I had the same thing, and agree with TCLasVegas and montee as to the reason given by the surgeon for this line on the path report. The way I understand it, my tumor had left the flesh of the gland and had gotten into the neural pathway and was following that nerve sheath out. It didn't get outside, according to the report, and thank God, but it was heading that way. My doc said probably in six more months it would have emerged from the prostate into the margins. Evidently it is common for this to occur, if you consider that the nerve sheath is surrounded by tumor in most cases.
Here's the line from my report concerning it:
"Perineural invasion: Microscopic intraprostatis perineural invasion is present"
As was explained to me in my post yesterday, the intraprostatis means inside or contained within.
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"