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Positive Pathology Result

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kdnole
Regular Member
Joined : Jun 2007
Posts : 152
Posted 8/9/2007 2:10 PM (GMT -7)
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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Pete42
Regular Member
Joined : Mar 2007
Posts : 114
Posted 8/9/2007 2:37 PM (GMT -7)
Sorry to hear that, I have no first hand experience but if you look at TCVegas" threads you'll find a story that seems similar to yours and one that will ultimately fill you with hope. Peace Pete 
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IdahoSurvivor
Veteran Member
Joined : Aug 2007
Posts : 1015
Posted 8/9/2007 3:48 PM (GMT -7)
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)
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Tony Crispino
Veteran Member
Joined : Dec 2006
Posts : 8151
Posted 8/9/2007 3:57 PM (GMT -7)
Hi KD,
Just picked up on your thread. Once you have your pathology report in hand post as much of it as you can. As Pete stated it sounds like we are definitely going to be sharing this journey. I'm running about six months ahead of you and have seen much. My EM is enabled and feel free to send me an "offline" message and we can either pen pal it or we can speak directly. Don't worry tto much. You still are in discovery and may be just looking at some additional adjuvant therapies. I was scared when I first found out about my situation after surgery, but with a thorough education on it you will see cure is still possible and control is managable. Stay close and I will certainly be there.

Tony
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Dutch
Regular Member
Joined : Feb 2007
Posts : 400
Posted 8/9/2007 5:53 PM (GMT -7)

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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kdnole
Regular Member
Joined : Jun 2007
Posts : 152
Posted 8/9/2007 6:07 PM (GMT -7)
Tony, I appreciate everything you'll be able to help me with in figuring this one out. As soon as I get the report I will post it and will contact you through EM. I have my EM activated as well.
I think my wife is taking this much harder so I'll need to kick this latest road bump in the ass and keep moving on. First step get this catheter out!
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bluebird
Veteran Member
Joined : May 2006
Posts : 2543
Posted 8/9/2007 7:18 PM (GMT -7)
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
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Tony Crispino
Veteran Member
Joined : Dec 2006
Posts : 8151
Posted 8/10/2007 10:36 AM (GMT -7)
Best wishes to KD today.

Goodbye catheter!!!!

My prayers are for a rush of positive energy to join you in the doctors office.

Tony
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myman
Veteran Member
Joined : Feb 2007
Posts : 1219
Posted 8/11/2007 8:58 AM (GMT -7)
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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spinbiscuit
Veteran Member
Joined : Apr 2006
Posts : 818
Posted 8/11/2007 5:38 PM (GMT -7)
Hello kd,

You're going to whip-up on this PCa, and we'll all be here cheering you on. Now like you said first things first; get rid of "Mr. Hang". Good luck, and please keep us posted.

Glen
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kdnole
Regular Member
Joined : Jun 2007
Posts : 152
Posted 8/12/2007 5:09 AM (GMT -7)
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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Tony Crispino
Veteran Member
Joined : Dec 2006
Posts : 8151
Posted 8/12/2007 8:39 AM (GMT -7)
Hi KD,
The report doesn't sound too bad when looking at the staging. Although I'm curious how that question list I sent you was answered. Did the doctor consider this advanced disease?

Tony
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kdnole
Regular Member
Joined : Jun 2007
Posts : 152
Posted 8/12/2007 1:55 PM (GMT -7)

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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IdahoSurvivor
Veteran Member
Joined : Aug 2007
Posts : 1015
Posted 8/12/2007 2:54 PM (GMT -7)
Hi KD,

I am no expert, but I undersand from reading that radiation therapy, such as IMRT and proton beam can be directed very accurately for treatment following surgery. It sounds to me from your pathology report that they'd know just the area of concern where the radiation therapy should be focused. So, it looks hopeful to me.

You are blessed for catching this early!

I'm telling all my friends that even 40 years old is not too young to start getting checked. Why wait? 1 in 6 of us will get PCa in our lifetime.

All the best you in your decision,

Idaho
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Tony Crispino
Veteran Member
Joined : Dec 2006
Posts : 8151
Posted 8/12/2007 3:12 PM (GMT -7)
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
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mvesr
Veteran Member
Joined : Apr 2007
Posts : 823
Posted 8/12/2007 4:31 PM (GMT -7)
Hi KD. My friend who suggested Duke to me had positive margins and had follow up radiation. His psa's have been negative since. Let us know what you decide to do. Good luck and God bless.

Mika-mvesr
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bluebird
Veteran Member
Joined : May 2006
Posts : 2543
Posted 8/12/2007 7:27 PM (GMT -7)

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

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kdnole
Regular Member
Joined : Jun 2007
Posts : 152
Posted 8/13/2007 8:09 AM (GMT -7)
Mika-mvesr, How many radiation treatments did your friend have to go through?
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mvesr
Veteran Member
Joined : Apr 2007
Posts : 823
Posted 8/14/2007 4:59 PM (GMT -7)
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
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bluebird
Veteran Member
Joined : May 2006
Posts : 2543
Posted 8/27/2007 6:17 PM (GMT -7)
KD ~  Thinking of you and wanted you to know!!    Keeping you close in our thoughts and prayers.       In Friendship ~ Lee & Buddy
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