Pathology Results

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Regular Member

Date Joined Jan 2011
Total Posts : 122
   Posted 4/6/2011 4:22 PM (GMT -6)   
I went in for my path on my prostate today. Here are the results.
Histologic Type ACINAR
Gleason 3+4=7
% of gland involved 9%
Tumor extent Bilateral
Extra prostatic extension No
Seminal Vesical invasion No
Microscopic invasion of bladder neck No
Margins Negative
Distance of tumor to closest margin .022cm  right lobe
Lymph Nodes removed 3
Lymph Nodes involved 0
Representative Tumor Block A7
pTMN pT2c pN0
Prostate weight 69.4 grams
5.5 cm right to left, 3.9 cm posterior to anterior, 4.0 cm inferior to superior
 Big ole prostate........
Should I be concerned about the .022 cm to the closest margin?

Veteran Member

Date Joined Sep 2010
Total Posts : 2680
   Posted 4/6/2011 4:29 PM (GMT -6)   
Great report, Low.  Congratulations.  I'm very happy for you and hope you celebrate tonight.
Nice large prostate, there, my friend.  How uncomfortable were you?  I think mine was 88g, so it was kind of a monster and it was causing me a lot of urinary problems.  Was it the BPH symptoms that got you into the uro's office?

Veteran Member

Date Joined Feb 2011
Total Posts : 4093
   Posted 4/6/2011 4:34 PM (GMT -6)   
That's great. Doesn't it feel great? The biggest concern for me wasn't the surgery, but getting that report after the surgery. Very happy for you.

That is a big prostate, twice the size of mine.

From what others have said here that distance is fine. My friend who got 0 PSA today ( other thread) had it much closer to the edge.

Looks like you did great.

Regular Member

Date Joined Jan 2011
Total Posts : 122
   Posted 4/6/2011 4:38 PM (GMT -6)   
 I had my first PSA test last November because of my father having prostate cancer. Actually I had absolutely no symptoms. No urinary stuff, no nothing. Except one thing. Ejaculate had changed in color to a yellow tinge? I never asked the doc about it, I keep forgetting. Maybe it was big because I used it so much for so many years. HAHAHA. ( I wish)
Age 48
November 2010 PSA 4.1
Biopsy 12/22/10
Diagnosed 1/12/11
3 of 7 cores positive 30% involvment all on right side. Left side clear.
No perinural invasion noted
Gleason 7 (3+4)
RRP 3/14/11 at James Center Ohio State U. Dr. Abaza

Post Edited (lowandslow) : 4/6/2011 3:41:17 PM (GMT-6)

Veteran Member

Date Joined Feb 2011
Total Posts : 4093
   Posted 4/6/2011 4:44 PM (GMT -6)   
I also had my biopsy in November. The symptoms I had were not related tot he cancer anyway, in the end found it by chance.

I was wondering if I missed ejaculating but frankly I don't. Orgasms are better anyway. My wife is certainly a lot happier.

I'd suggest you celebrate but I know the tension was so high that you're probably just happy sitting back and relaxing now.

Ed C. (Old67)
Veteran Member

Date Joined Jan 2009
Total Posts : 2461
   Posted 4/6/2011 4:49 PM (GMT -6)   
Great report, this should put a smile on your face.

Veteran Member

Date Joined May 2009
Total Posts : 739
   Posted 4/6/2011 8:48 PM (GMT -6)   
That's a good report. Mine was less than 1mm from the margin, and I'm still shooting zeros (fingers crossed)
Age: 66
Pre-surgery PSA: 7 tests over 2 years bounced around from 2.6 to 5.6
Biopsy 8 of 12 positive, Gleason 3+4, T2a
DaVinci August 2009, pathology Gleason 4+3, neg margins, T2c
Post-surgery PSA one year of zeros.
Continent right away.
Viagra and other pills only gave me headache
Trimix working great!

Regular Member

Date Joined Jan 2011
Total Posts : 122
   Posted 4/7/2011 10:24 AM (GMT -6)   
I think I will temper my enthusiasm until I get a couple of <.1 PSA scores under my belt.
Age 48
PSA 4.1 No symptoms
Diagnosis 1/12/11
RRP 3/14/11
Gleason 7 (3+4)
Margins clear
Seminal Vesicles clear
Lymph nodes clear
Prostate 69.5 grams
Organ confined
9% involvement

Veteran Member

Date Joined Feb 2011
Total Posts : 4093
   Posted 4/7/2011 12:10 PM (GMT -6)   
sure, but you couldn't have asked for better results. My next PSA test is in May.
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