Great pathology Report!!!

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Regular Member

Date Joined Dec 2008
Total Posts : 194
   Posted 1/16/2009 9:40 AM (GMT -6)   
Went in for my first  post-op exam yesterday.  My cystogram looked good so the catheter was removed.  I had no problems in starting and stopping urine flow, the first time or since. My surgeon came in with the post surgery pathology report.  He stated it was very good and gave me a copy.  My wife and I are overjoyed!
Weight of Prostate - 42 grams
Right pelvic lymph nodes - negative
Left pelvic lymph nodes - negative
Prostate involved by tumor < 10% (greater than)
Extraprostatic extension - Absent
Seminal vesicle invasion - Absent
Margins - Uninvolved by invasive carcinoma
Venous invasion - Absent
Lymphatic invasion - Absent
Perineural invasion - Present
The perineural invasion bothered us at first but the surgeon explained that, cancer cells were found in the spaces around the nerves near the edge of the prostate, but they did not escape outside of the prostate and did not invade the nerve tissue.  Now on to the first PSA scheduled for 2-17-09. Thanks to a highly skilled surgeon I am free to drive again...if I wear a diaper!
Age at DX 57
5-18-07 PSA 7.7
5-06-08 PSA 4.6  8% free psa, but stable
10-23-08 PSA 5.65 4% free psa
11-04-08 biopsy
11-11-08 2 of 12 cores positive
Gleason 3+3  6  stage t1c / post-op 3+4  7  stage t2c
CT and Bone scan negative
Da Vinci RRP 01-09-09
Catheter removed 1-15-09

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 1/16/2009 10:46 AM (GMT -6)   
Sandstorm, that's a really great post surgery pathology report, that was all good news. Jealous was catheter was removed in 6 days while I am on day 63 of mine. I too, am looking forward to my first post surgery psa test around the same time as you, perhaps we will get in the Zero Club on the same day. Driving again was a big plus for me, wasn't use to being chauffered around. Hope you continue to heal well.

David in SC
Age 56, 56 at DX
PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, ranging from 40 - 90%, G 4+3 & 3+4
Open RP surgery  November 14, 2008 at St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon, Non-nerve sparing, 4 days in hospital, staples removed 11/24/8, Catheter out on 12/15/8 on day 32.  Day 33, urine stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08.  After 7 hours, complete stoppage again, emergency room put in Catheter #3 early evening of day 45, still 12/29/08. 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/13/9 - Had operation St. Francis - removed blockage, put in Cath #5, suppose to be removed 1/19/9
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.
First PSA Post Surgery  Scheduled now for 2/9/9

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4463
   Posted 1/16/2009 11:37 AM (GMT -6)   
sandstorm, that is a really good bunch of news. The usual course of rehab is stop the cancer (done), regain continence (sounds like a great start has been made) and regain erections (something to look forward to a little later) so you are progressing nicely. Looking forward to seeing your first zero and to welcome you to the zero club...
James C. Age 61
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/07 Nerve sparing open Retropubic Radical Prostatectomy
9/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
16 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 12 mts.-.02, 16mts.-?

Doting Daughter
Veteran Member

Date Joined Aug 2007
Total Posts : 1064
   Posted 1/16/2009 11:42 AM (GMT -6)   
Great news!! I hope you sleep very well tonight!!! All the best in your recovery!
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

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 1/16/2009 11:50 AM (GMT -6)   
Well done!
Zero's are next. Yup I would not sweat the PNI. Some centers have removed noting it. Almost everbody has PNI.

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 (January 13, 2009): <0.1
You can visit my Journey at:

Regular Member

Date Joined Aug 2008
Total Posts : 31
   Posted 1/16/2009 12:11 PM (GMT -6)   
That is GREAT news! You bet it is a great day! Keep moving, keep active--stay healthy. Cheers to future zeros!
Age 51
March 08 PSA prior to biopsy 6.65
PSA caught in life insurance exam.
Completely asymptomatic.
April 08 Biopsy: Gleason Grade 3+4=7
Tumor in 5 of 13 cores
July 22, 08 Radical Robotic Prostatectomy
All nerves spared
Pathology: Margins clean, Seminal Vesicles negative for tumor
Gleason Grade 3+4=7 Percent Gleason Grade 4-20% no Gleason grade 5.
First post-op PSA scheduled for 10/08
Very minor incontinence since catheter removal on 7/29
ED assisted by low dose of Levitra. So far so good.
I feel very, very lucky.
First post op PSA 11/19/08 <.02 undetectable!

Veteran Member

Date Joined Jul 2008
Total Posts : 637
   Posted 1/16/2009 1:28 PM (GMT -6)   
Dear Sand, So very happy for you. Enjoy your wonderful news Kiss your wife and go out for a fine dinner!!

Climb the mountains and get their good tidings
Nature's peace will flow into you
as sunshine flows into the trees.
The winds will blow their own freshness into you...
While cares will drop off like autumn leaves.
..... John Muir

I posted this before, but I just love it, and it seemed to fit for you!! Diane
Husband Pete
dx Jan 2001 gleason 4 + 3 PSA 16.5
Seed implant and conformal radiation and 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 Dr. Eastham
Fistula operation 2/07 MSK Dr. Wong
Many cystoscopies and ER visits with strictures
Catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/08
AUS Operation at MSK Sept 8 2008 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
PSA .6 12/08
AUS improving..only 2 pads a day and one at night
Complete hip replacement surgery Dr. Waters Gainesville, FL 1/9/09
Forging ahead to health!

