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Cath. out, pathology back.

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Prostate Cancer
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Posted 4/26/2010 5:36 PM (GMT -5)
Hey Guys

What do you thing ?

Tumor volume %                                      9%

Gleason                                                    3+4  nearly equal amounts of each

Extraporostatic extension                        Yes, but within surgical margin

Subcapsular perineural invasion               Present, extensive

Seminal vesicle involvement                      No

Apex margin                                              clear

Base margin                                              clear

Angiolymphatic invasion                            not demonstrated

PIN                                                            Both high grade and low grade Pin are present but not extensive

AJCC stage                                                T2c N0 Mx

Most of nerve bundles gone

        Glad I did"nt take my time, on this one.  Tim

Posted 4/26/2010 5:44 PM (GMT -5)
I'm not sure but it looks pretty good except for the nerve part. What was your gleason before?

Nice to have that rubber snake out isn't it.

Keep us posted,

Neal

Posted 4/26/2010 5:57 PM (GMT -5)
  3+4, Yea, nerve things a drag, but I was ready for it, Doc said it was a good thing he cut wide, and I sure do'nt miss draging around that Bowling ball.  Tim
Posted 4/26/2010 6:13 PM (GMT -5)
Tim I think you are good to go. The nerve this is a drag I must say!....Best of luck buddy.

Cajun Jeff
Posted 4/26/2010 6:21 PM (GMT -5)
Tim, all in all, not a bad surgical pathology report. You are still a confirmed Gleason 7, very unpredictible. Nothing in those numbers warrants any immediate action in my untrained opinion. You should be able to sail into the zero club at first PSA reading. THe other good number as the tumor volume of 9%%. That can work well in your favor.

Hopefully, your Gleason 7 will be the kind that is curable, and that you got many good years ahead of you. Hope the rest of your recovery is still doing well.

David in SC
Posted 4/27/2010 12:17 AM (GMT -5)
congrats Tim--- I am no expert but not bad!!
Posted 4/27/2010 6:11 AM (GMT -5)
Timm, except for the nerve bundles being removed, path report sounds pretty good to me especially the tumor volume. The one surprise (for me) is your stage. I thought I read somewhere that extraprostectic extension equals stage III (yours is a II). My husband had a single foci of EPE with clean margins and was upgraded to a IIIa...go figure. Just goes to show that there is still inconsistency in how this disease is viewed.

Congratulations on a good path report - may you enjoy many years of good health.
Posted 4/27/2010 6:44 AM (GMT -5)
Hey there Timm...been watching the site for your return. I notice one point or "perineural invasion" that would appear ominous but seems to present for many other guys....otherwise positive post op reports. Also as quite often is the case the post ops turn out to be a tad worse then originally thought. With your numbers, as others have suggested, you should be in good shape.

74 years old / PSA 6.7 / 2 of 12 cores positive / Gleason 3+4=7 / Henry Ford robotic prostatectomy 2/10/10 / nerves spared / margins clear / no pads around home and improving day by day. Had an extremely talented surgeon, Dr. Peabody. My very enlarged prostate required a couple hours additional time to reattach (four hours total) to deal with the bladder urethra connection but still went home the following day without a penile catheter.
Posted 4/27/2010 7:56 AM (GMT -5)
Timm....excellant path report. I would like to understand why you were given a T2C NOMX staging with extraporostatic extension. I understand that the margin was clean, however I was under the assumption that once the cancer has protruded the capsule (EPE) then that is a stage three. Or am I misunderstanding the staging criteria.

I am sure that your upcoming PSA tests will remain undetectable for many years to come.

Best of luck to you.
Posted 4/27/2010 8:17 AM (GMT -5)
Tim,
Your Pathology report look good. I had similar report with a higher Gleason. My doctor told me that by removing the nerve bundles he was able to go wider. So far things are looking good. Best of luck for you.
Posted 4/27/2010 9:28 AM (GMT -5)
Tim, thanks for the update. All things considered, from before to now, a close call, but things seems to be on the plus side now.
Posted 4/27/2010 12:15 PM (GMT -5)
Pretty good path report, if you ask me. I wouldn't worry about the perineural invasion, everyone gets that in their path report. As far as T2c with some kind of extension, I don't understand it either, but I got the same thing. So far I've been in the zero club for almost nine months, and hope you will soon join the club too.
Posted 4/27/2010 2:22 PM (GMT -5)
Thanks friends

All in all I feel pretty good about the whole thing, I'm a little bumed about the nerve lost but we all go in, knowing that's a option and i'm ready to deal with it. Thanks for all your posts, puts thing in prospective for me.

Tim
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