Pathology report ?

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dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 7/4/2008 11:06 AM (GMT -6)   
I just received a copy of my pathology report, two weeks after DaVinci surgery at the University of  Washington.  I had my catheter removed a couple of days ago and was going to meet witht the doctor on that day to go over the report face to face but he was called out of the office on an emergency.  He called me the following day and said that the report was very good.  Extraprostatic Extension- Absent, Seminal Vescile Invasion- Absent, Lymph Node Invasion- Absent, All Margins- Free of carcinoma.  So it seemed to be exactly what we wanted.
 
I received a copy of the report yesterday afternoon and it was just as he said but at the end of the report under General Comments it said "There is apparent incision of the capsule with benign prostate parenchyma at the inked surgical margin".  I immediately called the office to see what that meant and of course he had already left for the long weekend and the nurse obviously couldn't explain its meaning.
 
I've been on the internet trying to understand what prostate parenchyma is but the definition is flying right over my head, if there is anyone out there can help me with the definiton in layman's terms it would be appreciated.
 
One other quick note, I had started on Lupron and Casodex two months prior to my surgery, thinking that I was going to go with HDRT and IBRT so the prostate and tumor could be reduced in size.  Taking the medicine made it impossible for the pathologist to confirm my Gleason score post op. and he also was not able to determine the true size of the tumor because it had obviously been reduced in size by the medicine.
 
Overall I'm glad that I did the medicine because it allowed a little time to breathe and rethink my options but it left a few stones unturned on the Path report.
 
Thanx in advance for any responses and Happy 4th of July to everyone
 
David
 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-4.1
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HBRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
Waiting for pathology report results.
 


livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 7/4/2008 11:13 AM (GMT -6)   
Reading over this a couple of times, I think it would not be wise for me to offer much advice hear, other than I think it would be prudent wisdom to make an appointment with your doctor and have him take the time to explain everything to you. It sounds confusing. I wish I could be of more help. I would hope once you are able to speak with the doctor you will let us all know. I will be watching this thread to see if some others can impart some of their knowledge.

peace and love
Dale
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Casodex
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
cancer in 4 of 6 cores
92%
80%
37%
28%
 


dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 7/4/2008 11:20 AM (GMT -6)   

Dale:  Thanx for the quick response, you can bet I'll be on the phone first thing Monday morning getting an explanation.  The comment was almost like a side bar.  Also the doctor didn't even reference it when we went over the report on the phone.

Wouldn't you know this would come in over a long weekend.

David 


 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-4.1
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HBRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
Waiting for pathology report results.
 


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 7/4/2008 2:24 PM (GMT -6)   
What it says is that there is a cut into the prostate organ (parenchyma= functional part) but examination finds that cut area to be benign... free of cancer cells.

swim
 


dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 7/7/2008 12:40 PM (GMT -6)   

Here's the explanation to the pathology report's General Comment of:  "There is an apparent incision of the capsule with benign prostate parenchyma at the inked surgical margin".

While removing the prostate the Dr. accidentally made a small cut in the prostate, he didn't realize that he did at the time.  He did tell me after the surgery that he had a hard time getting the prostate out because of the medication I had been on prior to the surgery, he said that the prostate was sticky and hard to remove.  The pathologist found the cut and investigated whether or not there was a problem caused by it.  There didn't appear to be because the margin was benign for cancer.

The Dr. didn't mention it during our discussion because it was a non-factor in the surgery.  I would have appreciated a quick explanation when we were discussing the report but I do believe that the Dr. just missed it during our discussion.

I would have worried about this all weekend but one of our Healingwell buddies gave me an explanation that matched up to exactly what the doctor said.

Thanx Curt, you saved me a couple of sleepless nights.

 

David


 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-4.1
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HBRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
Waiting for pathology report results.
 

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