Path Report After Surgery?

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LuvMyDAD
Regular Member


Date Joined Dec 2009
Total Posts : 316
   Posted 12/24/2009 4:32 PM (GMT -6)   
My father just had his open RRP surgery this past Monday and thankfully he is coming home today. I wanted to ask you guys a question.....
The doctor told him that everything looked pretty good, pretty sure the seminal vesicles are negative, lymph nodes neg, etc. I was just wondering, does anyone know how reliable this information is? Thanks.
 
LuvMyDAD
Diagnosed 9/2/2009
Biopsy 12/12 positive, 2(4+3) 10(3+4)
open RP Dec. 21.

Zen9
Regular Member


Date Joined Oct 2009
Total Posts : 314
   Posted 12/24/2009 4:53 PM (GMT -6)   
Obviously the post-op path report will be much more reliable, but assuming your surgeon is experienced, I think you would be entirely justified in taking comfort in his impressions and enjoying your Christmas.

Zen9
No family history of PC.  PSA reading in 2000 was around 3.0 .  Annual PSA readings gradually rose; no one said anything to me until my PSA reached 4.0 in September 2007, at which point my internist advised me to see a urologist.   
Urologist advised a repeat PSA reading in six months = 4.0 .  Diagnosed May 2008 at age 56 as a result of 12 core biopsy.  Biopsy report by Bostwick Laboratories = Gleason 3 + 3. 
Interviewed two urologists - the one who did the biopsy and another - the latter had the biopsy slides re-examined = Gleason 3 + 3. 
Then went to M. D. Anderson Cancer Center in Houston in July 2008 and met with a urologist and a radiologist.  Biopsy slides re-examined yet again, this time by MDA's internal pathology department = Gleason 3 + 4.   
Chose da Vinci surgery over proton beam therapy; surgery performed at M. D. Anderson Cancer Center on August 15, 2008.  Post-operative pathology report = four tumors, carcinoma contained in prostate, clean (negative) margins, lymph nodes clear, seminal vesicles clear.  Gleason = 4 + 3. 
Minor temporary incontinence; current extent of ED uncertain due to lack of sexual partner; refused treatments for ED as being pointless under the circumstances. 
PSA readings: 
November 2008 = <0.1 ["undetectable"]
June 2009 = <0.1   
December 2009 = <0.1
 


Radical
Veteran Member


Date Joined Mar 2009
Total Posts : 739
   Posted 12/24/2009 5:31 PM (GMT -6)   
Great Post Zen, entirely agree, Luvmydad, go and luvyourdad, and have a very Merry x-mas, the worst is over............................Kev.
Age 51yrs
6 out of 8 cores positive 3 X 60% / 3 X 10%
PSA 4 Gleason Score 3+4=7 Stage T1c
Robotic Surgery 24/12/08
Upgrade Gleason Score 4+3=7 Gleason Differential 60%/40%
Stage T2c Three small foci total volume <10%
Neg Margins and Nodes
Nil - Extraprostatic Extentions
Dry less than 1 week. ED- okay with Meds.
PSA at 12mths no change remains 0.03
"Everyday in Everyway I get better"


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 12/24/2009 5:40 PM (GMT -6)   
LuvMyDad,
The surgeon can see the prostate when he removes it and obviously he did not see anything (visible to the naked eye) that was serious. Microscopic examination of the prostate and other tissue by the pathologist will give a much clearer picture when the result is available. In the meantime have a great Christmas,
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
PSA August 09 (2 year mark), <0.01
PSA December 09 <0.01

My Journey: www.yananow.net/Mentors/BillM2.htm

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