HealingWell
Search Close Search
☰

My pathalogy report today

Support Forums
>
Prostate Cancer
✚ New Topic ✚ Reply
❬ ❬ Previous Thread |Next Thread ❭ ❭
Posted 2/17/2009 3:42 PM (GMT -5)
Hi,
I just got back from the doctor's office to get the catheter removed and get the pathology report. He said the Gleason score was 4+4 and that it was bilateral. There was no lymph node nor seminal vesicle invasion. The margins are clear. There was perineural invasion. Both nerve bundles were removed (bye bye ED). The final TNM is T3 Nx Mx. Thank you all for helping me and supporting me during this roller coaster. I'll have a PSA test in 7 more weeks and start the new post surgery journey with all of you.
Posted 2/17/2009 4:00 PM (GMT -5)
That report sounds pretty good, Really routine for the seriousness of your initial numbers. Clear margins, no extension, PIN is routine. Sorry about the nerves...All in all a good start on a lifetime of recovery. Will be waiting with you for your first psa results.
Posted 2/17/2009 4:03 PM (GMT -5)
Well, there's good news in the report concerning margins, etc. Your biopsy stats were fairly tough, so not any real surprises. We are here for you brother, as you continue to recovery, and as you await that first post surgery psa. Think positive

David in SC
Posted 2/17/2009 5:22 PM (GMT -5)
old67

Thats not too shabby of a path. report. Sure am sorry about the nerve bundles. Still plenty of hope left though, hand in there.
Posted 2/17/2009 6:39 PM (GMT -5)
Wishing you a speedy recovery,

There are means for the erectile issues, right now just get well and look forward to your first 0 :)

Scott
Posted 2/17/2009 6:47 PM (GMT -5)
James C. (mod-squad and brother of PCa) I know you meant to say perinureal invasion is not uncommon to see when looking at 12 biopsies or so. PIN is not the acronym for that just so others do not get confused if looking at data and things, PIN is a possible precancerous condition seen by pathologist and is not defined as being PCa. (maybe you meant PNI for perinueral invasion??)

 Perinureal invasion means in effect- biopsy shows it hit a blood traveling source (vein or nerve type of thing)...it also does not prove PCa migrated....it means it is a possible path, so if a patient sees this the verbage sounds omnious " Perineral Invasion" I think it scares people more than it should. Heard this from informed docs. I don't know if there is an abbreviation for perinureal invasion????

Posted 2/17/2009 7:20 PM (GMT -5)
Old67,
it's great you are on the mend and have crossed that first bridge. But I am certain your doctor mention concern for your T3 staging and high risk cancer. The negative margins is good but it is clear he had reason to believe the outer wall of the protate was penetrated. Did he mention extraprostatic extention?

Still, you can do very well. You should look next into whether it is prudent to consider adjuvant therapies such as radiation or homonal therapy. I say this not to panic you but rather be prepared for what lies ahead. My tumor was larger and more advanced, but the Gleason less. Still my surgeon directed my to clinical oncology right out of surgery. And within two weeks of my surgery I was in my first visit to a prostate cancer hematologist. You can do very well and I expect you will. But please look ahead and be proactive.

Out of curiousity, he stated no lymphatic invasion yet signalled unknown in the TNM. How many lymph nodes were dissected?

Peace and good healing.

Tony
Posted 2/17/2009 10:16 PM (GMT -5)
Thank you Tony,
I just emailed my doctor with the questions you raised. I also asked him to mail me (or I can pick up) a copy of my pathology report. He did say that there was EPE but because of the wide margins he did during the surgery he believes that at this point no further action is needed. I'll have to wait for the first PSA test. If there is cancer beyond what he took out would the PSA test show it? Can a zero first PSA be a false negative?
Posted 2/17/2009 10:22 PM (GMT -5)
Yes if there is still residual disease the PSA may show it. But not necessarily yet. But try not to worry about it. (easy said). There was no doubt in my case but I am doing well. And if you get that undetectable, rejoice. That is great stuff. Always think the good things. You can and will do well.

Tony
✚ New Topic ✚ Reply