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
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.