Can doctors see the tumor

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compiler
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Date Joined Nov 2009
Total Posts : 7203
   Posted 1/17/2010 4:00 PM (GMT -6)   
Just curious. I know with open surgery the doc can feel a possible tumor at the margin. But can the doctor SEE it -- say with robotic surgery. Obviously, there could be a positive margin that is microscopic only, hence only revealed in the pathology. But I wonder if a doctor can form an opinion/good guess about the margins as the result of the surgery. I also wonder of the surgeon would reveal his guess to the patient. My guess is the mantra will be that we have to wait for the pathology, but it would be nice to garner a guess from the surgeon (especially if things look optimistic!)
 
Mel
63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.  
History of BPH/prostatitis. PCA-3 test: 75.9 (bad news, guaranteeing I have to do....): Biopsy on 11/30/09. Result of biopsy:

5 out of 12 cores positive. Gleason 4+3. More specifically: 2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C

REVISED BIOPSY REPORT: The previous was read by Umich. Slides were then sent to Dr. Menon at Ford Hospital. Here is their report (much better) -- changes in bold print below:

5 out of 12 cores positive. Gleason 3+4. More specifically: 2 cores were 3+3 (one 5% and the other 20%) on one side. On the other side, 3 cores were 3+4 (5%, 5%, 20%)

 Latest: Surgery with Dr. Menon at Ford Hospital, set for 1/25/10

 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/17/2010 4:07 PM (GMT -6)   
It might be possible to view a tumor, but certainly not always. My tumor felt normal according to my surgeon, but he said he could see suspicious tissue and his suspicions were correct. He said he removed as much tissue as possible near the rectum, both to me and in his report. That was precisely where a surgical margin was "consistent with carcinoma" in the pathology report. He also said the seminal vesicles looked and felt normal, but they too were positive for cancer in that same pathology report.

Tony
Prostate Cancer Forum Co-Moderator

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