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20 month PSA
 
            Larry (lewvino)
Robotic surgery 08/12/09 at Vanderbilt, Nashville TN.
Final Path report:
20% of the prostate Involved
Tumor graded at T2C
Pre surgery Gleason 4+3 (7)
Post surgery Gleason after examing the entire prostate modified to 3+4 (7)
Lymph Glands Clear, Positive Margin Noted in Right Apex
Twenty month PSA - 0
Comments
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 Congrats on reaching another milestone!Kongo said:Sweet 
 Very happy for you Larry
 K
 Larry,
 When I first posted to the CSN PCa forum exactly one year ago today, your compassionate and supportive welcome was very much appreciated. Being greeted with your thoughtful and caring post made a difference for me and my husband.
 So happy to read of your continuing good news and great results.
 Now go out and do some serious celebrating!!
 mrs pjd
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            Larry --Glad to hear the
 Larry --Glad to hear the good news !!! Keep those undetectable readings coming. Your readings were similar to mine, gleason (3+4) 7 and positive margins following davinci surgery in feb-2010. Only difference is that I chose to have adjuvant radiation after the surgery due to the positive margins. So far/so good. Once again, congrats on your good fortune--Dan
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 It will be interesting toBRONX52 said:Larry --Glad to hear the 
 Larry --Glad to hear the good news !!! Keep those undetectable readings coming. Your readings were similar to mine, gleason (3+4) 7 and positive margins following davinci surgery in feb-2010. Only difference is that I chose to have adjuvant radiation after the surgery due to the positive margins. So far/so good. Once again, congrats on your good fortune--Dan
 It will be interesting to compare notes with you as time goes on since are cases are similiar. I've chosen to wait and see on the positive margin. Wishing you the best on your journey!
 Larry
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            Congrats Larry! And better
 Congrats Larry! And better yet you get to go to annual PSA test after your next test…that is a huge step.
 A wise doctor with PCa that use to comment here and lives in Atlanta stated that in reality your outcome after treatment is “luck of the draw”…
 At my 13 month test I am still shooting ZEROs with many “statistically” factors against me…So who knows…
 Enjoy the moment and celebrate life
 My Prostatic Cancer Staging Summary:
 Tumor Type: Acinar with Focal Ductal Differentiation
 Gleason Score
 Primary + Secondary: 4+3=7
 Tertiary: Pattern 5
 Location Main Tumor: Prostatic Base
 Location Additional Tumor Nodules: Left Apex, Right Apex, Right Mid, Left Mid, and Left Base
 Extraprostatic Extension
 Focal (<2 Microscopic FOCI): N/A
 Established (Extensive): Present and Extensive
 Margins
 Apical Margin: Free of Tumor
 Bladder and Urethral: Free of Tumor
 Other Surgical Margins: Positive, right mid Prostate
 Seminal Vesicles: Positive for Carcinoma
 Location, If Involved: Right Seminal Vesicles
 Perineural Invasion: Present
 Lymphatic/Vascular Invasion: Not Identified
 Total Lymph Nodes: 2
 Number positive: 0
 Tumor Volume Approximately 18%
 Tumor (T): pT3b
 Metastasis (M): pMX
 Nodes (N): pN0
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 Congratulations Larry.ejn said:Great News Larry, I went 
 Great News Larry, I went for my 6 month in April and the doc decided to wait for the one year mark. I guess he is not worried, but I hardly think about it either.
 Congratulations Larry. I hope to celebrate many more successful outcomes with you and everyone here on CSN.
 And to bdhilton....Wow, you are really beating the odds. I have stage T3A N1 PCa with extraprostatic extension and a single positive lymph node on my pathology report. I just celebrated my first RRP post op PSA test result of zero. I hope to follow in your successful footsteps.
 Rick
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