confusing pathological biopsy report

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mspt98
Regular Member


Date Joined Dec 2008
Total Posts : 377
 		   Posted 5/25/2009 11:13 PM (GMT -6)   
I know this is a really stupid question in some ways, but I had my urologist give me a copy of my surgical pathological report at my last visit, the report said the stage was T2, no spread to lymph nodes nor seminal vesicles, just stage T2. Shouldn't it say T2a or T2b or T2c? I'm somewhat confused by this, didn't think to ask uro at the time, just wondering why it didn't specify more.............
my age=52 when all this happened,
DRE=negative
PSA went from 1.9 to 2.85 in one year, urologist ordered biopsy,
First biopsy on 03/08, "suspicious for cancer but not diagnostic"
Second biopsy on 08/14/08, 2/12 cores positive for Prostate Cancer on R side, 1 core=5% Ca, other core = 25% Ca, Gleason Score= 3+3=6 both cores,
Clinical Stage T1C
 
Bilateral nerve sparing Robotic Surgery on 09/11/08, pathological stage T2A at surgery,
No signs of spread, organ contained,
3 0's in a row now, 7 months out
Incontinence gone in early December '08,
ED remains, uro said try oral meds and then trimix for sex only now

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mspt98
Regular Member


Date Joined Dec 2008
Total Posts : 377
 		   Posted 5/25/2009 11:16 PM (GMT -6)   
PS my signature says T2a but I just assumed that from my first post-op visit with uro, that's not what the pathological report actually says...
my age=52 when all this happened,
DRE=negative
PSA went from 1.9 to 2.85 in one year, urologist ordered biopsy,
First biopsy on 03/08, "suspicious for cancer but not diagnostic"
Second biopsy on 08/14/08, 2/12 cores positive for Prostate Cancer on R side, 1 core=5% Ca, other core = 25% Ca, Gleason Score= 3+3=6 both cores,
Clinical Stage T1C
 
Bilateral nerve sparing Robotic Surgery on 09/11/08, pathological stage T2A at surgery,
No signs of spread, organ contained,
3 0's in a row now, 7 months out
Incontinence gone in early December '08,
ED remains, uro said try oral meds and then trimix for sex only now

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Radical
Veteran Member


Date Joined Mar 2009
Total Posts : 739
 		   Posted 5/26/2009 12:14 AM (GMT -6)   

I think you are pretty wright with your diagnosis of T2a, by the sounds of it.  I think T2a refers to tumor only on left side, T2b tumor only on right side, and T2c tumor found on both sides of lobe. 

But what the heck, any T2 stage is classified fantastic in my books.  smilewinkgrin

Age 51yrs
DX 11/11/08
6 out of 8 cores positive 3 X 60% / 3 X 10%
PSA 4
Gleason 3+4=7
Stage T1c
Robotic Surgery 24/12/08
Upgrade Gleason 4+3=7 (60% Grade 4)
Stage T2c
Three small foci total volume <10%
Neg Margins and Nodes
Nil - Extraprostatic Extentions
Dry less than 1 week.
ED- taking Meds/ No results yet/still "NotHard"
PSA 28/1/09 0.03
PSA 24/2/09 0.03
"Everyday in Everyway I get better"

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BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
 		   Posted 5/26/2009 1:44 AM (GMT -6)   
NotHard has nailed it. T2 is the general description of prostate confined tumour. T2 is further subdivided into a,b and c. T2a is confined to less than 1/2 of one side, T2b more than 1/2 on one side and T2c both sides but confined within prostate. All in all a very good result......way to go yeah
www.cancerhelp.org.uk/help/default.asp?page=2720#tnm
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)
PSA February 09 <0.01

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CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
 		   Posted 5/26/2009 5:23 PM (GMT -6)   
Sounds like a good report to me!  David
Age 55
Diagnosed Dec 2007 during annual routine physical
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 positive with 2 marginal
Gleason 3 + 3 = 6
RRP 4 Feb 08
Both nerves spared
Good pathology - no margins - all encapsulated - Gleason 4 + 3 = 7
Catheter out Feb 13 - wore pad for couple of days - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me

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