Confusing Path Report

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Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 2/17/2008 7:29 AM (GMT -7)   
I just got back  home after having my catheter removed.  I have a copy of the pathology report from my Dr. but it is confusing. The final report was gleason 7 (3+4) with 1 positive margin (.3cm) however the final staging is T2C.  I assumed that the positive margin would indicate "T3".  Anyone out there with a similar report that could help explain it to me. 
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Post-op
Gleason 7 (3+4)
1 positive margin 1mm 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 2/17/2008 8:27 AM (GMT -7)   
You are not the first here with that description. kdnole also had the same report. I think there is a grey area when the penetration is very small. But it may be theh doctor that sets the standard for stage III. Either way the treatment is the same.

Tony
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09. 
 
Visit my Journey at:
 
STAY POSITIVE!


Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 2/17/2008 8:32 AM (GMT -7)   
Thanks Tony.  I"m 3 days out from catheter removal and am almost fully continent. Not to bad for an old guy.  In my case the Kegels worked.  However my Dr. never mentioed them.

Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Post-op
Gleason 7 (3+4)
1 positive margin 1mm 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 2/17/2008 11:44 AM (GMT -7)   
You might get some variation of the continence. For me it varied for a few weeks because, as I was told, you still have some swelling in that area. When it changes so will the control, but it was perfectly tolerable for me. You will likely receive a recommendation for radiation. Don't worry about it if you do. It was a breeze for me. I doubt you will be recommended to take on hormone therapy as yet. Unless you PSA fails to drop out that may change, but I believe it will and you have my prayers that it does. God Bless you and good luck on that first PSA.

Tony
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09. 
 
Visit my Journey at:
 
STAY POSITIVE!

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