Biopsy interpretation and pathology reporting varies in quality. Some pathology reports are written by recent graduates who mean well but haven’t developed the set of eyes that highly experienced pathologists have. The first pathology report will probably be useful, but it becomes brilliantly useful compared to a second opinion from a pathologist at a different facility.
Your biopsy report (eg, Gleason Score) forms the basis for your treatment choice-making, so you want to feel sure you are working with good information.
Ask your primary urologist, consultant or doctor to help you locate a well-regarded pathology department and have your biopsy slides sent there for a second opinion.