Catheter is OUT - Pathology is IN

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

vam4710
Regular Member


Date Joined May 2010
Total Posts : 89
   Posted 7/15/2010 10:02 AM (GMT -6)   
Ok Guys.....  Just got back from the URO... got the cath out (Thankyou GOD!).... couple of drips for now... nothing major. I'm sure I'll be able to assess this better in a couple of days. Other than feeling a little soar after the cath removal.
I'm actually doing very well.  Soreness around the stomach is 85% gone.
 
But I do need your opinion on the path report guys... please tell me what you think:
 
Total weight 50 grams 
Gleason downgraded      3+3=6 
Tumor Involvment            15%
Subcapsular Perineural invasion  -  Present rolleyes
Lymphnode - Negative 
Distal Urethral Margin - Negative
Radial Margins - Negative
Seminal Vesicles - Negative
Bladder neck margin is Postitive with a 1mm focus (unifocal) smhair
Final grade  pT3a N0 MX
 
I'm no pathologist.... but everything looks good except for the 1mm protrusion into the bladder neck.  I spoke with the pathologist and he did mention that that area may very well yield nothing in the future do the the sterilization that occurs in the nearby tissue dur to cartorization during surgery.  I guess only my PSA's will tell which direction I'm headed.
darn good thing I didn't wait based on my 2.75 PSA huh? Your thoughts would be greatly appreciated
 
Vito   


Diagnosis June 1, 2010 @ age 50
PSA  1.7    Sept. 2008
PSA  2.14  Sept. 2009
PSA  2.75  April  2010
 
May  25, 2010  - Biopsy  1 of 12 cores positive;  Gleason 3+4 = 7  25%;   Stage T1c
June 04, 2010  - CT and Bone scan - All Negative
July  07, 2010  - Da Vinci Robotic Lap. Surgery
 
PATHOLOGY
Tumor involvement - 15% both right and left halves
Gleason 3+3=6
Seminal Vesicles - Negative
Lymphnode - Negative
Subcapsular perineural Invasion - Present
Bladder Neck Margin Positive (right posterior) - 1mm Focus
pT3a-N0-MX
 
First PSA scheduled for 10/14
 
Northern NJ

Post Edited (vam4710) : 7/15/2010 7:37:13 PM (GMT-6)


t-dog
Regular Member


Date Joined Dec 2009
Total Posts : 154
   Posted 7/15/2010 10:18 AM (GMT -6)   
hey vito, the gleason downgrade is always a nice thing. like yourself i had a very small pos. margin in one spot and like you was told it will likely not have a adverse effect on my recovery. good luck to you, tim
Dx at 50 in 12/09 Merry Christmas its cancer....
3 of 12 positive, right side only, psa at dx 2.6 free%14
gleason 3+3=6
routine physical, no symptoms
Da Vinci performed Feb 2k10 by Dr Marc Milsten [hes got mad skills]
99% continent from cath out, mr happy fully functional at 2 weeks out!
path showed same gleeson with no other blips other than one slight margin, organ confined 20% right, 5%left, 34grams
Hernia repair Mar 2k10, hernia was side effect of the surgery
30 day psa 0.03- 90 day psa 0.01


Burlcodad
Regular Member


Date Joined Nov 2009
Total Posts : 254
   Posted 7/15/2010 10:23 AM (GMT -6)   

Looks good - glad that is behind you -  your doctor gets the pathology report done quickly - i had to wait several weeks for mine

 

 


Diagnosed 9/09 at age 54  
PSA 6/09 1.3 
Stage 2b (biopsy done because of firmness felt on right side) 3 positive cores out of 12 (all less than 25%) Gleason 6
 
Surgery  1/13/10 at UP- Penn Presbyterian - Dr David Lee. Home 1/14/10 Nerves spared on both sides -Catheter removed 1/19/10  Path report scheduled for 2/11/10
 
Post OP Pathology Report Gleason score was upgraded to 7 (3+4)
no capsular involvement, seminal vesicles clear, lymph nodes clear, negative margins, gland involvement 2-10%
 
Since report was good and recovery going well next appt is now  the first psa test appt scheduled for 4/22
 
POST OP PSA   4/10 <0.1,
 
Incontinence - Initial 6 pads a day, 3 Weeks - 3 pads a day relatively dry at night , 3 Months mostly dry 0-1 pad per day
 
ED - yes but seeing some improvements - levitra 10 mg 2x week 3 months  100 mg almost daily
 
 
 


SHU93
Regular Member


Date Joined Aug 2008
Total Posts : 328
   Posted 7/15/2010 1:29 PM (GMT -6)   
I believe you are correct, your upcoming PSA results will indicate if additional treatment is required.

