Hi all. I had a question about perineural invasion.
I'll assume that most know what perineural invasion is, so I'll spare the explanation, but although my biopsy report showed that there was no perineural invasion seen, my post-op pathology showed that it was present. However, my urologist told me that a high percentage of his patients’s post-op pathology reports showed perinural invasion, and that since my report showed that there was no capsular penetration, negative margins and negative seminal vesicles, that it was not a cause for concern.
Just wondering how many out there had perinural invasion noted on your post-op pathology reports, and what signfigance, if any, your doctor attributed to it.
Diagnosed: March 25, 2007
Biopsy: Gleason 6, 5 out of 12 core samples positive for cancer with <5% on all 5. Staged at T1c
DaVinci Surgery: May 21, 2007 at Florida Hospital, Orlando. Surgery took 1 hour and 45 minutes. According to my surgeon, prostate peeled away nicely and everything went text book. Nerves spared.
Pathology Report: Upgraded to Gleason 7 (3+4), Negative margins, seminal vesicles negative, no capsular penetration, lymph nodes left intact, 15% of prostate involved by cancer.
1st Post-op PSA: <0.01
2nd Post-op PSA: Scheduled September 27, 2007.
Continence: Out of pads 5 weeks post-op. Still have some minor stress incontinence from time to time but it's not an issue.
Erections: Yes! With the assistance of Cialis.
Family History: Father diagnosed with prostate cancer in 1997 at age 67. Prostate removed and has had a <0.1 PSA ever since.