Others who have had an RP for G6 or G7 (3+4) will correct me if I'm wrong, but I assumed CT scans (abdomen and pelvis at least, or chest, abdomen & pelvis for higher grades as in my case) were standard of care in the workup. The scans serve several purposes:
-- rule out advanced primary cancers in other organs (e.g., bowel, bladder, lungs)
-- check for enlarged nodes (local and non-local) that may be signs of possible mets
-- check for PCa mets in other organs (e.g. lungs) for higher-grade biopsies
-- look for suggestions of EPE, SVI, and local spread to bladder/bowel
-- check for adhesions, congenital abnormalities, and other non-PC conditions.
and probably others that I'm not familiar with. I think the philosophy is wanting no surprises at the time of the RP.
To state the obvious, a G7 (3+4) with 40% pattern 4 is getting close to a 4+3 (unfavorable intermediage GG) as far as recurrence risk.
Post Edited (DjinTonic) : 8/19/2020 8:14:24 AM (GMT-6)