Amazes me to see people like yourself with biopsy results of one positive out of 12. Thanks God that one needle hit the tumor if not would not have known.... And with just one postive still Stage T3!!

I had the same downgrade of Gleason from 7 to 6 which I here from other posters could be helpful long term.... Take it easy!!!!
Age Dx 37, 7/2008, First PSA : 4.17 5/2008
Second PSA After 2 weeks of antibiotics : 3.9 6/2008
DRE: Negative 5/2008, Biopsy: 6 out 12 Postive all on right side, Gleason 7 (3+4). Bone Scan/CAT Scan: Clear 7/2008
Cystoscope: Normal 7/2008, Prostate MRI: Normal 7/2008
Da Vinci Surgery 7/2008, PostOp: T2c (On Both sides), margins clear, seminal clear, nodes, clear. Gleason 6(3+3).
6 Post OP PSA's from 9/2008 to 6/2010: <0.1
 
 
 


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6946
   Posted 7/15/2010 1:57 PM (GMT -6)   
The Gleason downgrade was great. The bladder neck - not so great, but I'd still trade Gleasons with you.

You'll know about the leaking tonight - if you don't have to get up during the night and aren't swimming when you do wake up, that's a really good start.

Looking for an "undetectable" PSA from you!

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 7/15/2010 2:01 PM (GMT -6)   
The down grade from Gleason 7 to Gleason 6 is the best news. So is the smaller tumor %, meant it was smaller than they thought. The Stage 3 part is not good on the surface, but due to the small of the cancer and least agressiveness with the Gleason 6, you should be in good shape. I am sure you were glad to be rid of that catheter. Good luck in the next phase of your recovery.

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, 4/8 .04, next one:  July
Latest:  7/9 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 - 38 days, mapped  9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 ,Cath #11 - 21 days,  Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, Cath #17 - 39 days, 7/2 - Corr Surgery #6, 7/2 - Caths #18 & #19


vam4710
Regular Member


Date Joined May 2010
Total Posts : 89
   Posted 7/15/2010 3:38 PM (GMT -6)   
Thanks Dave & 142!
Yeah the Gleason score is a good thing.... the T3a is a scary one... but when I put it in perspective, the staging has to be that way even if there was a micron of protrusion.  Doc said it was 1mm, but he's not concerned and that I shouldn't be if he's not. 
Still scares me to think and this "thing" was able to chew through given the low % that was involved. Given the fact that everything else is clean... should I be really concerned???  I'm not going to dwell on this, or at least try not to until my first PSA comes back.
 
Cath felt great to have out... although I'm getting a tremendous sensation of urgency once it empties. That may be due to the cath just coming out. I'll know more after a couple of days when everything settles in.
 
Thanks all!


Diagnosis June 1, 2010 @ age 50
PSA  1.7    Sept. 2008
PSA  2.14  Sept. 2009
PSA  2.75  April  2010
 
May  25, 2010  - Biopsy  1 of 12 cores positive;  Gleason 3+4 = 7  25%;   Stage T1c
June 04, 2010  - CT and Bone scan - All Negative
July  07, 2010  - Da Vinci Robotic Lap. Surgery
 
PATHOLOGY
Tumor involvement - 15% both right and left halves
Gleason 3+3=6
Seminal Vesicles - Negative
Lymphnode - Negative
Subcapsular perineural Invasion - Present
Bladder Neck Margin Positive (right posteriror) - 1mm Focus
pT3a-N0-MX
 
First PSA scheduled for 10/14
 
Northern NJ

Post Edited (vam4710) : 7/15/2010 3:47:25 PM (GMT-6)


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 7/15/2010 4:06 PM (GMT -6)   
Wow, Vito,
While there is good news on the Gleason downgrade, you are not the first person I have seen here that had numbers low enough to feel good about active surveillance yet come out of surgery with something totally different. But I am with your doctor, it's time to watch and wait with hope of stringing undetectable PSA's. Good luck in the coming weeks. My motto is stay positive and I know it has done well by me. So do so and get on with your life. Keep us posted on your progress...

