On further review I find I have conflated the pathology reporting for biopsies and post-operative examination. What I said is right for post-op but appears to be inaccurate for biopsies where probable EPE is inferred from a number of factors. PeterDA
If the pathologist sees prostate cancer cells surrounded by prostate tissues then that cancer is contained but if he sees prostate cancer cells surrounded by some other tissues, then he knows it has grown outside the organ. Diagnosing EPE from a biopsy sample is a hit-or-miss proposition -- the sample needle has to enter the organ at a location where the cancer has grown beyond the prostate -- but it does happen and is reported.
Generally an achy prostate is caused by inflammation -- infection, calcification, urine backing up into the ducts -- and seldom, if ever, by cancer. Of course one can have both.
62 Slow PSA rise 2007-2012: 1.4=>8
4 bxs 2010-2012: 1&2 neg, 3 pos 1/14 6(3+3) 3-4% (2nd
opn. 7(3+4)), 4 neg
DaVinci 6/14/12. "some" nerve sparing on left
Path: pT3a pN0 R1 GS9(4+5)
Pos margins on rt
24 mo ADT3 7/12 - 7/14
Adj IMRT 66.6 Gy 10/17/12-12/13/12
8/2012-3/2015: Incont., Trimix, VED, PSA<0.015.
AUS & IPP installed 3/5/2015Forum Moderator - Not a medical professional
Post Edited (PeterDisAbelard.) : 11/2/2015 1:29:35 PM (GMT-7)