Post Surgery Pathology

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DJ7
New Member


Date Joined Mar 2010
Total Posts : 3
   Posted 3/31/2010 11:23 AM (GMT -6)   
New here, open surgery 3/12/10
Gleason 3+3 throughout, organ confined.
My questions they removed 9 pelvic lymph nodes and the pathology report stated all9 nodes negative for tumor (pending 1C)
Any concern for the pending 1C issue and anyone know what that means?
Thanks!

LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 3/31/2010 11:57 AM (GMT -6)   
Never heard of a (pending 1C) so I can't answer your question. But overall it sounds like a great path report.

Regardless...Welcome to HealingWell. When you get a chance edit your profile to include some stats in your signature so we others can relate to your history better.

Let us know what that pending 1C is all about.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month Apr 2009 .06
                   9 month Jul  2009 .08
                 12 month Oct 2009 .09 


DJ7
New Member


Date Joined Mar 2010
Total Posts : 3
   Posted 3/31/2010 12:42 PM (GMT -6)   
Age 59
PSA 5/09 2.8
PSA 12/09 3.5
Referred to Urologist Prostate biopsy 1/25/10 Johns Hopkins
1/27/10 biopsy revealed 3 core 3+3=6 60%
surgery 3/12/10 JHU Surgeon Dr. Partin.
open surgery, most painful thing I have ever experience was yelling for pain meds in recovery.
In hospital 1 night released 3/13/10 at 4 P.M. Should have stayed a second night sent home ( 2 hour drive in a rainstorm)
Catheter self removed 3/21, staples removed 3/24. Experience severe post-op pain, maybe just my make-up but certainly did not refuse RX for pain meds.
Post-op Pathology:
Adenocarcinoma ( conventional, Nos)
Gleason 3+3=6
Tumor Extent: Moderate
location: Right, anterior, lateral, apex, mid
Organ Confined
Margins: Negative
Seminal Vesicle Invasion: None
Lymphatic (Small Vessel) Invasion: Absent
Pelvic Lymph Nodes (Includes all parts)
All 9 nodes negative for Tumor (pending 1C)
Primary Tumor: pT2: Organ confined throughout
Regional Lymph nodes: pNO
Note: There are multiple scattered foci of 3+3=6 throughout the prostate
Incontinence: 2-3 pads per day, dry at night, getting better by the day
ED: 50% erections (both nerve bundles were spared)
Morning erections, ejaculation normal except for urine ejaculating.
Returned to work, desk job half days on 3/18.
Appetite not back to normal, very diminished energy level.
Crash at 2PM like clock work, better after evening meal.
All in all much more pain than expected but on the mend.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/31/2010 12:58 PM (GMT -6)   
Welcome, DJ, the rest of your pathology report sounds real clean. Not sure of your question either. Hope you hang around and join in on a regular basis.

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, no problem post SRT
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  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29


English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2216
   Posted 3/31/2010 1:07 PM (GMT -6)   
Welcome DJ
I take it you mean "orgasm normal" not "ejaculation normal" as ejaculation is a thing of the past for us post surgery guys!

Does "pending 1c" perhaps just mean that the staging for the lymph glands is 1c at present but is "pending" as not every part of the lymph system has been investigated.

Alfred
Age at Dx 48 No Family history of Prostate Cancer
Married 25 years, and I cannot thank my wife enough for her support.
April 2009: PSA 8.6 DRE: negative. Tumour in 2 out of 12 cores. Gleason 3+3.
RALP (nerve-sparing) at AVL-NKI Hospital Amsterdam on 29th July 2009. Stay 1 night.
Partial erections on while catheter still in. Catheter out on 6th Aug 2009.
Dry at night after catheter came out
Post-op Gleason 3+4. Tumour mainly in left near neck of bladder.
Left Seminal Vesicle invaded, (=T3b!)
no perineraul invasion, no vascular invasion. clear margins,
Erection 100% on 15th Aug 2009, but lots of leaking
Stopped wearing pads on 21st Sept 2009
Pre-op style intercourse on 24th Oct 2009 !! No use of tablets, jabs, VED etc.
Nov 17th 2009 PSA = 0.1
Mar 17th 2010 PSA = 0.4!!! referred to radiation therapist


DJ7
New Member


Date Joined Mar 2010
Total Posts : 3
   Posted 3/31/2010 1:24 PM (GMT -6)   
The pending part is bothering me enough to call Friday when my Dr. is in.
Yes normal orgasm but only urine ejaculated for a better word.
Thanks!
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