5 out of 12 cores positive. Gleason 4+3. More specifically: 2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C
REVISED BIOPSY REPORT: The previous was read by Umich. Slides were then sent to Dr. Menon at Ford Hospital. Here is their report (much better) -- changes in bold print below:
5 out of 12 cores positive. Gleason 3+4. More specifically: 2 cores were 3+3 (one 5% and the other 20%) on one side. On the other side, 3 cores were 3+4 (5%, 5%, 20%)
Latest: Surgery with Dr. Menon at Ford Hospital, set for 1/25/10
Discomfort absolutely, Pain with coughing YES, However as I have stated a number of times to friends and co-workers I had very few episodes of actual Pain. I don’t do Tylenol, but as soon as I could take my Aleve I didn’t need any additional medication for pain. You are very well informed. You will most probably have 5 abdominal stab wounds with the central wound being extended vertically. Your going to have pain from that trauma. I wish I would have known then what I know now. I would gladly go through this again if we were just talking about toleration of the pain. I have read your post regarding back pain. 8 years ago I woke up at 3:30 a.m. and had excruciating pain. I was in bed and wonder if something broke inside me. I wondered if I had gotten drunk and run over by my tractor,(again). But what I had was a herniated disc. It was bad enough that I had pain down my right leg that actually gave me foot drop. I was really lucky that I didn’t need to have surgery, (that was suggested) just lots of physical therapy and that is how I got into running. Just for clarification I would tell you that I think that I’m a normal person when it comes to toleration of pain. Your going to be just fine. Your back pain is going to be a huge trump in relation to the amount of pain from the robotic surgery. Back pain 10, robotic pain 3.1459265, or to completely ******ize things...a piece of Cake. Good Luck and Godspeed.
Id say the pain was a two at the worst. My stomach felt tight but not painful. I did use the pain medicine prescribed for several days more to keep my body loose than for actual pain.
Ten days post surgery it it still uncomfortable to sleep on my side but other than that no pain at all.
PSA: 6.0 on 07/31/09 having risen from 4.2 on 12/02/08. Free PSA 23.5%.Other PSA History: 4.3 on 05/01/08; 3.3 on 11/15/07; 3.1 on 05/20/07; 4.0 on 11/30/06; 3.40 on 09/01/05.
Biopsy: 09/04/09 13 snips; two positive. Right Mid 4+3 = 7 and 15% of the total volume. Right Lateral Mid 4+3 = 7 and 20% of the total volume.
DaVinci robotic surgery: 11/05/09. Post surgery pathology: margins clean, no invasion of seminal vessels, no upgrade of the Gleason scores, no evidence of cancer outside the prostate capsule.
Cathether removed one week later: 11/12/09. No incontinence. Stopped pads after two days.
Age:58 PSA 8/06 8.74, 10/09 7.46, 12/22 6.50
Needle Biopsy 11/10/09: 16/16 cores positive 2 - 85% of tissue,
Gleason score 7 (3+4 with tertiary pattern 5). CT,Bone, and PET scans all negative.
Da Vinci laparoscopic prostatectomy performed on Jan. 07, 2010 at IU Simon Cancer Center… Indianapolis, IN
Prostate size: 42 g Gleason score (primary + secondary): 4 + 3 = 7
Primary pattern (%):4, 60% Secondary pattern (%): 3, 35% Tertiary pattern (if present) (%): 5, 5%
Greatest dimension, largest tumor focus: 34 mm Additional dimensions: 27 x 9 mm
Histologic type: Adenocarcinoma Variant histology present: No Multifocality: Yes
Extraprostatic extension: Yes Seminal vesicle invasion: No Cancer at surgical margin:No
Bladder neck involvement: No Lymph-vascular invasion: No Perineural invasion: Yes
Catheter removed Jan-19-10 Dry Nights 2 pads/day Baseline PSA checkup appt 2/3/10