Terminology is so important sometimes when describing something this important. I have one Positive margin on the distal portion of the prostate above the urethra. Thank you for your encouraging words all.
Doc called since I last posted and stated that there was a lot more cancer than he believed, it was in a different place than he believed. This pre-surgical knowledge was all based on a Uroligist biopsy who I had little confidence in.
My only concern is of course the positive not close (sorry) margin. I will be making an appointment to see an oncologist and hemotoligist to get informed if the PSA does not respond as expected.
Doc says I have a 16% chance of reoccurence of cancer. If reoccurence of PSA occurs there is a 50/50 chance it will be significant. I will have a PSA in 6 weeks then in 3 months and we will acti accordingly to those indications.
I guess I will have to wait a few years to get my medical cure.
If I had to do it again I think I would have insisted on a MRI and/or wait for another biopsy to give the surgeon the most information about
my condition we can get. May have changed his approach may have not.
diagnosed 01-08-08 53 years old
DRE always normal
Abnormal PSA for 5 or more years
2004 Biospy negative
2008 Biopsy positive (01-08-08)
10 cores, 1 positive and at 1% of that one core
Highest PSA 10 ever
Lowest PSA 4
Current PSA 6
Bone and Ct scans negative
Staged at T1C
Gleason 3+3 = 6
Robotic Da Vinci performed March 27th, 2008
University of Chicago
Dr. Arieh Shalhav
surgery at noon out to recovery at 500 pm
in recovery 3.5 hours
Cardiac arthmia issues
Surgery thursday pm home friday pm
Catheter out in 7 days typical early indications
10 % of both portions of prostate
Seminal vessels clear
fat tissue clear
Tumor on bottom of prostate distal
1 positve margin distal at urethra
going to meet with oncologist to discuss treatment options if any