Thanks for the information. A great post!
I did have a small positive margin following my DaVinci procedure at Mayo Clinic in 2011. But my surgeon said that their data shows any positive margin of 0.5 cm or less is almost never any problem. He then told me he believes I should consider myself to be cured. The final pathology report shows that my positive margin was only 0.2 cm and that the tumor was "confined to the prostate."
No follow up treatment was needed and, after post-op PSAs of zero after 3 and 9 months, the doctor said I only need to return once a year for an annual PSA test.
So, hopefully he is correct that I am cured. Naturally I am a bit apprehensive about
the future, but he said that ALL the "numbers" are in my favor. I sure hope so!! LOL
July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7.
Local urologist DRE revealed significant BPH, but no lumps.
PCa Dx Aug. 2011 at age of 61.
Biopsy revealed adenocarcinoma in 3 of 20 cores (one 5%, two 20%). T2C.
Gleason score 3+3=6.
CT of abdomen, bone scan both negative.
DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
My surgeon was Dr. Matthew Tollefson, who I highly recommend.
Final pathology shows tumor confined to prostate.
5 lymph nodes, seminal vesicles, extraprostatic soft tissue all negative.
1.0 x 0.6 x 0.6 cm mass involving right posterior inferior,
right posterior apex & left mid posterior prostate.
Right posterior apex margin involved by tumor over a 0.2 cm length, doctor says this is insignificant.
Prostate 98.3 grams, tumor 2 grams. Prostate size 5.0 x 4.7 x 4.5 cm.
Catheter out in 7 days. No incontinence, occasional minor dripping.
Post-op exams 2/13/12, 9/10/12, PSA <0.1.
Semi-erections now happening 14 months post-op & getting stronger.
Post Edited (HighlanderCFH) : 1/24/2013 1:30:43 AM (GMT-7)