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I would greatly appreciate your opinion.

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  • Old Salt
    Old Salt CSN Member Posts: 1,730 Member
    #22
    https://csn.cancer.org/discussion/comment/1719194#Comment_1719194

    Not sure that's correct. AI says that the terms are often used interchangeably.

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  • Old Salt
    Old Salt CSN Member Posts: 1,730 Member
    edited December 2024 #23

    Not sure whether the staging is T2a or T2b. Or do you think that the perineural invasion raised the staging to T2b? I think it is also Grade Group 1. The positive loci were all on one side, I think this would make the case T2a.

    See

    Prostate Cancer Stages | Staging of Prostate Cancer | American Cancer Society

    If you are T2a, the case would be considered low-risk

    If the correct diagnosis is T2b, the case would be favorable intermediate risk

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  • centralPA
    centralPA CSN Member Posts: 445 Member
    #24
    https://csn.cancer.org/discussion/comment/1719378#Comment_1719378

    I think the "more than half on one side" kicks it into T2b. I'm assuming that with 5 of 12 biopsy samples positive, all on the left side, that means 5 of 6 are positive on the left side. I could have misinterpreted it!

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  • lighterwood67
    lighterwood67 CSN Member Posts: 397 Member
    #25

    Well, I had a RALP in March of 2018. Gleason 4+3=7. At this time my PSA is undetectable; I am continent; I can still be intimate with my wife (only if I can catch her and I am not too sure if she wants me to). Obviously, AS was not an option for me in my opinion. I chose surgery because I thought the radiation approach would tie me up for a while. I tried to keep Quality of Life in front of me and my wife. In my view, so far, I have been fortunate. Like a lot of the folks say on this site, find the best facilities and doctors you can and see what they say. And then make a decision. Also, remember, no decision is a decision in itself. Best of luck on your journey.

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  • oakhilldiver
    oakhilldiver CSN Member Posts: 1 *
    #26
    https://csn.cancer.org/discussion/comment/1719187#Comment_1719187

    I chose radiation for prostrate cancer. I have had 6 scar tissue removal procedures in 10 years. It is closing up again. I am DONE with these useless produces. How can I get rid of the scar tissue permanently.

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  • Wheel
    Wheel CSN Member Posts: 284 Member
    #27

    oakhilldiver,

    I am very sorry to hear of your continued scar tissue build up from Radiation. I know that strictures caused me concern when I evaluated Radiation, although reportedly that long term side effect is small, but does not matter how likely when it happens to you and you are in that small group. I remember something about the possibility of reconstructive surgery but need an expert at that, that do exist just finding them. Good luck

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  • Clevelandguy
    Clevelandguy CSN Member Posts: 1,397 Member
    #28
    https://csn.cancer.org/discussion/comment/1726449#Comment_1726449

    Hi,

    From what I have read if you surgically remove scar tissue more will regrow in the same area as you have proven. I would get a recommendation for a therapist who specializes in scar tissue remediation. From what I understand it’s more of a loosening up the scar tissue lesions and not removing them if that makes sense. There are different techniques that can help reduce the stiffness/tightness but you will need find some techniques for your specific case. Good luck…..

    Dave 3+4

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