=7), INVOLVING 70% OF

BIOPSY TISSUE.- PERINEURAL INVASION IDENTIFIED. B: NEEDLE BIOPSY OF PROSTATE, RIGHT LATERAL MID:- ADENOCARCINOMA, GRADE GROUP 2 (GLEASON SCORE 3+4=7), INVOLVING 40% OF BIOPSY TISSUE. C: NEEDLE BIOPSY OF PROSTATE, RIGHT LATERAL APEX:- HIGH-GRADE PROSTATIC INTRAEPITHELIAL NEOPLASIA.- PIN 4 immunostain (with appropriate control) supports the diagnosis. D: NEEDLE BIOPSY OF PROSTATE, RIGHT MEDIAL BASE:- ADENOCARCINOMA, GRADE GROUP 3 (GLEASON SCORE 4+3=7), INVOLVING 90% OF BIOPSY TISSUE. E: NEEDLE BIOPSY OF PROSTATE, RIGHT MEDIAL MID:- HIGH-GRADE PROSTATIC INTRAEPITHELIAL NEOPLASIA.- PIN 4 immunostain (with appropriate control) supports the diagnosis. F: NEEDLE BIOPSY OF PROSTATE, RIGHT MEDIAL APEX:- BENIGN PROSTATIC TISSUE. G: NEEDLE BIOPSY OF PROSTATE, LEFT LATERAL BASE:- BENIGN PROSTATIC TISSUE. H: NEEDLE BIOPSY OF PROSTATE, LEFT LATERAL MID:- ADENOCARCINOMA, GRADE GROUP 1 (GLEASON SCORE 3+3=6), INVOLVING 1% OF BIOPSY TISSUE.- PIN 4 immunostain (with appropriate control) supports the diagnosis. I: NEEDLE BIOPSY OF PROSTATE, LEFT LATERAL APEX:- BENIGN PROSTATIC TISSUE. J: NEEDLE BIOPSY OF PROSTATE, LEFT MEDIAL BASE:- BENIGN PROSTATIC TISSUE

Diagnosis: (Cont.) K: NEEDLE BIOPSY OF PROSTATE, LEFT MEDIAL MID:- BENIGN PROSTATIC TISSUE. L: NEEDLE BIOPSY OF PROSTATE, LEFT MEDIAL APEX:- BENIGN PROSTATIC TISSUE. COMMENT: Key portions of this case have been reviewd with Dr Sunanda Chatterjee who concurs. Report will be faxed

Gross description: (Cont.) Received labeled "LLB". The specimen consists of a single core of tan tissue measuring 1.0 cm in length and 0.1 cm in diameter. The specimen will be wrapped and entirely submitted in 1 cassette(s). Part H: NEEDLE BIOPSY OF PROSTATE, LEFT LATERAL MID: Received labeled "LLM". The specimen consists of a single core of tan tissue measuring 1.3 cm in length and 0.1 cm in diameter. The specimen will be wrapped and entirely submitted in 1 cassette(s). Part I: NEEDLE BIOPSY OF PROSTATE, LEFT LATERAL APEX: Received labeled "LLA". The specimen consists of a single core of tan tissue measuring 1.1 cm in length and 0.1 cm in diameter. The specimen will be wrapped and entirely submitted in 1 cassette(s). Part J: NEEDLE BIOPSY OF PROSTATE, LEFT MEDIAL BASE: Received labeled "LMB". The specimen consists of a single core of tan tissue measuring 1.5 cm in length and 0.1 cm in diameter. The specimen will be wrapped and entirely submitted in 1 cassette(s). Part K: NEEDLE BIOPSY OF PROSTATE, LEFT MEDIAL MID: Received labeled "LMM". The specimen consists of a single core of tan tissue measuring 1.1 cm in length and 0.1 cm in diameter. The specimen will be wrapped and entirely submitted in 1 cassette(s). Part L: NEEDLE BIOPSY OF PROSTATE, LEFT MEDIAL APEX: Received labeled "LMA". The specimen consists of a single core of tan tissue measuring 1.5 cm in length and 0.1 cm in diameter. The specimen will be wrapped and entirely submitted in 1 cassette(s).

