My prostate size was about 38cc which is slightly enlarged for my age. Based on the Gleason and PSA my doctors estimated I had about 19cc of tumor volume. Much of that was within the actual prostate volume as the PCa cells are basically an offshoot of the original prostate cells and have replaced them. I did have a nodule that could be felt so I was staged at T2b. It was possible, but not confirmed that PCa cells could have escaped the prostate. If that were the case then some of the tumor load generating a high PSA would have been outside the prostate.
Based on the calculations my doctors used, I estimate that your prostate size would have produced about 1.85 PSA. The remaining PSA and G8 would indicate a tumor volume of about 5cc. That you are a T2 indicatres that enough of the tumor was concentrated in the periferal zone that it could be felt. A common grape is about 7.5cc so if all your cancer was compactly formed in one mass it probably would have been smaller than a grape. However, PCa tends to be multi-focal and it is far mre likely that you had several small masses in the area.
Chuck, you didn't have a prostate, you had a tennis ball!!
You are right. Due to its size, Dr. Tollefson, my surgeon at Mayo, performed a cystocopy the day before to see what he would be dealing with. As he finished the test, he told me, "You have a WHOPPER of a prostate!" I think the size of a tennis ball, or even a baseball, is pretty much what it looked like at 98.3 grams. I guess that would be almost 100 cc's.
Good thing I love playing tennis! LOL
Resident of Highland, Indiana just outside of Chicago, IL.
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.
Abdominal drain removed the morning after surgery.
Catheter out in 7 days. No incontinence, occasional minor dripping.
Post-op exams 2/13/12, 9/10/12, PSA <0.1. PSA tests now annual.
Semi-firm erections now happening 14 months post-op & VERY slowly getting a bit stronger.