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Veteran Member

Date Joined Sep 2009
Total Posts : 663
   Posted 10/2/2009 8:17 PM (GMT -6)   
Ok>>>>>>>>>>>> I have new numbers
PSA 6.8
Gleason 3+3= 6
CORES:  10 out of 12 Positive
The two negative cores Left superior medial and left medial.
Rt. Lateral Core 75% positive for cancer
Composit score 10 - 25 %
Recommendation of robotic surgery.
Consult with a number of physician agree.
Surgery Date November 2, 2009
WORRY:  1.  The number 10
               2.  75%

Age: 51 years, 2 months
Overall Health: Excellent
PSA: 08/31/2009   6.8
DRE: 09/10/2009 "nothing really" ????
BXY: Scheduled at 08:30 on 09/24/2009

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 10/2/2009 8:35 PM (GMT -6)   
Let's not play this down -- you have identified the right reasons to worry. On the other hand, we have seen members with nothing on biopsies until the third time, so it is just as possible that you biopsy found all the cancer sites. Luck works both ways. The Gleason 6 is good and with so many hits has to be seen as even better -- Not an aggressive cancer. So take heart -- if you look at the nomograms, the number of hits doesn't seem to matter and so the odds are very much in your favor. Get working on good diet, exercise, kegels and a positive attitude.
Some members have recommended a lot of exercise for the gland before it goes -- can't hurt.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads

Elite Member

Date Joined Oct 2008
Total Posts : 25380
   Posted 10/2/2009 8:58 PM (GMT -6)   

Let's break it donw to good news. The Gleason 6 is very good news at this point. Your PSA is modest at this point. So those two things work well in your favor. The 10/12 positive cores, depends if they struck pay dirt on your biopsy, and hit right where the cancer was primarily located, or if there is more. No way of knowing that until after you have removed prostate to examine after your surgery.

It took 3 biopsies with me, and on the last one, it was 7/7 positive, high percentage cancer.

Looks like you got some time to breathe. Please continue to keep us posted of your journey.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - first treatment IMRT.

Veteran Member

Date Joined Jul 2009
Total Posts : 1267
   Posted 10/2/2009 9:10 PM (GMT -6)   
Seems to me your worst case is you got a lot of not such bad stuff. I know it isn't a trade off, but that sure sounds better to me than a little bit of really nasty stuff.

If it was a trade off I'd be bidding my seven for your six and throwing in a Maui condo as a sweetner. Of course, I don't have a Maui condo, but to be rid of my seven and get a six I'd engage in a little larceny. I know you're still going to fret about the ten, and the 75% and I would too, but any surgeon is going to be anxious to get their hands on you --- you'll make their 25 year stats look good.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"  

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4110
   Posted 10/2/2009 9:35 PM (GMT -6)   
Jack, As others have siad G6 is good looks like you have a good amount in that walnut. As Sheldon mentioned any good surgeon is going to hang his hat on making you an example of success.

I do understand your concerns they are justified. We all have been there with our diagnosis and path reports.

Keep us posted.

Jeff T
Jeff T Age 57
9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable
 10th month  PSA <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next

Veteran Member

Date Joined May 2009
Total Posts : 2691
   Posted 10/2/2009 10:22 PM (GMT -6)   
As long as all the marbles are still in the bag, doesn't really matter how many marbles there are. Here's hoping for a clean surgery, with negative margins and no EPE.

Worrying won't really help much. You need to be positive. Enjoy that prostate to the max until your date with Ms. DaVinci. Take off for a long weekend or something. Leave the driving to the doctor at this point.

Good Luck ! Check in with us.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks due to anatomical issues with location of ureters with respect to bladder neck.  Try 3 tubes where no tubes are supposed to be for 2 weeks !
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)

Worried Guy
Veteran Member

Date Joined Jul 2009
Total Posts : 3734
   Posted 10/3/2009 7:32 AM (GMT -6)   
I'll second Goodlife's suggestion. You always get better results with an empty prostate. (That's what we all tell our wives anyway.)
DX Age 56. First routine PSA test on April 8th: 17.8.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7 Tumor size: 2.5 x 1.8 cm location: both lobes and apex. No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Extraprostatic extension present; Perineural invasion: present, extensive
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 9/17 2 months, Still no activity
Incontinence - 8/20 4 full pads per day
. 9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea. I know.)
9/17 2 months: Still 3 pads per day. At this rate I'll be fine in 2011.
Post Surgery PSA - 9/3 6 weeks - 0.05

Veteran Member

Date Joined Feb 2008
Total Posts : 655
   Posted 10/3/2009 11:46 AM (GMT -6)   
Greetings, Jack.  As others have said the number of hits just means your doc was lucky and found it.  Your PSA is still very reasonable so if you have to have cancer - and it looks like you do - then yours seems to be very treatable.  I know that is easy for someone else to say.  I remember my days when I first found out and all kinds of things are going through your mind.  Even though it's impossible to actually do let me agree with some of my brothers here and say use this time to figure out your plan of attack and at the same time to relax.  Start getting ready for your treatment - whether that is surgery or whatever you decide.  Please keep us posted and let us know if we can help in any way along this path.  David
Diagnosed Dec 2007 during annual routine physical at age 55
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 pos; 2 marginal
Gleason 3+3; upgraded to 4+3 post surgery
RRP 4 Feb 08; both nerves spared
Good pathology - no margins - all encapsulated
Catheter out Feb 13 - 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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