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4849
   Posted 1/16/2009 1:56 PM (GMT -6)   
Only downside for sandstorm -> New guy has to buy the beer yeah
Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
10/03/08 - 1st Quarter PSA -> less then .01
NEW-> 01/16/09 - 2nd Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.
Las Colinas and Plano Offices 

Regular Member

Date Joined Jan 2009
Total Posts : 51
   Posted 1/16/2009 3:23 PM (GMT -6)   
that is great news!  good for you! 

205 lbs.
age at diagnosis:  51
diagnosed summer of 08
no symptoms
PSA  4.4
bone scan was normal
Radical Robotic Prostatectomy done with Da Vinci at UCSF on 12/23/08 by Dr. Peter Carroll
catheter removed 1/7/09
my local urologist referred me to a urologist at UCSF for the Da Vanci operation mainly because I had two
mesh panels in lower abdomen due to 2 hernia repairs 12 and 16 years ago
3 weeks post op I get a path report:   
 Your pathology results looked great.  Your final tumor grade was a Gleason 3+3, which was the same as your biospy grade.  The tumor did not extend outside of the prostate and all surgical resecetion margins were negative (meaning no tumor left behind).  The tumor did not involve the seminal vesicles.
Basically, the pathology is about as good as we could have hoped for.

Regular Member

Date Joined Dec 2008
Total Posts : 194
   Posted 1/16/2009 6:20 PM (GMT -6)   
Thanks guys. I only wish everyone, if they had to be here, could get a good one also.

David, I'm looking forward to a Happy Monday for you. And you are right. I got to drive today for about 30 min. each way. Piece of cake, and felt good too.

divo, Pete went thru some major surgey the same day I did, I hope he is still doing well.

Steve, hope you like full-bodied dark beer. No light stuff.
Age at DX 57
5-18-07 PSA 7.7
5-06-08 PSA 4.6  8% free psa, but stable
10-23-08 PSA 5.65 4% free psa
11-04-08 biopsy
11-11-08 2 of 12 cores positive
Gleason 3+3  6  stage t1c / post-op 3+4  7  stage t2c
CT and Bone scan negative
Da Vinci RRP 01-09-09
Catheter removed 1-15-09

Veteran Member

Date Joined Apr 2008
Total Posts : 1382
   Posted 1/16/2009 7:33 PM (GMT -6)   
That is great news Sand. I think I will celebrate for you. haha

peace to you
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .06
Testosterone keeps rising, the current number is 156, up from 57 in May
cancer in 4 of 6 cores

Ralph Alfalfa
Regular Member

Date Joined Nov 2008
Total Posts : 469
   Posted 1/16/2009 8:45 PM (GMT -6)   
Great results! Feel like a new man? Hope so. Enjoy the time with your wife. Put on a cheesebuger for me.
 Dx: October,27(the day after my birthday)
 Psa 14.5
 Gleason:(4+3) 7 T1c
 Bone scan:Negative
 Cat scan: Negative
 Biopsy: 4 of 12 positive, left side, pre-cancerous on the right.
 Confined to prostate.
 DaVinci scheduled for Jan. 19, 2009.Dr. Scott Montgomery, KC Urology,
Shawnee Mission Med. Center. Kansas

Veteran Member

Date Joined Apr 2007
Total Posts : 823
   Posted 1/16/2009 8:49 PM (GMT -6)   
Hi Sandstorm

A diaper or a pad for a while will not be too bad. This too shall pass and you will be back normal

age at dx 54 now 56
psa at dx 4.3
got the bad news 1/29/07
open surgery Duke Medical Center 5-29-07
never more than 2 pads
Tossed the pads this spring
ED still a problem
Got a shot last week and it was great
A year an a half of zero's

Regular Member

Date Joined Dec 2008
Total Posts : 60
   Posted 1/16/2009 11:54 PM (GMT -6)   
Sandstorm, fantastic news. Celebrate. It is my new tradition. I get to celebrate every 3 months (I hope) with my family. Makes the agony of the wait a little better. Here's to you!!!!
Age at Dx:48, currently 49
PSA May 08 2.96
referred to uro
PSA June 08 3.44
biopsy 7/25/08-29 core samples
path 7/31/08-8 of 29 PCa/10% involved L/R base and mid
high grade PIN in apex/seminal vesicles clear stage GS 3/3=6 pT2a
10/7/08 robotic at Cleveland Clinic-Dr. Kaouk
10/10/08 path GS 3/3=6 pT2c
cancer contained/neg margins
PSA Jan/09 .03

Regular Member

Date Joined Nov 2008
Total Posts : 110
   Posted 1/17/2009 7:49 AM (GMT -6)   
I'll put in a new pad, pull the cork on a bottle of wine and raise a toast to your path report. Congrats!


Age 48 at diagnosis
3 Jul 08 PSA 27.21
Biopsy positive 3+3=7 9 of 24 punches
Bone scan clear
22 Sep 08 Laproscopic Radical Prostatectomy and bilateral pelvic Lymphadenectomy
Gleason 3+4 after prostate removal, lymph nodes clear
Stage T2B
PSA at 3 months=undetectable

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