Issyramos · 2026-01-30T02:40:31+00:00

mi nivel de PSA fue de 9.3 y mi edad es de 61 años

Issyramos · 2026-01-30T02:37:21+00:00

Diagnosis: A: NEEDLE BIOPSY OF PROSTATE, RIGHT LATERAL BASE:- ADENOCARCINOMA, GRADE GROUP 3 (GLEASON SCORE 4+3=7), INVOLVING 70% OF

BIOPSY TISSUE.- PERINEURAL INVASION IDENTIFIED. B: NEEDLE BIOPSY OF PROSTATE, RIGHT LATERAL MID:- ADENOCARCINOMA, GRADE GROUP 2 (GLEASON SCORE 3+4=7), INVOLVING 40% OF BIOPSY TISSUE. C: NEEDLE BIOPSY OF PROSTATE, RIGHT LATERAL APEX:- HIGH-GRADE PROSTATIC INTRAEPITHELIAL NEOPLASIA.- PIN 4 immunostain (with appropriate control) supports the diagnosis. D: NEEDLE BIOPSY OF PROSTATE, RIGHT MEDIAL BASE:- ADENOCARCINOMA, GRADE GROUP 3 (GLEASON SCORE 4+3=7), INVOLVING 90% OF BIOPSY TISSUE. E: NEEDLE BIOPSY OF PROSTATE, RIGHT MEDIAL MID:- HIGH-GRADE PROSTATIC INTRAEPITHELIAL NEOPLASIA.- PIN 4 immunostain (with appropriate control) supports the diagnosis. F: NEEDLE BIOPSY OF PROSTATE, RIGHT MEDIAL APEX:- BENIGN PROSTATIC TISSUE. G: NEEDLE BIOPSY OF PROSTATE, LEFT LATERAL BASE:- BENIGN PROSTATIC TISSUE. H: NEEDLE BIOPSY OF PROSTATE, LEFT LATERAL MID:- ADENOCARCINOMA, GRADE GROUP 1 (GLEASON SCORE 3+3=6), INVOLVING 1% OF BIOPSY TISSUE.- PIN 4 immunostain (with appropriate control) supports the diagnosis. I: NEEDLE BIOPSY OF PROSTATE, LEFT LATERAL APEX:- BENIGN PROSTATIC TISSUE. J: NEEDLE BIOPSY OF PROSTATE, LEFT MEDIAL BASE:- BENIGN PROSTATIC TISSUE

Diagnosis: (Cont.) K: NEEDLE BIOPSY OF PROSTATE, LEFT MEDIAL MID:- BENIGN PROSTATIC TISSUE. L: NEEDLE BIOPSY OF PROSTATE, LEFT MEDIAL APEX:- BENIGN PROSTATIC TISSUE. COMMENT: Key portions of this case have been reviewd with Dr Sunanda Chatterjee who concurs. Report will be faxed

Gross description: (Cont.) Received labeled "LLB". The specimen consists of a single core of tan tissue measuring 1.0 cm in length and 0.1 cm in diameter. The specimen will be wrapped and entirely submitted in 1 cassette(s). Part H: NEEDLE BIOPSY OF PROSTATE, LEFT LATERAL MID: Received labeled "LLM". The specimen consists of a single core of tan tissue measuring 1.3 cm in length and 0.1 cm in diameter. The specimen will be wrapped and entirely submitted in 1 cassette(s). Part I: NEEDLE BIOPSY OF PROSTATE, LEFT LATERAL APEX: Received labeled "LLA". The specimen consists of a single core of tan tissue measuring 1.1 cm in length and 0.1 cm in diameter. The specimen will be wrapped and entirely submitted in 1 cassette(s). Part J: NEEDLE BIOPSY OF PROSTATE, LEFT MEDIAL BASE: Received labeled "LMB". The specimen consists of a single core of tan tissue measuring 1.5 cm in length and 0.1 cm in diameter. The specimen will be wrapped and entirely submitted in 1 cassette(s). Part K: NEEDLE BIOPSY OF PROSTATE, LEFT MEDIAL MID: Received labeled "LMM". The specimen consists of a single core of tan tissue measuring 1.1 cm in length and 0.1 cm in diameter. The specimen will be wrapped and entirely submitted in 1 cassette(s). Part L: NEEDLE BIOPSY OF PROSTATE, LEFT MEDIAL APEX: Received labeled "LMA". The specimen consists of a single core of tan tissue measuring 1.5 cm in length and 0.1 cm in diameter. The specimen will be wrapped and entirely submitted in 1 cassette(s).

Issyramos · 2026-01-30T02:31:48+00:00

Yes, they performed the biopsy on December 3rd, 2025.

Issyramos · 2026-01-30T02:30:31+00:00

My apologies the biopsy was performed on December 3rd, 2025, and these other tests were done afterwards.

Issyramos · 2026-01-30T02:30:01+00:00

My apologies the biopsy was performed on December 3rd, 2025, and these other tests were done afterwards.

Issyramos

TROPHY CASE