Positive Pathology Result

My Dr. just gave me the news but I won't know the details until tomorrow but my Dr. said he was going to set up an appt. with an Oncologist (sp).

Any one else have this and what did you do? 

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Age 44

PSA 4.8

Gleason 3+3=6

T2

Da Vinci 7/31/07 @ Duke

2.5 hr. surgery, released from Duke with in 14 hrs.

Saved both nerve bundles. 

Hi kdnole, I searched information about various positive pathology results prior to surgery and found this web page helpful:   www.malecare.com/surgery_page_5.htm Page 6 and beyond may be helpful too. There is a comforting note at the bottom of page 5 as well: "It is important to note that most patients with positive margins are cured." I pray that with good doctors helping you and with Providence that you will find a good outcome! IdahoSurvivor Age: 54 PSA: 4.3 Biopsy: T1c, 3+3=6, 2 pos. samples in one node, <5% volume Surgery (robotic): 31 Jul 2007, saved nerve bundle on side of non-cancerous node Hospital stay: 2 days Final pathology: Tumor confined to prostate, T2a, 3+3=6, <1% volume Working to get back into good shape Waiting for that first post-op PSA   Post edited to activate link….     Post Edited By Moderator (bluebird) : 8/9/2007 8:22:45 PM (GMT-6)

What a lucky guy you are to have found Tony and to have him on your side.  His knowledge and positive attitude are great.

Thoughts are with you.

Dutch

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Diagnosed Feb 2001  (Age 65)  Currently 72

PSA 4.8      Gleason 3+3=6      Stage   T2b

Completed Proton Therapy @ Loma Linda - Aug 2001 - No side effects.

6yr PSA - 0.19

Our responsibility now is to educate men about Pca, PSA and the importance of early detection. 

 

 

 

Dear kd & mama kd,   HealingWell      has allowed us all to grasp on to something solid…   The support here is so strong!   Helping~Hands are locked tight to each other and span the globe…   is this power or what!!!   Yes ~ it is…   and we will continue to be right here fighting the fight together.   As “Jayadub”, “Susan”, and “Biker”… have stated in postings…   We are part of your “Cancer Team”… We are here surrounding you both with “positive” power …   through thoughts, prayers, and communication here on HW …   There is no doubt in my mind that you feel our presence.   The Journeys here are so important… and as you continue to move forward on stepping-stones we had hoped you would not have to take… We all know that those stones have been and are being traversed my fellow members…   and with the power of positive thinking, positive action, and positive support….   You will continue to move forward and do what it takes…     We are back to Knowledge is POWER and POWER takes away the fear…   We’ve been there and we know it is true… so try hard to pull from this knowledge and move on ~ to the next stone.   Feel our strength as you do so….. http://i206.photobucket.com/albums/bb179/mamabluebird1955/Stepping-StonestoHealingWell.jpg   Our next step now ~ to understand where the path leads.   Each step counts…..   And as stated…by Dutch.   Following in Tony’s footsteps and having him in “OUR” corner… words cannot say what my heart is feeling!!!!   I know you know and others know exactly what that feeling is.   Please continue to hold us close ~ as we will all be here for you!!!!   And keep this thought each and every moment..   You Are Not Alone… As long as you continue to reach out!!!     You’ve just been hugged and now please reach over and give “mama kd” a big hug from us too!!   (I feel her fear…)   but once she understands and sees the next stepping-stone and where it leads… some of the fear will slip away.     We care about you…..    In Friendship ~ Lee & Buddy mama bluebird - Lee & Buddy… from North Carolina J   We invite you to visit our personal thread:   Click Here:   “Our Journey” ~ Sharing is Caring   April 3, 2006  53 on surgery day RRP / Radical Retropubic Prostatectomy PSA 4.6   Gleason  3+3=6    T2a   Confined to Prostate 2nd PSA 02-06-2007 Less than 0.1 Non-Detectable :)  

KD - You've got The Team behind you with one of our best at the front. Tony will be a tremendous help to you. I hope your wife will join you us here...there are many women who take part and are a great support to each other.

Sending good thoughts to you both,
Susan

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Husband Diagnosed 11/17/05 Age: 63 No Symptoms
PSA: 7.96, Positive DRE
Biopsy Right: 6 of 6 Cores Positive Biopsy Left: 1 of 6 Cores Positive
Gleason: 4+3 = 7 Stage: T2B N0 MX
3 mo. PSA Post Surgery: 11.8, 12.9, 13.9 Bone scan, CT scan, Endorectal MRI, Chest XR - neg.
9/06/06: 6 mo. PSA: 18.8 Distant lymph node involvement Start HT Lupron 3 mo. shots
12/06/06: PSA 0.8
03/07/07: PSA 0.3
06/06/07: PSA 0.1

Okay here's the update:

Catheter removal was the easiest ever. Thanks God!

Pathology report:

Still a PT2C

Carcinoma of Prostate:

Histologic type: Adenocarcinoma, Conventional type 

Gleason went from a (3+3=6) to 3+4=7

Any Gleason 5 present? - Focally present, Left side

Extent of invasion - Margin Positive

Laterality - Bilateral

Seminal Vesticle invansion: Negative - Scant seninal vasicle tissue present

Margins:

Apical margin - negative

Peripheral margins:

 right - negative

 left - positive, approx. 7 mm 

 Bladder neck margin - negative

Perineural invasion - Positive

Vascular invasion - negative

Regonal lymph nodes - no specimen nodes identified

 

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Age 44

PSA 4.8

Gleason 3+3=6

T2

Da Vinci 7/31/07 @ Duke

2.5 hr. surgery, released from Duke with in 14 hrs.

Saved both nerve bundles. 

This is definitely not advanced prostate cancer and is minimal at .25" in 1 margin on the left side near one of the nerve bundles. I am going to meet with 2 different Oncologists, one here in Raleigh that has had PCa and another one at Duke so I can get two opinions on what's the best way to attack this. My Urologist who is also a surgeon has already suggested radiation as a treatment so we'll see what the oncologist say.

Thanks God I went in for a routine physical otherwise I might be dealing with something a lot worse.

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Age 44

PSA 4.8

Gleason 3+3=6

T2

Da Vinci 7/31/07 @ Duke

2.5 hr. surgery, released from Duke with in 14 hrs.

Saved both nerve bundles. 

Great Job, KD!!!
Keep us posted on the treatments. I just completed 38 rounds of IMRT and feel great and no complaints. I am certain you can just take a break right now and get after this a couple months down the road. For now just heal the surgery and spend some time with the kids. You are 100% correct that you are very lucky.

Tony

KD & mama KD,

Take time (mentally and physically) to heal and recover from your surgery.  Then ~ when it’s time… to move forward onto the next stepping-stone… you will be ready.   We are keeping you extra close during this time…. Stay Close… In Friendship ~ Lee & Buddy

Hi kdnole. I think he went for once a day for three months five days a week, but I will check with him to make sure.



Mika-mvesr