Hello there, NZ! Always happy to welcome another member from the "early" side of the Date Line. I live in Saipan and spend time in Thailand, where I'm writing from today. Plenty of room for optimists, too.
First off, be sure to get your physician to give as much plain-English explanation of the details in a report as possible. He/she should be your primary source, whenever possible. That said:
--Your prostate weight is unremarkable, and most of us are dealing with acinar type. Most (but not all) of the treatments you'll read about
in this forum are, therefore, designed for your type of PCa.
--Others will come along who are more knowledgeable about
the ramifications of this-or-that lobe
location than I am, so I won't comment on it.
--Are you sure it's inter
glandular? I've never heard of "interglandular extent." But intra
glandular extent is the tumor volume -- the percentage of the prostate that's cancerous. Five percent sure beats 10 or 20. (Mine was 30, if I remember right.)
--ISUP group grade 2 means Gleason 3+4.
--Nice that although there's some 4 (downer), it's only 2 percent of the malignant tissue (hurrah).
--Nice that the Gleason pattern at the margin is 3. As others more knowledgeable than I may expound on, a positive margin seems, paradoxically, to be a good thing.
--PNI (perineural invasion) is very common. But how extensive? How much of the nerve bundles on each side were spared? That info won't be in a pathology report, but I assume you know (or want to know).
--No SVI (seminal vesicle involvement): Yeah!
--Lymph nodes: Why didn't your surgeon sample any LNs? Pre-surgery did you discuss whether he planned to take LNs and what contingencies, once he had a look inside at the prostate bed, would suggest they should be sampled? I'm a bit surprised that, given he suspected higher-grade PCa than the biopsy showed and a positive margin plus PNI, he didn't take any LNs. There's a wide range of practice among urologists. Some take a dozen or more LNs routinely, others few to none. My surgeon is one of the best in the business and he took only 3 of mine, which my Korean-American RO (I went on to need salvage radiation) tells me is, in his opinion, "not kosher" (his words).
--While optimism is a great thing, it's an occupational hazard for surgeons. You've got a mix of good and bad diagnostic factors; mostly good. Hopefully, you'll never need further treatment. But this is cancer we're talking about
. My advice is to concentrate on your recovery from surgery, which I hope is going swimmingly, get PSAs on the schedule your surgeon sets, and don't worry about
whether good or bad news is in your future. Live in the present. https://m.youtube.com/watch?v=3wp0mi1zqgu
Age 60 at dx 7/2017 biopsy G8 (4+4), 5/13 cores
RARP 8/2017 (Patel), pT3a N0 M0, 30% tumor; EPE+, SV-
PSA 1/2016, 2.9; 4/2017, 7.2; 9/2017 (post-RARP), 0.13; 10/2017, <0.05, 1/9/2018, 0.09, 2/23/2018, 0.08.
SRT 72Gy, 40 fractions, finished 5/8/2018, plus 12 months ADT, finished 2/2019, PSA <0.02, T=4
Caution: I’m not an MD and don’t know what I’m talking about