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builder
New Member


Date Joined Dec 2008
Total Posts : 6
   Posted 12/16/2008 10:13 AM (GMT -6)   
MY PROSTATE SURGERY WAS OCT.1 08 mY PSA TEST WAS 5 WEEKS LATER AND REGISTERED O. mY QUESTION IS IS THERE SOMEONE WHO HAD SIMILAR TEST RESULTS? mINE BEFORE SURGERY WAS 8.8 GLEASON WAS 6. bUT AFTER THE SURGERY I HAD SOME CANCER ON THE OUTSIDE OF PROSTATE,BUT THE DOCTOR FELT STRONGLY about GETTING IT ALL AND WHEN L TOOK TH SA TES IT REGISTERED 0.mY INCONTINENCY HAS PRACTICALLY STOPPED TO NOTHING LIKE 4 WEEKS AGO.

RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 12/16/2008 11:47 AM (GMT -6)   
Congratulations on the first post PSA being "0." That is in fact what everyone is shooting for and in most successful operations that is what is expected. That of course means for now there is no cancer generated from the prostate active in the body. The key though is to keep having zeros moving forward. Your surgeon likely told you to have it checked every 6 months. Sometimes the cancer from the prostate has moved to other parts of the body and will remain dormat for a time but show up later - that is the purpose of the continued check to make sure it hasn't shown up somewhere else.

We will hope that you continue registering zeroes, and it sounds like you have good prospects. Blessings!

RB
Age 61 (now 62)
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04
2nd Post PSA <.1 10/30/2008


builder
New Member


Date Joined Dec 2008
Total Posts : 6
   Posted 12/16/2008 12:32 PM (GMT -6)   
Thanks for the response. The Lord with you also

Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 12/16/2008 1:42 PM (GMT -6)   
First, Welcome to HW manrod! Second, congrats on an undetectable PSA!!!! That is fabulous news!! There are a number of members who have had positive margins following their prostatectomies. Often the surgeons suggest waiting to see if the PSA will rise following surgery and if so, they will recommend additional treatment at a certain point such as .1 or .2. The good news, as you know, is that you passed the first test with an undetectable PSA. Hopefully, your PSA will remain undetectable. When you say your cancer was outside the prostate, do you mean that you had a positive margin? Best wishes!
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
Oct. 10, 08 PSA <.02
Praying for a cured dad.

Co-Moderator Prostate Cancer Forum


builder
New Member


Date Joined Dec 2008
Total Posts : 6
   Posted 12/16/2008 2:31 PM (GMT -6)   
I never heard of positive margin? The doctor said it was a little outside of prostate on one side. To be very honest with you l try to ignore having what l have or had.l feel great,like nothing ever happened. l am 59 years young. Maybe in denial yet.

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 12/16/2008 2:40 PM (GMT -6)   
manrod,
You should get the surgical pathology report from your surgeon for your records. I understand the denial part, but you should want to know where you stand and keep up the diligence. Good job on the zero part. I wish you the best in your healing. May peace be with you!

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 (September 17 '08): <0.1 ~ Undetectable!
 
You can visit my Journey at:
 
STAY POSITIVE!
 
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/16/2008 2:44 PM (GMT -6)   
Congrats and hope you have many years ahead of zeros!

David
Age 56, 56 at DX
 
PSA 2007 5.8
PSA 9-2008 14.9
 
3rd Biopsy 9-2008 Positive
7 of 7 cores positive, ranging from 40 - 90%
2 tumours noted, Gleason 4+3 and 3+4
 
Open RP surgery completed on Friday, November 14, 2008 at
St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon,
Non-nerving sparing, 4 days in hospital, staples removed 11/24/8,
Catheter out on 12/15/8 on day 32.
 
Post-surgery Pathlogy Report:
Gleason 3+4=7, pT2c pN0 pMx, Prostate 42 grams, tumor 20% cancer
Contained in capsular, neg. margins apex, bladder neck, right lobe, neg. in seminal vessels and lymph nodes. Left lobe: infiltrating tumor miscroscopically appears to extend to marked left posterior margin
 
First PSA Post Surgery  Scheduled for 1/5/9
 
 


RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 12/16/2008 3:19 PM (GMT -6)   
People like Tony on this forum are experts who have answered many many questions and done their research. Please think seriously about following his advice. Knownledge about all this will aid you greatly.

I would suggest that from reading your description of what the doctor said that you had cancer to or beyond the wall of the prostate, but the doctor believes he cut wide enough to get it all. A positive margin is cancer shown to the perimeter or outside the perimeter of the doctors extraction. Positive margins are what doctors try to avoid - that is they will cut a large enough diameter to take all the cancer so that there is no cancer shown to the boundary of the area cut out. Leaving any cancer in the area increases the possibility of its continued growth and spread in the body and the later return of PSA will indicate its presence. You have capsule penetration (apparently to the wall of the prostate), but the doctor thinks he got the excess outside the capsule. The pathology report will provide the information to know if this is so or not, and will guide the rest of your decisions about what to do or not to do for further treatment.

I had non-nerve sparing surgery for the same reason described above - the surgeon thought there was a good possibility I had cancer outside the capsule and therefore cut a wider path to make sure he got it. I hope this is helpful.

RB
Age 61 (now 62)
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04
2nd Post PSA <.1 10/30/2008


builder
New Member


Date Joined Dec 2008
Total Posts : 6
   Posted 12/16/2008 3:30 PM (GMT -6)   
Thanks for responding. Post results; pNO,pT3B, gLEASON 3=4 size of Prostate 24 grams. 70% volume.

divo
Veteran Member


Date Joined Jul 2008
Total Posts : 637
   Posted 12/16/2008 7:19 PM (GMT -6)   
I think you will be fine.....di
Husband Pete
dx Jan 2001 age 67 gleason 4 + 3 PSA 16.5
seed implant and conformal radiation Lupron from Jan 2001 to Jan2002
2005 Dec PSA began to rise from .5 to 8 within 6 months
Salvage surgery at MSK 9/06
Fistula operation 2/07 MSK
Many cystoscopies and ER visits with strictures
catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/07
AUS Operation at MSK Sept 8. Dr. Sandhu
Activated Oct 28th Dr. Sandhu..MSK
Some difficulty with AUS arising Nov 10 2008
Meeting with Dr. Sandhu to discuss AUS problems and new PSA test Dec 11, 2008

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