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
LARP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino


RCS
Veteran Member


Date Joined Dec 2009
Total Posts : 1247
   Posted 7/15/2010 4:16 PM (GMT -6)   
Vito,

I agree with you, darn good thing you acted when you did.

Best wishes for a great recovery!
PSA 2007 - 2.8
PSA 11/24/2008 - 7.6
Pc Dx 2/11/09; age at Dx 62
RLP 4/20/09
Biopsy -  Invasive moderately differentiated prostatic andenocarconoma; G 3+3=6; PT2C; No evidence of Seminal Vesicle or Extraprostatic Involvement; Margins clear; Tumor identified in sections from prostatic apex.
70 gram prostate.
Immediately continent after removal of cath.
ED - Trimix works well; viagra @ 70%
PSA - 7/31/09 <0.06
PSA - 12/1/09 <0.06
PSA - 3/29/10 <0.06
 
 
 


vam4710
Regular Member


Date Joined May 2010
Total Posts : 89
   Posted 7/15/2010 4:16 PM (GMT -6)   
Thanks TC...one thing I have been noticing also... is that people with positive margins, still pulling a T2 path result.
I was under the impression that only T3 meant that there was protrusion
Diagnosis June 1, 2010 @ age 50
PSA  1.7    Sept. 2008
PSA  2.14  Sept. 2009
PSA  2.75  April  2010
 
May  25, 2010  - Biopsy  1 of 12 cores positive;  Gleason 3+4 = 7  25%;   Stage T1c
June 04, 2010  - CT and Bone scan - All Negative
July  07, 2010  - Da Vinci Robotic Lap. Surgery
 
PATHOLOGY
Tumor involvement - 15% both right and left halves
Gleason 3+3=6
Seminal Vesicles - Negative
Lymphnode - Negative
Subcapsular perineural Invasion - Present
Bladder Neck Margin Positive (right posterior) - 1mm Focus
pT3a-N0-MX
 
First PSA scheduled for 10/14
 
Northern NJ


Arnie
Regular Member


Date Joined Aug 2009
Total Posts : 372
   Posted 7/15/2010 6:00 PM (GMT -6)   
Congrats!.........yeah, the path results are mixed, but certainly more positives to hang your hat on. Like you said, the subsequent PSA checks will tell the story. Concentrate on the recovery now that the snake has left town.

Arnie in DE
Age 56 (biopsy & surgery)
PSA at Diagnosis-3.9
Biposy 8/19/08--4 of 12 cores positive; 5% involvement, Gleason 6 (3+3)
 
Surgery 1/26/09-DaVinci Robotic Prostatectomy at Presbyterian Medical Center/HUP-Phila, PA
Dr. David Lee
 
Pathology Report- Adenocarcinoma, no capsular involvement, seminal vesicles clear, lymph nodes clear, negative margins, Gleason 7 (3+4), Stage T2C, NO MX, Prostate 61.8 grams, gland involvement 2-10%
 
Catheter removed after 8 days, totally dry at 3 months. ED issues continue, Viagra (via ADC) nightly (100mgs), VED use in earnest at 6 months. "Ball Park Frank" plumping at this point......ED at 10 months continues to improve, albeit slowly. Continued daily use of 100mg Viagra (ADC). Discontinued pump use; manual stimulation to varying states of erections; achieved penetratable erection on a couple of occasions----At 13 months, nocturnal erections are frequent. Still taking 100mg of ADC Viagra nightly. Libido still in the dumper, but working on it with doctors.
3 month PSA--<0.1
6 month PSA--<0.1
10 month PSA--<0.1
13 monthPSA--<0.1
18 month PSA--<0.1


vam4710
Regular Member


Date Joined May 2010
Total Posts : 89
   Posted 7/15/2010 7:11 PM (GMT -6)   
 Arnie my brother.... the snake left town in more ways than one!


