The hits just keep on coming. In the hopes of getting a downgrade of my Gleason, I had my biopsy slides re-reviewed at Sloan-Kettering (Venice, FL is not exactly the healthcare capital of the world). My reward is that my one 3+4=7 Gleason was changed to 4+3=7. The other was confirmed at 4+3=7. Anything else new? Of course! A nice little comment at the end of the report.... "Perineural invasion is present".
I'm still holding out hope for robotic RP, now more than ever. In a few hours, I have a telephone consult with the newly elected Chief of Surgery of Urology at Sloan, James Eastham, MD (I'm glad my son was smart enough to marry a urologic nurse there).
Signature updated but not in the manner I had hoped for.
Age at diagnosis 61 5'8" 260 lbs.
Resides in SW Florida
12/07 PSA 2.6 12/08 PSA 4.0
Biopsy 1/09 - 6 of 8 nodes positive
Left - 2 of 4 positive, 2% involved, 4+3=7 Gleason
Right - 4 of 4 positive, 40% involved, 4+3=7 Gleason
Perineual invasion is present
DRE small nodule on right - Prostate 22.6 cc's
Hoping/planning da Vinci - searching for surgeon