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keysailfisher
Regular Member


Date Joined Dec 2009
Total Posts : 346
   Posted 2/16/2010 11:03 AM (GMT -6)   
I put it in my signature what do you guys think? I could not talk to my Uro he had to leave town suddenly. I think it looks ok except the right apical margin says positive and lymphovascular invasion suspicious. I'll meet my Dr. next Mon. and he will explain it all but i thought i would get your input. What a relief to get the cath out. The nurse looked at it and said you have a big one. (She was talking about the cath) really burned when it came out. I also got the donut cushion the oval is much better for me. Thanks 142 the oval one is great.
 
Neal


age 45
psa 3.09
Biopsy results 12/9
Left side base 3+3=6 21% 2/2 cores positive
Left side mid  3+3=6 100% 2/2 cores positive
Left side apex 3+4=7 88% 2/2 cores positive
Right side - 0/6
CT & Bone scan negative
Davinci Feb. 5th 2010/ cath removal 2/16
 
Gleason-3+4=7
Extent of tumor-Bilateral
Extraprostatic Extension-Absent
Seminal Vesicles-Negative for tumor
Surgical Margins-Rt apical margin focally positive
lymphovascular invasion-Suspicious in areas of capsular involvement
Regional lymph nodes-One node negative
Stage-T2c NO MX

Post Edited (keysailfisher) : 2/16/2010 2:20:23 PM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/16/2010 11:11 AM (GMT -6)   
Neal,

Glad you got your catheter out, sure you were happy to be free of the snake at last. Yeah, have your dr. go over the finer points of your pathology report, overall it is good. You went in a Gleason 7 and came out a Gleason 7, least there was no upgrading there.

Hope you continue to heal and recover well.

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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days


keysailfisher
Regular Member


Date Joined Dec 2009
Total Posts : 346
   Posted 2/16/2010 11:24 AM (GMT -6)   
Thanks David, it was a terrible morning they didn't have pre-approval for the scan to remove the cath. Me and my wife were about to lose it because they had plenty of time to get this taking care of. If insurance does not pay there going to have to eat the cost of the scan.
 
Ps, How much snow did you get?
 
Neal
age 45
psa 3.09
Biopsy results 12/9
Left side base 3+3=6 21% 2/2 cores positive
Left side mid  3+3=6 100% 2/2 cores positive
Left side apex 3+4=7 88% 2/2 cores positive
Right side - 0/6
CT & Bone scan negative
Davinci Feb. 5th 2010/ cath removal 2/16
 
Gleason-3+4=7
Extent of tumor-Bilateral
Extraprostatic Extension-Absent
Seminal Vesicles-Negative for tumor
Surgical Margins-Rt apical margin positive
lymphovascular invasion-Suspicious in areas of capsular involvement
Regional lymph nodes-One node negative
Stage-T2c NO MX


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/16/2010 11:26 AM (GMT -6)   
Just barely 2", and 2 days later, not a trace of it. Still, most snow here at one time in the past 5-6 winters. Really do hope you feel better soon yourself. I still have to wait till next Monday to see what my dr. is going to do about my remaning catheter.

David
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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6978
   Posted 2/16/2010 11:27 AM (GMT -6)   
Neal,
Glad to have contributed. Your path beats mine. Want to trade? (I went in with 4+3, came out with 4+5). Betting I'll have to keep mine. Oh well...

Patton22
New Member


Date Joined Jan 2010
Total Posts : 4
   Posted 2/16/2010 11:50 AM (GMT -6)   

hey Neal,

glad your doing well. Hope to see you soon in the chat room.

butch


AGE   58
PSA testing - December 2007 was 3.11 and then in September 2009 jumped to 4.36
Jump in PSA followed up with a biopsy 1/9 positive with a 3+3=6 Gleason 10/09
Robotic surgery 01/05/10 discharged 01/06/10 Foley Chath removed 01/15/10
Pathology Report Gleson upgraded to 7=3+4 ALL margins clear AJCC staging Stage II
Prostrate Weight 50 Grams
Just 2 days into no chath and very slight continence, not much pain or discoloration
Was not prepared for the schrinkage at all.. very depressing
 


Opa N
Regular Member


Date Joined Sep 2009
Total Posts : 150
   Posted 2/16/2010 1:21 PM (GMT -6)   
Neal,
Pretty good outcome, as I see it. I think you will be sitting back and watching psa's for a long time. Happy healing!
All the best.
Roger

 Age 67 at diagnosis. Treated for coronary artery disease (CAD) since 1998, and under control with medications.

2/6/09              Routine physical, with DRE and PSA Test. PSA 4.02. Referred to Uro

4/20/09            TRUS  w/needle biopsy

4/23/09            Diagnosis PCa with Gleason 4+3 in 2/2 cores, Gleason 3+3 in 5/10 cores.