Diagnosis June 1, 2010 @ age 50
PSA  1.7    Sept. 2008
PSA  2.14  Sept. 2009
PSA  2.75  April  2010
 
May  25, 2010  - Biopsy  1 of 12 cores positive;  Gleason 3+4 = 7  25%;   Stage T1c
June 04, 2010  - CT and Bone scan - All Negative
July  07, 2010  - Da Vinci Robotic Lap. Surgery
 
PATHOLOGY
Tumor involvement - 15% both right and left halves
Gleason 3+3=6
Seminal Vesicles - Negative
Lymphnode - Negative
Subcapsular perineural Invasion - Present
Bladder Neck Margin Positive (right posterior) - 1mm Focus
pT3a-N0-MX
 
First PSA scheduled for 10/14
 
Northern NJ


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7203
   Posted 7/15/2010 7:30 PM (GMT -6)   
Vito:
 
It's a mixed bag but generally quite good. My Gleason was upgraded, unfortunately.
 
Now you can join us as we all sweat out future PSA results.
 
I suspect you will be just fine.
 
Mel

63 years old . PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%),  after 45 days on cipro! DREs have always been normal. PCA-3 was about 75 (way above the 35 threshold). That led to:

Biopsy on 11/30/09. 5 out of 12 cores positive. Gleason 4+3. 2 cores were 3+3 (one 5% and the other 30%) on one side. On  other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C.  

Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Unfortunately: Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland. Lymph Nodes: Clear.  Perineural Invasion: yes. Seminal Vessical Involvement: No.  Extraprostatic Extension: yes.  Positive Margin: Yes-- focal-- 1 spot .5mm. Final Weight is 52.7 gms.  (Second opinion from Jon Epstein at Hopkins confirmed these results)

 Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry, was  using 1 pad at night for security, but pretty much dispensed with that most nights. Update: no pads at night. No pads while at home, but still very uncomfortable. Use 1 pad for out-of-house activities. Suddenly got MUCH better on 3/10/10, almost overnight. Still some urgency but no pads about 90% of the time.  As of 3/12/10--completely continent! Uh...OH. As of about 3/16/10 problems with constant urgency although no pads needed--feels like an infection but none showing in urine.

Update: since late March all is well in that area. I would say 99.9% continent (a spurt here and there, maybe 5 spurts per week). As of 6/22/10, I would say I am 100% continent, but I do have (controllable) significant urgency.

First post-op PSA on 3/10/10--DRUM ROLL: 0.01 Next PSA in mid-June.

Second post-op PSA on 6/21/10--0.02--Not too bad!


vam4710
Regular Member


Date Joined May 2010
Total Posts : 89
   Posted 7/15/2010 7:36 PM (GMT -6)   
compiler said...
Vito:
 
It's a mixed bag but generally quite good. My Gleason was upgraded, unfortunately.
 
Now you can join us as we all sweat out future PSA results.
 
I suspect you will be just fine.
 
Mel

 

Thanks Mel.... gonna cruise for a while and try to give the brain a rest.

 


Diagnosis June 1, 2010 @ age 50
PSA  1.7    Sept. 2008
PSA  2.14  Sept. 2009
PSA  2.75  April  2010
 
May  25, 2010  - Biopsy  1 of 12 cores positive;  Gleason 3+4 = 7  25%;   Stage T1c
June 04, 2010  - CT and Bone scan - All Negative
July  07, 2010  - Da Vinci Robotic Lap. Surgery
 
PATHOLOGY
Tumor involvement - 15% both right and left halves
Gleason 3+3=6
Seminal Vesicles - Negative
Lymphnode - Negative
Subcapsular perineural Invasion - Present
Bladder Neck Margin Positive (right posterior) - 1mm Focus
pT3a-N0-MX
 
First PSA scheduled for 10/14
 
Northern NJ


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 7/15/2010 7:50 PM (GMT -6)   
Vito: I was one of the lucky ones like you downgrade from 3+4 to 3+3...That does not happen too often. Sounds like you are on your way.

Lake all of us even with good reports PSA watching, PSA watching.

