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Pathology Report from RP (Sorry for Blank Posts)

lighterwood67's picture
lighterwood67
Posts: 209
Joined: Feb 2018

Sorry for the extra posts, trying to figure out how to delete them.  My catheter is out having fun with that process.  I am in good spirits.  I will sleep with my wife and dog in my bed tonight.  Smile, I am.

 

Surgical Pathology Report * Final Report * 

Final Pathologic Diagnosis 

1. ANTERIOR BLADDER NECK MARGIN, EXCISION: 

BENIGN BLADDER NECK TISSUE. 

2. ANTERIOR PROSTATIC FAT, EXCISION: 

BENIGN FIBROADIPOSE TISSUE. 

3. LEFT OBTURATOR LYMPH NODES, EXCISION: 

THREE LYMPH NODES NEGATIVE FOR METASTATIC CARCINOMA (0/3). 

4. LEFT DEEP PELVIC LYMPH NODES, EXCISION: 

TWO LYMPH NODES NEGATIVE FOR METASTATIC CARCINOMA (0/2). 

5. RIGHT OBTURATOR LYMPH NODES, EXCISION: 

THREE LYMPH NODES NEGATIVE FOR METASTATIC CARCINOMA (0/3). 

6. RIGHT DEEP PELVIC LYMPH NODES, EXCISION: 

BENIGN FIBROADIPOSE TISSUE. 

7. URETHRAL MARGIN, EXCISION: 

BENIGN URETHRAL/PERIURETHRAL TISSUE. 

8. PROSTATE AND SEMINAL VESICLES, RADICAL PROSTATECTOMY: 

ADENOCARCINOMA, GLEASON SCORE 4 + 3 = 7 (GRADE GROUP 3), WITH MUCINOUS DIFFERENTIATION. 

PERCENT OF CARCINOMA THAT IS PATTERN 4 = 90%. 

PATHOLOGIC STAGE (AJCC 8TH ED, 2017): pT2 pNO. SEE SYNOPTIC SUMMARY. 

Synoptic Summary 

PROSTATE CANCER CASE SUMMARY 

PROCEDURE: 

Radical prostatectomy 

PROSTATE SIZE: 

Size: 4.4 cm, x 3.7 cm, x 3.6 cm 

PROSTATE WEIGHT: 

Weight: 32 g 

LYMPH NODE SAMPLING: 

Pelvic lymph node dissection 

HISTOLOGIC TYPE: 

Adenocarcinoma (acinar, not otherwise specified) 

HISTOLOGIC GRADE: 

Primary Gleason Pattern: Grade 4 Secondary Gleason Pattern: Grade 3 Total Gleason Score: 7 

TUMOR QUANTITATION: 

Proportion (percent) of prostatic tissue involved by tumor: 15% 

TUMOR LATERALITY: 

Bilateral involvement 

EXTRAPROSTATIC EXTENSION: 

Not identified 

SEMINAL VESICLE INVASION: 

Not identified 

MARGINS: 

Margins negative for invasive carcinoma 

TREATMENT EFFECT ON CARCINOMA: 

History of treatment unknown 

LYMPH-VASCULAR INVASION: 

Not identified 

LYMPH NODES: 

Number of regional lymph nodes examined: 8 

Number of regional lymph nodes involved - none identified 

PATHOLOGIC STAGING: 

PRIMARY TUMOR: pT2 

REGIONAL LYMPH NODES: pNO DISTANT METASTASIS: Not applicable 

VascodaGama's picture
VascodaGama
Posts: 3032
Joined: Nov 2010

This is a great report. I think you are right. You are not sleeping with the bandit anymore.

Congratulations.

VG

lighterwood67's picture
lighterwood67
Posts: 209
Joined: Feb 2018

Thanks.  I feel good and now I will start my journey with the incontinence.  Again, thanks.

Clevelandguy
Posts: 462
Joined: Jun 2015

Hi,

Great news, may you be blessed with many undectable psa readings.

Dave 3+4

lighterwood67's picture
lighterwood67
Posts: 209
Joined: Feb 2018

I am in good spirits.  Now, I start the incontinence journey.  Again, thanks.

Max Former Hodgkins Stage 3's picture
Max Former Hodg...
Posts: 3309
Joined: May 2012

lighterwood,

With all of the other guys above I congratulate you and also see your pathology report as the best possible.  Cure is extremely likely, given the particulars.

There are only a few avenues of escape for PCa out of the gland, and they analyzed all of them as negative. 

Most common escape route is along the urethera, and your's checked negative on both ends (items 1 and 7 in the report).

Perineural (inside the sheathing around nerve bundles) is another possibility, checked negative. 

No positive margins, meaning that tumors did not pass through the walls of the gland itself. 

Seminal Vesicles negative, which also is a frequent location for disease that has moved out of the gland. 

You doc did significant sentintal lymph node checking, all negative. 

Combined, all of this very strongly suggests you will never again test positive for PCa.  While I know surgery has side-effects, one of the greatest advantages that it does have for a worry wart like myself is that a few days after the surgery, you know EXACTLY what was going on.  I too was a T2-N0-M0 DaVinci patient.  A few weeks ago I had my 3rd annual PSA check, again Undetectable. I am thankful and feel for the guy's whose battle continues.

Ask your doc if nerve sparing was possible, although it sounds very likely that it was (no complications were mentioned).

Bles you guys on this holiday weekend,

max

 

lighterwood67's picture
lighterwood67
Posts: 209
Joined: Feb 2018

Thanks.  This was from the surgical proceudre:  "As I dissected along to the apex I noted excellent neurovascular bundle sparing bilaterally." My doctor had told me earlier that he felt confident that he could spare the nerves. Bless all the folks on this site.  It is one step at a time.  I am in good spirits.  Hope all have a great holiday and Happy Easter.

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