Good Final Pathology Report

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Herophilus
Veteran Member


Date Joined Sep 2009
Total Posts : 664
   Posted 11/9/2009 12:40 PM (GMT -6)   

Ok. As to the subject of ….final pathology I respectfully submit the following.

Originally I had a Gleason of 6. Post operative pathology has been upgraded to a hard Gleason 7. That is to say 4+3 as opposed to 3+4. This would be enough to justify having the surgery because until you get all the tissue out you never really know? This upgrade in pathology happens I have been told in about 30% of cases.

Gleason 7 was present is all 4 quadrants of the prostate. 

The absolutely great news is that ALL the cancer has been removed. Final pathology indicates that NO, 0, Nada, extension of cancer from the prostate exist. Seminal vesicles are tumor free. 4 out of 4 periprostatic lymph nodes are cancer free. 10 out of 10 pelvic lymph nodes are cancer free. All surgical margins are 100% clear.

This is the absolutely best news that I could ask for.

tongue tongue tongue tongue   tongue  
Love 

Jack


Age:  51
Overall Health: Excellent
PSA 08-31-2009  6.8
DRE 09-10-2009  Normal
BXY 08:30 on 09/24/2009 OUCH!
Gleason: 3+3 = 6
Cores 10 of 12 positive
75% of 1 core, 25% of 2, cores... all others 5-20% 
Surg: da Vinci November 2 2009 Wash U- Barnes Hospital
11/06/2009, Doing Excellent


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 11/9/2009 12:45 PM (GMT -6)   
Yes, this is fabulous news, Jack --- now, onto a lifetime of zeros and the joy of recovery.

Sometimes when recovery is a pain in the butt, literally and figuratively, I remember the day I got my path report and know it's all worth it. Lock this memory away for future use.

Good on you!

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"
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week. 
Feel free to email me at:  sheldonprostate@yahoo.com    


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 11/9/2009 12:49 PM (GMT -6)   
Jack, that is the best news I heard all morning, congrats on an excellent pathology report, and I for one, am glad you got that nasty in reality Gleason 7 prostate out of you!

Celebrate.

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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 11/9/2009 12:56 PM (GMT -6)   
What great lunch time reading!!

You might take a look at the nomograms for your chances of progression free recovery. If the results were your batting average, you could have trounced the Yankees in four!

Hint, I would, however, wait until the catheter was out before scheduling the first game.
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
6 mo. PSA 0.00 -- 1 light pad/day


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 11/9/2009 1:19 PM (GMT -6)   
Jack, that's what we all love to hear! Congratulations on a great pathology report, and may you have a long, long string of zeros in your future.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (single small EPE in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Final Gleason 3+4 SA. PSA: 0.0 til July 2009. August 2009 PSA was 0.1, in September it was 0.3 Met with radiation oncologist, CT scan and bone scan clean. Third PSA on October 16 - PSA BACK TO UNDETECTABLE! Next PSA scheduled for early December. No radiation treatment at this time!


pa69
Regular Member


Date Joined Mar 2009
Total Posts : 260
   Posted 11/9/2009 7:51 PM (GMT -6)   
It's hard to beat the feeling you get when you get a pathology report like that! Kinda makes all the abuse you had to endure worth it.

Congratulations,
Bob
Age 70, First ever PSA 7.8 taken June 2008, Biopsy July 2008, 10 of 12 cores positive, Gleason 3+3=6
da Vinci surgery December 10, 2008, catheter removed December 29 2008
St. Lukes Hospital, Bethlehem, Pa.
Dr. Frank Tamarkin
Prostate weight 73.0 grams, Gleason 3+3=6, stage pT3a
Tumor locations: right anterior apex, right posterior apex to mid
left anterior mid to base, left posterior apex to mid
extensive perineural invasion in right anterior apex, right and left posterior apex to mid
seminal vesicles negative
Four PSA tests undetectable, latest Oct 30


O Buddy Boy
Regular Member


Date Joined Oct 2009
Total Posts : 106
   Posted 11/9/2009 7:56 PM (GMT -6)   
Thank you, Jack, for sharing.

I'm a month out. Tired today. I think I overdid it yesterday. OK, I watch the Detroit Lions.

Still I forget sometimes this is major surgery.

Good luck on the recovery.

OBB
55 yo
Dx:9/29/09
DRE: Susp
PSA: 3.5
Gleason: 3+4/7
6/12 Cores Positive; Sextants were 1%, 3%, 8%, 15%, 12%, 0%
RALP: 10/09/09
PATH:
Margins: Clear
Lymph Nodes: Clear
Seminal Vesicles: Clear
Gleason: No increase from biopsy 3+4/7
Some perineural and capsule invasion.
T2c,NO,MX
Incontinence: Minor. 1 light pad a day. Some days don't need it.
ED: Natural with encouragement. 20mg Cialis and pump just makes things more fun.


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 11/9/2009 8:01 PM (GMT -6)   
Fantastic !

Now for dry pants and some wood, and you are all set !
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 .
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)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injections


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 11/9/2009 8:37 PM (GMT -6)   
OBB, no wonder you get upset, you watch the Detroit Lions by free will and choice? lol. Just kidding brotehr.
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: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1132
   Posted 11/9/2009 10:09 PM (GMT -6)   
Great news. I believe you had said the men in your family don't take being sick to easily so sit back and be pampered for a while. You deserve it.
 
Age 49
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
12 month  PSA <.04 (low as the machine will go)
continent at 10 weeks (no pads!)
ED is still an issue but getting better


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2461
   Posted 11/10/2009 12:33 AM (GMT -6)   
Congratulations Jack. It is great to get a good pathology report after all the fear and anxiety that we go through in dealing with PCa.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1

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