Best wishes.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1 pre cancer core
10/08 Nerve-Sparing open radical
Surgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clear

3 month: PSA <0.1
6 month: PSA <0.1
10 month:PSA <0.1
1 year: PSA <0.1
16 month:PSA <0.1

ED - Started Cialis at 3 months, tried all 3, 6 months added pump, 9 months Tried MUSE (YUCK) Bad experience.
1 year mark Found new Urologist visit was at 14th month post surgery
Started Injections, Caverject! (Success)
17 month: ED making improvements : Oral Meds gets me 85%


English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2215
   Posted 7/16/2010 3:48 AM (GMT -6)   
Yes a path report like yours is a bit of a mixture.
I think the best thing will be to ignore it and wait patiently for the PSA test. Concentrate instead on continence and recovery etc.

Alf
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 of urine
Stopped wearing pads on 21st Sept 2009
Pre-op style intercourse on 24th Oct 2009 !! No use of tablets, jabs, VED etc. but...
Nov 17th 2009 PSA = 0.1
Can still get erections okay, and almost no leaking of urine, but since December 2009 I don't have orgasms, instead I just have intense pain in place where prostate used to be.
Mar 17th 2010 PSA = 0.4!!! referred to radiation therapist
April 13th 2010 CT scan.
April 28th 2010 Started Radiation Therapy (66Gy - 33 sessions)
June 11th 2010 finished RT - main side effect tiredness, but also the occasional small leak
June 27th My 50th Birthday - feeling better but still not 100% okay


vam4710
Regular Member


Date Joined May 2010
Total Posts : 89
   Posted 7/16/2010 5:17 AM (GMT -6)   
Ok folks..... day 2 after cath removal... (don't worry, I won't be giving day by day blows)
Pretty dry over night except for a couple of drips. Woke up twice with bladder pressure.  Funny enough... stream seems to be the same as pre-op.  Only problem seems to be the pressure I'm getting toward the end of the stream when urinating. It actually stops by itself, the pressure comes then I actually have to push a little to get the rest out.  I'm assuming thats from having the cath in for a week.... I'll give it the weekend then I'll give my uro a call if it pursists.  Haven't allowed Johhny to go out and play yet.
Diagnosis June 1, 2010 @ age 50
PSA  1.7    Sept. 2008
PSA  2.14  Sept. 2009
PSA  2.75  April  2010
 
May  25, 2010  - Biopsy  1 of 12 cores positive;  Gleason 3+4 = 7  25%;   Stage T1c
June 04, 2010  - CT and Bone scan - All Negative
July  07, 2010  - Da Vinci Robotic Lap. Surgery
 
PATHOLOGY
Tumor involvement - 15% both right and left halves
Gleason 3+3=6
Seminal Vesicles - Negative
Lymphnode - Negative
Subcapsular perineural Invasion - Present
Bladder Neck Margin Positive (right posterior) - 1mm Focus
pT3a-N0-MX
 
First PSA scheduled for 10/14
 
Northern NJ


Burlcodad
Regular Member


Date Joined Nov 2009
Total Posts : 254
   Posted 7/16/2010 9:28 AM (GMT -6)   
LOL - did Johnny say he was even interested in playing?
Diagnosed 9/09 at age 54  
PSA 6/09 1.3 
Stage 2b (biopsy done because of firmness felt on right side) 3 positive cores out of 12 (all less than 25%) Gleason 6
 
Surgery  1/13/10 at UP- Penn Presbyterian - Dr David Lee. Home 1/14/10 Nerves spared on both sides -Catheter removed 1/19/10  Path report scheduled for 2/11/10
 
Post OP Pathology Report Gleason score was upgraded to 7 (3+4)
no capsular involvement, seminal vesicles clear, lymph nodes clear, negative margins, gland involvement 2-10%
 
Since report was good and recovery going well next appt is now  the first psa test appt scheduled for 4/22
 
POST OP PSA   4/10 <0.1,
 
Incontinence - Initial 6 pads a day, 3 Weeks - 3 pads a day relatively dry at night , 3 Months mostly dry 0-1 pad per day
 
ED - yes but seeing some improvements - levitra 10 mg 2x week 3 months  100 mg almost daily
 
 
 


vam4710
Regular Member


Date Joined May 2010
Total Posts : 89
   Posted 7/16/2010 10:16 AM (GMT -6)   
Burlcodad said...
LOL - did Johnny say he was even interested in playing?

Well..... not really..... but his girlfriend was being pushy and wanted to take him for a walk....LOL.


