Posted 8/21/2008 1:50 PM (GMT -6)
Received my Pathology report from the Doctor last week. It was a surprise, since it was suggested with a pre-op PSA of 4.7 a biopsy with 2 positives with less than 5% and a gleason's of 3+3, (The Urologist did feel an abnormality on one side so it was graded T2a), it was suggested there was a high probability of the cancer being prostate confined.
Had a DaVinci Prostatecomy on July 16th. Received my pathology in early August, it confirmed a Gleason 3+3, but did find one microscopic tumor involvement of the periprostatic adipose tissue. The peripheral margin was focally involved by tumor. The tumor was primarily involved in the left side of the prostate with focal microscopic extension into the right side of the prostate. The tumor was classified as pT3a. There was no involvement of the VASA Differentia, or Seminal vessel. The Doctor did not check the nodes.
Guess I didn't listen enough after I heard the Doctor say, "we may not have gotten it all, the cancer was not organ confined'. I will be going back to the Doctor shortly to find my first PSA results. Should I be considering further treatment -- hormonal and radiology?
For a year treated for infection of the prostate
one year period PSA went from 1.9 to 4.7
Urologist felt abnormality
Biopsy 12 - 2 positive cores < less than 5%
Surgery 7-16-2008 Prostatecomy DaVinci
One negative margin -- microscopic involvement of the periprostatic adipose tissue.