Question for those in know re: my husband's pathology report

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 6/14/2008 5:26 AM (GMT -6)   
I'm confused over the use of the terms extraprostetic vs. extracapsular extension. My husband had RALP in March 2008. His clinical stage was T1c, pre-op PSA was 6.3 (BTW: he was 57 years old at diagnosis, no other health issues). Post surgical path report upgraded stage to T3a and cited tumor extension into the capsule, perineural invasion (we knew this from the biopsy). Surgical margins and seminal vesicles were clean. The urologist who walked me through the report (not the one who did the surgery) called my attention to the fact that the path report said "into" rather than "through" the capsule. But, from what I've read, stage 3 requires the tumor to be outside the prostate (which I assume includes the capsule). I have been told not to focus as much on the stage since upgrading is very common after the pathology is completed on the surgical specimen. The fact that the surgical margins were clean as well as the seminal vesicles are the key points and indicate a very good prognosis for my husband.

BTW: Husband's PSA 4 weeks post op was 0.1, and 8 weeks post op was 0 (undetectable). The surgeon felt this was an excellent indication that the surgery was a success.

I would appreciate hearing back as to your understanding of these terms ... it can be so very confusing and worrisome trying to understand all of this.

Thanks in advance.

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 6/14/2008 7:21 AM (GMT -6)   
                                                         tongue    Hi ~Sephie and Loved Ones,

 

Welcome   to  ~ HealingWell ~

 

and

 

A   Special Warm Welcome  to  You !

 

Knowledge gives us POWER.  POWER takes away the fear.

 

~     ~     ~     ~     ~     ~     ~     ~     ~     ~     ~     ~     ~

 

 Click  on  link  below for important information that will help you ~ help us!!

 

  >>  Welcome New Members ~ to HealingWell

 

The information (link) listed above is to help you get around the forum! 

 

This is a journey best traveled with friends. 

 

Welcome ~ New Friend from all the members here... on HealingWell.com

 

 

Forum Moderators

v      IdahoSurvivor ~  Moderator for Prostate Cancer Forum

http://farm2.static.flickr.com/1160/1313099593_9f819e3ff8.jpg

 

v      TC-LasVegas ~  Moderator for Prostate Cancer Forum

 

v      Doting Daughter ~  Moderator for Prostate Cancer Forum

 

v      James C ~  Moderator for Prostate Cancer Forum


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 6/14/2008 8:20 AM (GMT -6)   
Welcome Sephie! Sorry that you have to be here, but you have come to the right place for patient to patient interaction! First and foremost, congrats on the undetectable PSA!!! That is GREAT news!!!! Definitely take that in and appreciate the zeroes!!!
Second, the fact that the margins are clear is another HUGE plus!! I know it is so hard not to focus on the medical terminology and get caught up in things such as "through" or "into", but at the end of the day, your husband has an undetectable PSA !! That is the goal!
In my opinion, "into" is better than "through", because hopefully they were able to remove all the cancer, which by the post op PSA and clear margins would lead you to believe that they did. Stay strong, stay positive and stick around this place! Best wishes to you and your hubby for a speedy recovery!!


Doting
Father's Age 62 (now 63)
Original Gleason 3+4=7, Post-Op Gleason- 4+3=7,
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin, One positive node. T3a N1 M0.
Bone Scan/CT Negative (Sept. 10, 2007)
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07, Lupron beg. Dec 03, 2007 2 yrs
Radiation March 03-April 22, 2008- 8 weeks 5x a week
Praying for a cured dad. First PSA 3 months!


Co-Moderator Prostate Cancer Forum


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 6/14/2008 2:50 PM (GMT -6)   
Thank you one and all...especially Doting Daughter! Your message lifted my spirits and, of course, I know you are right. Throughout this whole process, I have found myself focusing on a word or phrase, wondering what it means. One of the things I'm really struggling with right now is accepting the fact that I have absolutely no control over this - or most things for that matter.

I know that clean margins, seminal vesicles and a zero PSA are great news. I've had so many people in my life with cancer and both my parents, my mother in law and 2 brothers in law died from it. When I saw Stage III on the path report, I was so darned worried that my husband was next. Through the Internet, I have learned that Stage III prostate cancer is a different animal than stage III breast or lung cancer.

