How is your Adjuvant Radiation going? How many treatments are you scheduled? Any side affects?
Viper - Yes. My pathology indicated 'extraprostatic extension', but seminal vessels and lymph nodes clear. As others have stated, you need the post-surgery pathology report in your hands even if the Uro Doc explains it, so you can see exactly where you're at. This should also give you a more accurate Gleason score. Mine actually increased...but I was a nasty Gleason 9 post-surgery. I am one week into Adjuvant Radiation - Calypso IMRT. With you're current Gleason score (I assume post surgery Gleason 6), you have alot going for you. Adjunct Radiation cannot start until 8 weeks after RP if this is even your course of action. I would get the pathology report ASAP, but get through your surgical recovery and concentrate on healing. regards, <bobr>
Routine Physical on 10-20-2010 DRE Normal
PSA 4.3, up from 0.6 5 years prior
PSA 0.6 on 10-25-2005
PSA 0.4 on 7-30-2004
PSA 0.5 on 5-9-2002
Followup with Urologist on 11/10/2010 after elevated PSA; DRE noted slight bump
November 30th, 2010 had prostate biopsy.
December 9th, 2010, Biopsy results 3 of 12 cores positive.
LLB: Gleason's 4+3=7, 11 MM Tumor Length/15MM Core Length (73%)
LLM: Gleason's 4+4=8, 12 MM Tumor Length/15MM Core Length (75%)
LM: 0.1 MM Tumor Length (1%)0.1 MM Tumor Length
RALP Surgery 12/27/2010 Released: 12/30/2010
Thunderbird Banner Hospital, Glendale, AZ
Post-Surgery Pathology: GS 4+5=9
Pathologic Staging: pT3a, N0, MX; location: Left Side; Volume: 10%
Margins: Left posterior inked margin focally involved
Extraprostatic Extension: Observed
Seminal vesicles: Not observed
Lymphatic/Vascular Invasion: Not observed
Catheter: Removed 15-days after surgery
Post-OP Followup on 1/11/2011; Catheter/Staples removed
Adjuvant IMRT 8 Weeks Post-OP.
No exercise for 4 Weeks Post-OP.
Radiation Oncologist Initial Consultation on 1/18/2011
Arizona Prostate Cancer Center
Calypso Procedure on 2/17/2011; PSA <0.1; Bone Scan Clear
CT Simulation on 2/24/2011.
Calypso IMRT started on 3/8/2011 - 40 Treatments.
2009 PSA 2.2
2010 PSA 3.2
Biopsy 24 cores 3 positive
Gleason 3 plus 3
Robotic Surgery March 3, 2011 @ 6 am
At home recovering
Cath removal scheduled 3/17/11
Pathological report confusing, no seminal invasion Gleason 6 but margins not completely clear.