Sending my post op slides to JH gave me more information about
my positive margin. 5% of my cancer was grade 4. There were no grade 4 cells along the margin. They may also be able to shed a little more light on this....
...a margin at left posterior aspect. The doctor said he wasn't certain that the margin was a true positive because he said sometimes when they pull it away, they can expose it themselves when it really isn't.
If it were me I'd want more than this. But that's me.
It's good they dye tested before they pulled the drain. It means that everything that could have gone wrong did not. (Don't ask me how I know
Radiation is "standard protocol" for positive margins. ..at least in these parts it is. And it may be with 4+3's as well...i don't know. What I do know is that more and more men are beginning to hold off on radiation for positive margins. This devolves into a debate where even the best minds seem to diverge.
Right now...just keep getting better. And send those slides off.
PSA 2010 thru 2014...4.0 plus/minus .7
Dx 12/14 @ 56 yo...2 cores G6 <5%, 1 core G6 20%, 1 core HGPIN.
RALP 11/25/15....cath removed 12/22/15, G3+4, EPE -, SV -, nodes -, 3mm lateral margin +, PNI +, 15% involvement pT2+N0
PSA .01 01/16
PSA .00 04/16
Post Edited (island time) : 5/23/2016 11:10:00 PM (GMT-6)