Today I spend a couple of hours on this site, checking many, many signature, to see what your post surgery Gleason numbers were.
Am I the ONLY one with a path. report that says:
"GLEASON cannot be detected because of the hormone treatment" I had Casodex and Lupron 60 days before surgery.
Why can they NOT detect it and tell me the numbers?
Pre-op was 4+4=8. Post op. ?????
Could this be a 'sloppy' path. report?
Would I be out of line to ask to have another one done ? How long do they keep these anyway?
The reason why I'm SO concerned is that based on my path. report, I recently had another Lupron shot (90 day) and I'm to start radiation soon. What if the other info is not accurate or not with complete information?
Also, I wont have the post-op. PSA for another 3 weeks.
My surgery doc. is amongst the best in Canada but everyone on this board seems to have a Gleason score but me. (almost feel lonely) LOL!
Age, only 71.
July 2009, PSA 9.1, free ratio 0.16
September GLEASON 4+4=8, T2A
Calcium: 2.46 (range: 2.20 - 2.65 mmol/L)
25 Hydroxy Vitamin D: 102 (range: sufficiency:
76 - 250 nmol/L)
Bone Scan: Negative
CT Scan scheduled for Dec. 1st. Negative.
Started Casodex 50mg. on Nov. 6, first pill of 30.
Got Lupron 22.5mg ( 90 day ) on November 19.
No real side effects as of Dec. 15 except dry skin and hair but getting quite 'porky' in the belt area even though now I go to the gym, three times a week. Also I dont have a need to shave anymore so now I can save my 'shaving' allowance and direct it to my stash of Depends !
Christmas Day got my first hot flashes. Thanks Santa!
Open surgery scheduled for Jan. 22 by Dr. J. Chen
Open surgery done on Jan. 20th. by Dr. J. Chin at London's University Hospital.
Cath removel scheduled for Feb. 8th. Yes, I know,
that will be 19 days. Dr. is out of country until then.
Gleason Score: cannot be determined due to hormone therapy effects. ???????
present, left radial, multifocal
present, left basal, multifocal
Apical: involved by invasive carcinoma, multifocal
Bladder Neck: involved by invasive carcinoma, unifocal on left side.Other: non-tumoural prostatic present at resection margin.
Perineural Invasion: present.
Seminal Vesicle Invasion: absent
Lymphovascular Invasion: absent
Lymph Node Status: no malignancy in regional lymph nodes
Additional path. findings:
high grade prostatic intraepithelial neoplasia
Pathology Stage: yp T3a NO MX
Radialogist appointment was on Friday Feb. 26 with Dr. Glenn Bauman in London.
Got another Lupron 90 day shot today and he wants to start IMRT soon. CT Scan plus measure scheduled in about 3 weeks. ( march 20)
First PSA test since surgery on March 25th.
Next appointment with the surgery Doc is April 13.