Post daVinci borders NOT negative

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DaVincispouse
New Member


Date Joined Sep 2008
Total Posts : 2
   Posted 9/14/2008 10:52 AM (GMT -7)   
Sounds like you are the lucky ones as this is the best surgery for the prostate Cancer...my husband had this surgery three weeks ago....still wears pads as he is leaking urine some..I know this is to be expected.... Dr recommended kegal exercises. Sex...have not even thought of that yet...should we be experimenting??? He has lost weight but feels "pretty good". My concern is that his final report from surgery had all negative margins but one...we were told some Docs recommend radiation after about 5 weeks of recovery from surgery if any positive borders......but many say NO with only one positive border just follow you PSA results every 3 months for the first year. ANY ONE WITH SOME SUGGESTIONS OR EXPERIENCE with this one? Have been looking for latest research but hard to find. mad hanks!

Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 9/14/2008 12:51 PM (GMT -7)   
I had LRP about eight months ago with one positive margin.  I have had 2 PSA tests since and am undetectable.  Sometimes a positive margin can be caused by  the handling of the prostate after it is removed.  In some cases the cells will die without the prostate.  I would wait until the first PSA before making any decisions.  If you have an e-mail address, I will forward an article to you by Dr. Patrick Walsh concerning positive margins.

Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C 
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 9/14/2008 1:08 PM (GMT -7)   
I have studied this quite a bit and chose to add adjuvant radiation and hormone therapy. I had positive margins and bilateral seminal vesicle invasion. For me after my da Vinci it was a mess down there. I found solid studies that show about an 11% improvement in preventing a biochemical relapse. We were able to get to undetectable and hold it now for 18 months. I have my every 4 month tests this Wednesday followed by a Lupron shot. You have remember to do something at all times. Stay Positive! My experience with this, and my membership is several advocacy groups, and well as forums like this one (actually this one is very elite with the very best members), has shown me that Stage III patients can do quite well for a long time. I know quite a few guys who are 14 years post surgery and still undetectable! I have seen guys relapse but keep it controlled for a long time.

If you can, post more information ~ Age, Gleason, Pre-Operative PSA. Look at my numbers below. Me and my Ruthie are still having fun, and enjoying the good things.

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 9 '08): <0.1 ~ Undetectable!
 
You can visit my Journey at:
 
STAY POSITIVE!
 
 


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 9/15/2008 8:29 AM (GMT -7)   
Sorry to hear the path report was not negative, however, there are still so many options. Try to keep positive, as Tony says. :) My father had a "focally" positive margin, which if he would not have had the positive lymph node, he would have waited on radiation until there was a rise in his PSA. He mentally and physically would have preferred to wait, not because any study suggested waiting. He did undergo radiation and did extremely well. There are a lot of great threads on positive margins on this site. If you enter "postive margins" in the google search box, you will find them. Keep us posted.
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
July 2, 08 PSA <.02
Praying for a cured dad.

Co-Moderator Prostate Cancer Forum


2busymom
Regular Member


Date Joined Nov 2006
Total Posts : 118
   Posted 9/17/2008 1:11 PM (GMT -7)   
You need to look at all of your other numbers and figure that in to the equation. My husband had one area that showed a positive margin, which was a surprise because his biopsy didn't show much cancer. His number remained the same, and so we decided to do the every 3 month bit. We are approaching 2 years with still undetectable PSAs.

becky
husband Jeff 45 years old, diagnosed 8/25/06
PSA 2.1, 2 of 12 samples at 3% & 4%, involving 1 side of prostate
Gleason 3+3=6 in both samples
laparoscopic radical prost. 10/17/06
cancer in both sides of prostate, positive in one area of margin
first PSA results 1/07 <0.01%
2nd PSA 4/07 <0.01%
3rd PSA 7/07 <0.01%
4th PSA 10/07 <0.01%
using vacumm device & injections for ed therapy, seeing some improvement

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