First, a huge thank you to all of you who have shared your experiences on your journey – extremely helpful and more importantly, an excellent resource for those diagnosed and living with PCa.
I had the surgery a few months ago (signature to follow) and during my follow up – the RALP surgeon ordered a Decipher test for me. We discussed the probability of doing ART (up to me) and I’m meeting with the RO this Friday. Decipher came back with a 0.7 which he told me that higher risk for reoccurrence – plus my SVI / ECE.
But, based on my post op pathology report, my Gleason was low but with left side SVI and ECE.
I seem to be a mixed bag based on the path report below!
Recently was looking through some posts and was pointed in the Cleveland Clinic Risk Calculator with Adjuvant Radiotherapy https:// http://riskcalc.org:3838/prostatecancerpredictingpostradicalprostatectomy/
And I’m having a little difficulty with the Capsular Invasion Type section (None, Inv.Capsular, Focal, Extensive) – not really finding reference to it on the path report or I’m missing it. Perhaps it is referenced in the margins section below (Anterior, Lateral, Posterior and overall)
There is a reference to Focal in the Gleason score when the tertiary is considered
Reason for asking – the Capsular Invasion Type section selection greatly changes the probability outcomes
Final Gleason, Primary 3, Secondary 3, Tertiary 4 (10%) Says Gleason Total 6, Focal 7 ((biopsy was 3+4; 2 cores 7, 3 cores 6 of 12 taken – Esptein’s JH analysis of biopsy agreed))
SVI + (left side), ECE +, Margins -, Bladder Neck -, Apical -, Anterior, Lateral, Posterior –
Lymph – (0 of 12)
Tumor Quantitation = 40 – 50%
Path staging pT3b
3 month post op UPSA <.006
Next one is scheduled for Jan 2020
Perhaps others have encountered the Capsular Invasion question and was able to interpret based on the above or point in better direction with finding.
Post Edited (itllbeok1) : 11/17/2019 5:11:27 PM (GMT-7)