Diagnosis June 1, 2010 @ age 50
PSA  1.7    Sept. 2008
PSA  2.14  Sept. 2009
PSA  2.75  April  2010
 
May  25, 2010  - Biopsy  1 of 12 cores positive;  Gleason 3+4 = 7  25%;   Stage T1c
June 04, 2010  - CT and Bone scan - All Negative
July  07, 2010  - Da Vinci Robotic Lap. Surgery
 
PATHOLOGY
Tumor involvement - 15% both right and left halves
Gleason 3+3=6
Seminal Vesicles - Negative
Lymphnode - Negative
Subcapsular perineural Invasion - Present
Bladder Neck Margin Positive (right posterior) - 1mm Focus
pT3a-N0-MX
 
First PSA scheduled for 10/14
 
Northern NJ


jacketch
Regular Member


Date Joined Apr 2009
Total Posts : 179
   Posted 7/16/2010 10:29 AM (GMT -6)   
I was a 6-6 Gleason with a 1mm focus on the margin. My doc wasn't worried about it so I decided not to worry either.
63 yo
V10.46 Dx Feb-09

RRP 5-5-09

No adverse SE

PSA 6-19-09  -0-

PSA 9-21-09  -0-

1 year PSA 5-3-10  -0-



Thriving, not just surviving!


vam4710
Regular Member


Date Joined May 2010
Total Posts : 89
   Posted 7/16/2010 10:45 AM (GMT -6)   
jacketch said...
I was a 6-6 Gleason with a 1mm focus on the margin. My doc wasn't worried about it so I decided not to worry either.

Good to know Jack,,,, and I see from your stats... no problems


Diagnosis June 1, 2010 @ age 50
PSA  1.7    Sept. 2008
PSA  2.14  Sept. 2009
PSA  2.75  April  2010
 
May  25, 2010  - Biopsy  1 of 12 cores positive;  Gleason 3+4 = 7  25%;   Stage T1c
June 04, 2010  - CT and Bone scan - All Negative
July  07, 2010  - Da Vinci Robotic Lap. Surgery
 
PATHOLOGY
Tumor involvement - 15% both right and left halves
Gleason 3+3=6
Seminal Vesicles - Negative
Lymphnode - Negative
Subcapsular perineural Invasion - Present
Bladder Neck Margin Positive (right posterior) - 1mm Focus
pT3a-N0-MX
 
First PSA scheduled for 10/14
 
Northern NJ


ruggles
Regular Member


Date Joined Jan 2010
Total Posts : 26
   Posted 7/16/2010 12:47 PM (GMT -6)   
Gleason downgrade is sweet!
 
Keep walking and kegeling, and why not ask for an ultrasensitive PSA test at 6 weeks to better chart your "undetectable" !?!?

Age 59 PSA: 8/09 - 5.7, 10/09 - 6.4, 12/09- 7.2, 2/10 - 7.4
12/09 FreePSA 10%
Biopsy 12/09 3/12 cores positive for 3+3  (10%, 20%, 20%)
Multi-focal Adenocarcinoma 4th core Hi PIN (bonus!)
DREs negative
daVinci  2/9/10 only in Hospital for 25 hrs
Cath out 2/16/10
Path report:
Gleason still 3+3
Benign Margins
Benign Seminal Vesicles
No Extra-Prostatic Ext
No Vascular Invasion
Adenocarcinoma < 5% of Prostate
99.5 % dry at 6 weeks
pills and pump regular but ED still an issue
Post op PSA
3/19/10    0.01
4/21/10   <0.01


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 7/16/2010 1:17 PM (GMT -6)   
Surely there are many of us that would like to trade spots with yours or have your stats, the theory of relativity-even if not related to you- (LOL). It does look pretty encouraging for you overall, look at R&R activities.
Youth is wasted on the Young-(W.C. Fields)

New Topic Post Reply Printable Version
Forum Information
Currently it is Tuesday, June 19, 2018 8:25 PM (GMT -6)
There are a total of 2,973,439 posts in 326,099 threads.
View Active Threads


Who's Online
This forum has 160982 registered members. Please welcome our newest member, ellajackson.
483 Guest(s), 8 Registered Member(s) are currently online.  Details
dinkydonuts, TSGlassman, everseeking, jmhri, Pratoman, WalkingbyFaith, RAbid, U.C.Me?