Pratoman, your signature doesn't indicate: was your final pathology pT2+ ?
The "+" portion of this designation indicates intraprostatic incision.
My husbands pathology is a pT2+ with his margin at the bladder neck. When PSA starts to increase can you help me understand how the intraprostatic incision is meaningful? I was hopeful after learning about
that rihgt after surgery that that meant the cancer cells may die due to being cauterized, but it looks like maybe that's not the case since there's a rise in his PSA. Is that an accurate thought?
Wife posting for spouse - 49, age at dx 48
06/2016: PSA 6.48
07/2016: PSA 7.22 FPSA 10% 12 Core Biopsy Negative
10/2016: PSA 6.30 FPSA 13%
12/2016: MRI W/COIL PI-RADS 5 with Probable EPE, Bones/LN Clear
12/2016: Biopsy Two cores 3+4 and Seven cores 3+3
02/2017: RP at University of Chicago Pathology 3+4 Grade 4 component is 5%
Prostate: 32.7 gm Tumor Volume Estimate: 35%
No EPE or lymphovascular invasion 13 lymph nodes, Seminal vesicles, vasa deferentia, no tumor present
High grade prostatic intraepithelial neoplasia, Perineural Invasion: Present
Tumor involves proximal basilar margin of 2.0 mm Gleason at margin is 3 pT2c,N0,MX,R1
04/2017: 6 Week PSA <0.01
05/2017: 3 Month uPSA <0.006
8/2017: 6 Month uPSA <0.006
11/2017: 9 Month uPSA 0.014 12/2017 Re-test 0.012