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Original Notes from Three years ago

lewvino's picture
lewvino
Posts: 948
Joined: May 2009
Nov 02, 2012 - 3:03 pm

Pre surgery notes:PSA 5.1, no modules felt digital rectal exam. Carcinoma in 5 of 12 cores from the right side in 70% of the tissue.
Gleason 4 + 3 = 7

From Post surgery specimen - Gleason score 3+4 = 7. With Focal pattern 5. Involving approximately 20% of bilateral prostate.
Carcinoma focally involves the right apical surgical margin.

Bilateral seiminal vesicles negative for tumor. Negative for extraprostatic extension.
Bilateral pelvic, Lymphadenectomy: 9 Lymph nodes, negative for malignancy.
Left margin, excision: Negative for malignancy

Margin: focally positive a tright apex.
Primary Tumor stageing pT2C

Yes, I've always known about the focal pattern 5. Posting as promised for a few friends that I know are interested.

38 month PSA post davinci surgery .2

lewvino
VascodaGama's picture
VascodaGama
Posts: 1256
 Joined: Nov 2010
Nov 02, 2012 - 4:40 pm
Original notes

Not much to comment on your original notes. The positive margins at the right apex could have been the “door”, for spread if recurrence is confirmed. In any case, you have mention on another post about perineural invasion (http://csn.cancer.org/node/168903). Probably that was informed to you by your doctor but it is not stated in the path report.

Wishing you good results in your next test.

VG

(I believe you wanted to write PSA instead of Gleason at the last sentence above)
lewvino's picture
lewvino
Posts: 948
 Joined: May 2009