Positive Pathology Result

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kdnole Regular Member Date Joined Jun 2007 Total Posts : 152	Posted 8/9/2007 3:10 PM (GMT -6)
	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? 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. Back to Top

Pete42 Regular Member Date Joined Mar 2007 Total Posts : 114	Posted 8/9/2007 3:37 PM (GMT -6)
	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 Diagnosed 1/26/07 Stage Tc1 Gleason 6 PSA 3.8 12 samples, positive in one 15% Biopsy - 1% involvement, no bladder neck, Gleason 3+3, Tc1 Age 51 Surgery (robotic) May 4 2007 City of Hope Final pathology - fully contained to prostate, TC1, Gleason 3+ 3 Fully continent one month Back to Top

IdahoSurvivor Veteran Member Date Joined Aug 2007 Total Posts : 1015	Posted 8/9/2007 4:48 PM (GMT -6)
	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) Back to Top

Tony Crispino Veteran Member Date Joined Dec 2006 Total Posts : 8128	Posted 8/9/2007 4:57 PM (GMT -6)
	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 Back to Top

Dutch Regular Member Date Joined Feb 2007 Total Posts : 400	Posted 8/9/2007 6:53 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 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. Back to Top

kdnole Regular Member Date Joined Jun 2007 Total Posts : 152	Posted 8/9/2007 7:07 PM (GMT -6)
	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! 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. Back to Top

bluebird Veteran Member Date Joined May 2006 Total Posts : 2542	Posted 8/9/2007 8:18 PM (GMT -6)
	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 :) Back to Top

Tony Crispino Veteran Member Date Joined Dec 2006 Total Posts : 8128	Posted 8/10/2007 11:36 AM (GMT -6)
	Best wishes to KD today. Goodbye catheter!!!! My prayers are for a rush of positive energy to join you in the doctors office. Tony Back to Top

myman Veteran Member Date Joined Feb 2007 Total Posts : 1219	Posted 8/11/2007 9:58 AM (GMT -6)
	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 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 Back to Top

spinbiscuit Veteran Member Date Joined Apr 2006 Total Posts : 818	Posted 8/11/2007 6:38 PM (GMT -6)
	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 Diagnosed at age 60 PSA went from 2.2 to 3.8 in 14 months 2 of 14 cores positive at 10% Gleason 6(3+3), negative DRE, neg. boundaries DaVinci surgery on 02/23/06 Back to Top

kdnole Regular Member Date Joined Jun 2007 Total Posts : 152	Posted 8/12/2007 6:09 AM (GMT -6)
	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 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. Back to Top

Tony Crispino Veteran Member Date Joined Dec 2006 Total Posts : 8128	Posted 8/12/2007 9:39 AM (GMT -6)
	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 Back to Top

kdnole Regular Member Date Joined Jun 2007 Total Posts : 152	Posted 8/12/2007 2:55 PM (GMT -6)
	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. 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. Back to Top

IdahoSurvivor Veteran Member Date Joined Aug 2007 Total Posts : 1015	Posted 8/12/2007 3:54 PM (GMT -6)
	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 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 Back to Top

Tony Crispino Veteran Member Date Joined Dec 2006 Total Posts : 8128	Posted 8/12/2007 4:12 PM (GMT -6)
	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 Back to Top

mvesr Veteran Member Date Joined Apr 2007 Total Posts : 823	Posted 8/12/2007 5:31 PM (GMT -6)
	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 Back to Top

bluebird Veteran Member Date Joined May 2006 Total Posts : 2542	Posted 8/12/2007 8:27 PM (GMT -6)
	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 Back to Top

kdnole Regular Member Date Joined Jun 2007 Total Posts : 152	Posted 8/13/2007 9:09 AM (GMT -6)
	Mika-mvesr, How many radiation treatments did your friend have to go through? 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. Back to Top

mvesr Veteran Member Date Joined Apr 2007 Total Posts : 823	Posted 8/14/2007 5:59 PM (GMT -6)
	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 Back to Top

bluebird Veteran Member Date Joined May 2006 Total Posts : 2542	Posted 8/27/2007 7:17 PM (GMT -6)
	KD ~ Thinking of you and wanted you to know!! Keeping you close in our thoughts and prayers. In Friendship ~ Lee & Buddy Back to Top

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