                        CT scan and Bone Scan both negative. Stage T2C.

8/27/09            DaVinci RP at WakeMed Cary NC with Dr. Tortora. Discharged 8/28.

9/8/09              Catheder removed. Path post-surgery confirms PCa, with Gleason 3+3 with scattering of 4. Positive margins in L & R posterior, R and L seminal vesicles, with perineural invasion.  Stage pT3b.

9/30/09            PSA Post-Op <0.01. Met w/Uro/Surgeon to review surgery and path report. Referred to Prostate Oncologist and Radiation Oncologist. Appointments set for 10/8.

10/8/09            Met w/ both oncologists. Adjuvant Combination Therapy to begin ASAP.

10/21/09          First Lupron injection. 30 mg dose (4 month)

11/2/09            PSA 2-month <0.01. Cystoscope w/calibration and dilation to remove scar tissue from urethra. Big relief.

12/18/09          psa 4-Month <0.01 undetectable. MRI/CT scan set for 1/5/10 for IMRT planning. RT to begin week of 1/11/09. Anticipate 64-66 grays over 32-33 treatments.

1/14/10            Start RT with 32 treatments # 2 gys per.

 

Initial incontinence pretty bad, starting w/6 Depends pants/day. Gradually getting better, with dramatic reduction in leakage around 9/20. Currently on 1 pad during the day and one at night (for security). Actually totally dry at night. After 1/16/10 down to a female regular pad. Barely felt.

 

 

 


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 2/16/2010 5:56 PM (GMT -6)   
All in all seems pretty good Key. These path reports can be downright confusing at times. I mean, I am at a loss to understand what they mean by calling a focally positive surgical margin yet say no extraprostatic extention (meaning outside the prostate capsule). It will be interesting to see what your doc says that all means. Lymphovascular invasion I believe is talking about the system within the gland, and is probably on a par with perineural invasion (again within the gland) which doctors seem to discount as having any great bearing on your outcome. I had extensive vascular involvement and extensive perineural invasion within the gland and I am undetectable at the ultrasensitive level 2-1/2 years post surgery. Here's to you being the same.
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


gold horse
Regular Member


Date Joined Nov 2009
Total Posts : 360
   Posted 2/16/2010 6:13 PM (GMT -6)   
the pathogy look good,you will see manyyyyyyyyyyyy 0.good luck.tongue
DIAGN=46 YEARS
GLEASON=3+3
FATHER HAD PC,THEN I THEN MY BROTHER STILL HAS TWO BROTHER PC FREE.
MARRIED,TWO CHILDREN.AGE 13 AND 8.
LAPROSCOPY SURGERY 6/2005
PATOLOGY REPORT.
GLEASON=3+3
TUMOR VOLUME=5%
LYMPHOVASCULAR INVASION=NEG
PERINEURAL INVASION=POSI
TUMOR MULTICENTRICITY=NEG
EXTRAPROSTATIC INVASION=NEG
SEMINAL VESICLES BOTH=CLEAN
MARGIN ALL=NEG
PT2ANXMX
DEVELOP SCART TISSUE AND NEEDED A SECOND SURGERY BECAUSE COULD NOT URINATE,
PSA 6/05=0.04,0.04,0.04,6/06,0.04,0.04,0.04,6/07,0.04,0.04,0.04,6/08,0.04,0.04,1/09
0.04,10/09,0.04
 


keysailfisher
Regular Member


Date Joined Dec 2009
Total Posts : 346
   Posted 2/16/2010 8:05 PM (GMT -6)   
Thanks for the encouragement. I guess pads and waiting on psa's is the next step in this journey.
 
Neal
age 45
psa 3.09
Biopsy results 12/9
Left side base 3+3=6 21% 2/2 cores positive
Left side mid  3+3=6 100% 2/2 cores positive
Left side apex 3+4=7 88% 2/2 cores positive
Right side - 0/6
CT & Bone scan negative
Davinci Feb. 5th 2010/ cath removal 2/16
 
Gleason-3+4=7
Extent of tumor-Bilateral
Extraprostatic Extension-Absent
Seminal Vesicles-Negative for tumor
Surgical Margins-Rt apical margin focally positive
lymphovascular invasion-Suspicious in areas of capsular involvement
Regional lymph nodes-One node negative
Stage-T2c NO MX


deer hunter
Regular Member


Date Joined Jan 2010
Total Posts : 250
   Posted 2/16/2010 8:23 PM (GMT -6)   
Hay sound like things are looking good for you thats great

Deerhunter

Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4108
   Posted 2/16/2010 8:58 PM (GMT -6)   
Neal: Now that you have the report time to get yourself all healed up.

Waiting for you first PSA to get in that Zero Club.


Jeff T
Cajun Country
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
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.
15 months out injections Caveject (success)

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