Tall Allen said...
I'm hoping for no upgrades, but even if it is, if it hasn't spread or metastasized and he gets it all, what difference does it make? Does Ahlering look at frozen sections during surgery?
After 9 years on the forum I believe this is the first time I have seen intra-operative frozen section raised.
I had my robotic surgery in Sydney (St Vincent's) in 2007 and it was normal practice to do a frozen section on the removed prostate before completing surgery. In my case this showed the (extensive 7/8) tumour extended to the prostate margin and prompted the surgeon to take an additional wider margin before closing up. (sadly this involved loss of the nerves).
I have often wondered if quite a few of the failed surgeries we see here on the forum might have been successful if doing a frozen section during the operation was the norm.
Age 59 PSA 4 DRE neg
4/10 cores +ve [Core 1 <5%; c2 /50%; c3 /60%; c4 /50%]
Gleason 4+3=7 (80% grade 4) Stage T2c; Perineural invasion, neg extracapsular
CT scan and Bone scan neg. RRP: Aug 10th 2007 :Post-op pathology
4+4=8 unclear margin (margin "disturbed")
Focal EPE, both vascular and neural invasion presentAll subsequent PSAs <0.01