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vs1vs2
Regular Member


Date Joined Dec 2008
Total Posts : 60
   Posted 2/4/2009 2:05 PM (GMT -6)   
I took advice from several here and got a copy of all the reports reference this PC.  It is interesting what you find in the paperwork.  For example, I had a biopsy that showed G6.  When I went to the surgeon, he wanted his doctor to evaluate and they read G7.  Path says G6.  Little stuff I know but interesting to look at the paperwork. 
 
I did have one question if some would chime in.  A line in the surg path states "A small portion of ink is absent from the 15mm left posterior portion of the specimen."  What does that mean?  If it was not important, it would not be there.
 
Thanks,
Tim
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


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 2/4/2009 2:35 PM (GMT -6)   
Tim, excellent question. From what I know...they use different colors of ink to identify the various areas of the prostate upon it's removal. The various colors of ink which is a standard color use...tell the pathologist what area of the prostate he is examining. You can imagine once removed it would be hard to identify what side is up and right and left without the different colors of ink. The ink also will interact with PCa cells to distingish them from regular cells. Missing ink could have been caused by the handling and as a result the pathologist makes a note on the report for others to see. Nothing to be concerned with, just a notation or a way to communicate between the surgeon and the pathologist.
You are beating back cancer, so hold your head up with dignity
 
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 
PSA 5 week Oct 2008 <.05
       3 month Jan 2009 .06


vs1vs2
Regular Member


Date Joined Dec 2008
Total Posts : 60
   Posted 2/4/2009 3:53 PM (GMT -6)   
Les-Thank you for the information. As you can understand, I was a little worried. That is what I love about this place - information, support, understanding, encouragement and all from people who really understand and care.
Thanks again, Tim
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

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