Posted 10/2/2007 7:55 PM (GMT -7)
Got my post-op path report today. Here is the details:
A. Lymph nodes, bilateral external iliac, hypogastric and obturator areas, resections:
Four fatty lymph nodes, no metastatic tumor is identified.
B. Prostate, prostatectomy
Histologic type: Acinar type of adenocarcinoma
Histologic grade: Gleason grade=3+3=score of 6
Margins: Probable, microscopic involvement of the left apical margin:
Remaining margins clear.
Extraprostatic extensdion: Not identified
Seminal Vessel invasion: None
Regional lymph nodes: See A above
Distant metastasis: Cannot be assessed
Perineural invasion: Microscopic intraprostatis perineural invasion is present (see guide to sections)
Venous invasion: None identified
Lymphatic invasion: None identified
Pathologic staging: pT2c, pN0,pM0 (pathological state II, AJCC, 2002
Accompanying the report was a drawing from various views of the gland, sectioned off, with shaded areas, representing the tumor, I suppose. I sorta have read enough to get a feel for it, but wonder if someone with more expertise wants to take a crack at it. I don't particularily like the workds "probable", "microscopic" or perineural invasion". Doc said we would discuss it Friday when the catheter is removed. I will confess that I was still pretty drugged when he called, and that I sorta blanked out when he said the microscopic involvement deal and didn't hear much of what he said after that.
4/19/07 PSA 7.6 , referred to Urologist
4/26/07 Urologist prescribes 3 weeks of antibiotics/anti-inflam. due to past history of Prostatis. DRE- nothing detected but 'gross enlargement"
6/5/07 Recheck of PSA: 6.7, biopsy scheduled.
7/11/07 Biopsy- 16 core samples, ultrasound size of gland around 76 cc. Staging pT2c
7/17/07 Pathlogy report: 3 of 16 cancerous/ 5% involved, left lobe top, center, bottom, Gleason 3/3:6.
8/3/07 Decision made for conventional RP surgery, scheduled for Sept. 24.
9/24/07 Conventional Radical Retropubic surgery performed
9/26/07 Post-op Path Report: Gleason unchanged 3+3=6 Staging pT2c,
Prostate 110 gms, 2.2"x2.2"x1.75"