Oct 03, 2004 - 5:28 pm
I had the RP on 5/3/04. I was under the impression prior to the operation that my cancer was in the very early stages since my PSA was being monitored regularly for 2 years after having a negative baseline biopsy. When the PSA took a 50% jump, I got another biopsy. This biopsy showed minimal cancer, only one of six cores in the left and none in the right and no perineural invasion and gleason of 3+3. I had the surgery 33 days later. Since I expected the best, when the surgeon told me that all went as expected after the operation I just accepted it. At a 4 month follow up PSA, I asked for a copy of the post surgery pathology report. The surgeon explained it to me then in some detail and it sounded OK at the time, but now that I have had time to actually read it and think about it, it scares the 's' out of me...Cancer involves the peripheral zones bilateraly at multiple levels of sectioning, invades capsular tissue and perineural invasion, distal periurethral prostatic inked tissue margin focally positive, right... the gleason is 3+4 with a final staging of T2c, pN0. Everything else on the report sounds OK i.e. negative for cancer seminal vesicals, vasa deferentia, no lymphatic or extracapsular invasion, peripheral inked margins negative, proximal periurethral prostatic tissue/bladder neck margins are negative...I trust the surgeon when he tells me that I am still in good shape for a cure...the 4 month PSA was 0.19 and the nadir was 0.19 which is very good...but also very early in the game...I know that the pathology is typically upgraded when the actual pathology report is done...but does anyone have a feel for whether or not my upgrade is more atypical than typical...should I ask the surgeon more questions? e.g. what's my real statistical chance for a cure given this report..I would appreciate any thoughts...thanks...