I received my Surgical Pathology report today from my doctor. Here is the part of the report:
GS 3+4 (raised from 3+3)
Tumor size: 35% of prostate
T2C pNx pMx, lymph node and distant metastatis cannot be assessed.
Margins: Can be assessed, Multifocal, Microscopic, <1mm
Perineural Invasion present
Venous and Lymphatic Invasion absent.
Does this report mean the cancer has penetrated the capsule or not? Doctor said positive margin is very small and cancer cells on the edge should have been killed during the time of surgery. He expects undetectable PSA.
I am really feeling down today after getting the report. I was thinking that with GS 6 and PSA 5.8, I will be OK after the surgery. But it doesn't seem so.
What you guys think is ahead in my future? What should I be prepared for? If my PSA is undetectable, will I still need Radiation? Any knowledge of positive margin < 1mm and rising PSA? Please let me know.