Thank you for the warm welcome and the even warmer reply.

smilingoldcoot
Regular Member


Date Joined Jan 2008
Total Posts : 338
   Posted 6/14/2008 7:17 PM (GMT -6)   

Sephie

You do have some control.  Your have control over your emotions, control over your/dad's research, control over the final treatment selected by your father(with your help) and control over the love you have for your father.

This is a fantastic place for support and information.  People who really care and love others who they have never met eye to eye.  It does not matter, we all face the same, a thing called PCa. 

This is not an insurmountable battle we fight.  It can be won.

Keep you faith and a postive attitude and help your father do the same.  I would encourage you to encourage your dad to come here himself.  We are of all ages and from many varied professional careers but all that takes second fiddle to fighting PCa. 

Richard yeah tongue yeah


Retired USAF Richard & Debbie on The Shores of Toledo Bend Lake Louisiana
Biospy 1/10/08 Gleason 10, Stage T1C  8 of 12 samples positive all Less Than 5% 
Jan & Feb & Mar all tests clear
MD Anderson = No surgery and No Proton only Hormone and IMRT
Contacted with Loma Linda and UFPTI in FL
Started Treatment at the U of Florida Proton Therapy Institute in April 2008
May 2, 2008 LUPRON & Casodex
IMRT to started  5/27/2008 Will get 42 treatments 19 IMRT and then 23 Proton
Turn Stumbling Blocks into Steping Stones and Keep Smiling
Our Journey is on WWW.GLEASON10.COM
 


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 6/15/2008 11:15 PM (GMT -6)   
Sephie said...
Thank you one and all...especially Doting Daughter! Your message lifted my spirits and, of course, I know you are right. Throughout this whole process, I have found myself focusing on a word or phrase, wondering what it means. One of the things I'm really struggling with right now is accepting the fact that I have absolutely no control over this - or most things for that matter.

I know that clean margins, seminal vesicles and a zero PSA are great news. I've had so many people in my life with cancer and both my parents, my mother in law and 2 brothers in law died from it. When I saw Stage III on the path report, I was so darned worried that my husband was next. Through the Internet, I have learned that Stage III prostate cancer is a different animal than stage III breast or lung cancer.

Thank you for the warm welcome and the even warmer reply.
You are so welcome Sephie!! Trust me, I have obsessed so much over this disease and I finally had to realize that we have done all the research we can and made the best decisions possible.  I pray a lot and finally realized that I would rather spend as much time with my loved ones, and less time driving myself crazy about things I cannot control.  There are so many things that we can't control with this disease and it is a horrible thing to deal with.  There is no black and white.  In my father's situation, it was completely against the odds based on his PSA and Gleason and all pre op tests.  I kept wondering "how" and "why", I guess I still do, but I am choosing to believe and hope the for the best.  In your husband's case, things look fabulous!  Cancer is scary.  I'm sorry you have been so affected by it, but remember that many people also beat cancer.  I pray your husband is one of them!  :-)
Father's Age 62 (now 63)
Original Gleason 3+4=7, Post-Op Gleason- 4+3=7,
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin, One positive node. T3a N1 M0.
Bone Scan/CT Negative (Sept. 10, 2007)
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07, Lupron beg. Dec 03, 2007 2 yrs
Radiation March 03-April 22, 2008- 8 weeks 5x a week
Praying for a cured dad. First PSA 3 months!


Co-Moderator Prostate Cancer Forum


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 6/16/2008 6:03 AM (GMT -6)   
Thank you again, Doting Daughter...

I too will pray for your dad, and for men everywhere (and those who love them). Yes, cancer is a very scary thing. A friend of ours - 84 years old, diagnosed with breast cancer a couple of years ago and underwent a mastectomy at 82 - said something that really struck a cord with me when my husband was first diagnosed. First, cancer is not the "death sentence" it used to be, second, there are other diseases and some are worse than cancer, third, believe that God will give you what you need. We have met so many men diagnosed with PCa - the world became a much smaller place after my husband's diagnosis.

Thank you all again for the warm welcome, and best wishes.
New Topic Post Reply Printable Version
Forum Information
Currently it is Sunday, May 27, 2018 2:07 AM (GMT -6)
There are a total of 2,966,311 posts in 325,326 threads.
View Active Threads


Who's Online
This forum has 162729 registered members. Please welcome our newest member, ian33.
210 Guest(s), 2 Registered Member(s) are currently online.  Details
Suzee, elmistik