I have not heard of the Cellsearch test, but there are several ways for cells to escape the prostate.
It is not uncommon to see perineural invasion, which usually means it has gotten into the nerve bundle. This is an open highway in to the lymph system. In my case, with an EPE, it could escape into the abdominal cavity.
Even with the biopsy, they basically are drilling 12 holes in the prostate, and cells can escape that way as well.
I have just reached the point where I have concluded there is not much I can do if cells have escaped. If they have, they have. We'll just deal with it as it happens. There is also some chance that without testosterone, a few cells will die without their man food source.
Live each day at a time, and let tomorrow bring whatever it is going to bring.
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