Pathology Report

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Jerry1
Regular Member


Date Joined Mar 2007
Total Posts : 460
   Posted 10/21/2008 5:07 PM (GMT -6)   
 
Good news my path report was great downgraded from a 8 to a gleason 6 all lumph nodes are clear all margins clear the doctor said this is the best reort I can get.  I am very relieved I do not understand though how the biopsy is one thing and it is actually something esle.  I also had two separate pathologist review the slides.
 
The bad news is they could not take out the catheter because their is a small leak he said I probably poped a stich.  I need to have another test next week to see if they can remove the cath.  I guess that is nothing compared to having a great path report. 
 
Jerry 
 
Age 69
DX 8/13/08
PSA 4.0
Biopsy 14 samples 1 positive for Prostate Cancer 12% of sample
Second option of biopsy from Methodist Hospital Houston same DX
Gleason Score 4+4 =8
Da Vince surgery on Oct 17, 08 Florida Hospital Dr Vipul Patel
Bone Scan and MRI negative


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 10/21/2008 5:25 PM (GMT -6)   
Way Cool!!!!!
 


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 10/21/2008 5:53 PM (GMT -6)   

Wow, that's a nice downgrade!

I can see how it might happen: If you have homogenous cancer cells that are borderline between Gleason 3 and 4, you might find them graded at 3+3=6 or 4+4=8 depending on who does the grading and what he had for breakfast.


Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week and 7-month PSAs: 0
Bimix injections working well 


Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2331
   Posted 10/21/2008 7:07 PM (GMT -6)   
Great pathology report, Jerry!  It is more usual to have a +/- one Gleason grade change, but, hey, from a Gleason 8 to a Gleason 6 is reason to celebrate!  (Mine was downgraded from a Gleason 6 on biopsy to a Gleason 5 on the prostate pathology).
 
You're not wedded forever to the catheter and a little longer won't be the end of the world.  Hope the leak is resolved easily.
 
Take care and keep us updated...Tim
Age 59  PSA quadrupled in 1 yr (0.6 to 2.5) 
DRE neg  1 of 12 biopsies pos (< 5%) 
Open surgery June 06 Organ confined pT2a  Gleason 5   
Cancer-free for 2 years  PSA's undetectable  


norskie
Regular Member


Date Joined Jan 2007
Total Posts : 376
   Posted 10/21/2008 9:17 PM (GMT -6)   
Great news on the big downgrade, now that's one worth being happy about. Here's to more continued success on your recovery.

Norskie
norskie
Current age 50, Age at Dx-48 PSA 6.22 on 9-26-06
Biopsy 11-01-06, 2 of 13 cores 10% cancer, 2 other cores abnormal Up-dated 20% prostate cancerous
Gleason score 3+3=6 After Surgery Pathology report 4+3=7 a couple agressive Grade 5 cells found
Da Vinci surgery 01-09-07 UW Madison
Pathology Report- cancer 100 % capsual contained 1-18-07
1st & 2nd Post PSA Blood Test .1 and less - Undetectable
3nd Post PSA Blood Test 01-17-07 .3
March 27th PSA .422 Begin Salvage Radiation April, 14 2008
Radiation Complete June 4, 2008 36 treatments
August 5, 2008 PSA .09 or < .1 again
October 9, 2008 PSA <.06 or as low as my clinic can read.
Incontenence-Pad free since end of May 07 4 1/2 months post surgery 
ED back to 95% prior to surgery - no medication required.


nemo57
Regular Member


Date Joined May 2008
Total Posts : 43
   Posted 10/22/2008 7:12 AM (GMT -6)   
Thats great news!!!!!!!!!
New Jersey
Age 51
Psa 0.9
Biospy 1 core positive
Gleason 3+3-6
Surgery date Aug.11, 2008 at Monmouth Medicial Center
Robotic Surgery By Dr. Lanteri And Dr. Esposito
Both nerve bundles saved. Margins clear.
Gleason score stayed at 3+3-6. Cancer contained to prostate.
1-2 pads a day. No problems at night.
ED 25mg viagra at night. Usable erections 1 day after catheter was removed.
First PSA Oct 2008 <0.1


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 10/22/2008 8:46 AM (GMT -6)   
Excellant Jerry...and oh are you going to jump for joy when the cath comes out...but be careful you are still healing inside. Now on to all the follow-ups with a lifetime of zeros with your PSA Congrats!!
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal-Gland 38 cc
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral (Perineural Invasion present at base)
Gleason (3+3) 6  Stage T1C
August 23 - Bone Scan - Hips, Spine and ribs marked uptake - X-Ray showed clear -Hooray
Sept 9 2nd DRE - questionable - TRUS...shadow in base - Gland now 41 cc
Robotic Surgery Sept 18, 2008
Pathology October 1,2008
Gleason 7 (4+3) Staged pT2c NO MX
Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
4 tumors in prostate - largest being 6 cm 


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 10/22/2008 9:03 AM (GMT -6)   
 
....Hey Jerry great news, heck it's worth keeping the cath a little while longer with a downgrade like that....just take it easy and let things heal....
 
   age: 53
   Pre-0p PSA  Feb. 08, 5.0
      4.22.08, 4.1
      PSA  spiked once about 8yrs ago to 5.0 three months later
      back to 2.9...then into the 1.2 range until my re-scheduled 
      "missed" appointment this past Feb.
      Biopsy 5.1.08 
      Gleason-3+4=7
      T2a
      5 of 15 cores positive
      Da Vinci scheduled..7.29.08..as I read somewhere on this 
      site....."the first show of the day"
       DaVinci completed 7.29.08, Bladder Sling installed, hernia repair 
       completed during surgery.    
        Sent home 30hrs,  JP drain in place 7days,
       Path report "cancer fully contained"....Margins clear
        Cath removed 8.8.08(ten days)...one lightly used pad 24 hours
        ED therapy begins 8.9.08. 100mg viagra three times a week,
        pump everyday and hold for ten minutes.
        8.16.08 switched to Levitra 20mg.......whahoo, got lucky...
        immediate results..... 
        9.15.08 pad free at night, one thin (light) pad during the daytime
        hours. Just because I'm chicken..!
         9.18.08 1st post-0p-PSA-Undetectable...Zero's!  Yes!
 
           ..."just tryin' to reason with hurricane season"..
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
       


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 10/22/2008 9:16 AM (GMT -6)   
Great report, Jerry!  My path report was excellent also - and it also showed that the cancer represented about 20% of my prostate, not the 2 or 3% the biopsy report indicated - and such variations are reason enough people shouldn't be unnecessarily waiting to make treatment decisions.  about the catheter, sounds like a good decision to leave it in - until the matter at hand is resolved.  Congratulations on the excellent report!

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (getting better, though)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0

 

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