I had my prostate removed 2 yrs ago my PSA was 9 Gleason 7 I was told by the surgeon they left a very small part of the prostate behind that they considered cancer free to help with incontinence and ED.Since surgery every thing is going fine no incontinence and no ED problems.The only concern i have is my PSA for the last 2yrs it has been stable at 0.03 to 0.04 should it be 0 or am i still getting a reading because they left part of the prostate behind? Tony.View Thread
I have just read your post I'm Tony from Australia, my heart goes out to you and your family. I also have PC had surgery 15 wks ago i don't know what the future holds, i get upset i get scared but then i try and get on with life. At the moment i live from 3 mth blood test to the next. I truly wish you and your family only the best. You will be in my Thoughts.TonyView Thread
Hi had prostate surgery 15 wks ago i selected Laparoscopic surgery glad i did.I had no pain had surgery on Thursday home Monday no incontinence at all small amount up to 6 wks now same as pre surgery.ED is a problem as far as erection not able to achieve anything worth while but Doc said it would improve but i can achieve orgasm very easily.I wish you well.TonyView Thread
I Have finaly got pathology report I dont understand it i wish i had not read it im worried now someone pls explain it to me.
Clinical History Prostatectomy . Left and Right apical tissue . Histopathology. Macroscopic Description Specimen container labelled ' prostate ' . Please note, tissue was collected for tissue banking from the right mid zone and the left mid zone on 04/15/2010by Dr Lightfoot. The 37 gram prostatectomy,40mm from superior to inferior , 45mm from left to right , and35mm from anterior to posterior , with attached seminal vesicles and vasa deferentia up to25mm long. The seminal vesicles and vasa deferentia are amputated from their insertion into the prostate is linked blue,and the posterior black. The prostate is rendered into 7 slices through horizontal sectioning demonstating heterogenous tan and pale tan solid and cystic nodular parenchyma There is a suggestion of parenchymal firmness in the right apex. Please note the radical prostatectomy microscopic diagram form has been completed for the case. (1.1) left seminal vesile and vas deferens,(1.2). Right seminal vesile and vas deferens. (1.3) to (1.5) apex longitudinal (1.5) slice 2 (as per cut up form). (1. to (1.20) slices 3 (as per cut out form). (1.21) to (1.23) slice 4 (as per cut out form). (1.24) to (1.26) slice 5 (as per cut out form). (1.27) to (1.29) slice 6 (as per cut out form). Specimen container labelled left apical tissue. An irregular fragment of Pale tan tissue, 9x6x5mm. (2.1) bisected specimen all submmited. Specimen container labelled right apacal tissue. A single sausage shape Tan tissue fragment, 8x4mm (3.1) all submitted. MICROSCOPIC DESCRIPTION Sections of the radical prostatetectomy specimen show infiltration By prostetic acinar adenocarcinoma, Gleason score 4x3=7. The tumour is transacted at the apex bilaterally and is so close to Several other painted margins. Foci of perineural, invasion as seen And there is some background high grade PIN. Please see synoptic Report for further details. The sections show benign prostetic glands and stroma only with no high Grade PIN all malignancy. The sections show prostetic tissue partially infiltrated by prostetic acinar Adenocarcinoma, Gleason score is 4x 3=7. With focal perineural invasion. Operative specimen — radical prostatectectomy including seminal vesicles. Histologic type — acinar. Gleason grade and score -4+3=7 Site and focality- Multifocal tumor, predominatly involving the right to lower zone and The left anterior lower zone with focal extension to the right upper zone. Tumour involves approximately 20-25% of prostatic volume. Capsular invasion —ABSENT Extraprostatic spread =ABSENT Perineural invasion-PRESENT Lymphovascular invasion — ABSENT Margins Tumour is transacted at the apical margin bilaterally. Pleasr correlate With specimens 2-3 below. Tumour is <0.1mm from the anterior mid zone vmargins bilaterally. Tumour is 2mm from the right anterolateral mid zone neurovascular margin. Tumour is 1.3 from right posterolateral upper zone margin. Seminal Vesicles — uninvolved. Lymph nodes — not assessed. Other pathological findings. Focal high grade PIN in the left posterolateral mid zone and right zone. Stage — UICC/AJCC stage 11 (pt2c,Nx,Mx) Left apical tissue — benign prostatic tissue only Right apical tissue-prostatic acinar adenocarcinoma , Gleason score 4+3=7 with focal perineural invasion. View Thread
I had my prostate removed in 15 April 2010 by Laparoscopic surgery so it is about 15 weeks ago. On my first PSA test which was 4 weeks after surgery the urologist said he was not interested in it as it was to soon after surgery and come back in 5 weeks time this time he said my PSA WAS VITUALLY UNDETECTABE BUT MY CANCER WAS ON THE MARGIN AND HE WANTED TO KEEP A EYE ON ME, So i came back again in 4 weeks later this time he read the pathology report that said the cancer was confined and this time my PSA was minuscule difference so minuscule he was not worried by it, but i am i should have asked more questions but i get so nervous i cant think.View Thread
Hi i understand your concern regarding your Dad, my story was i was diagnosed in Feb this year with PC my PSA was 9 and after a biopsy my Gleason score was 7 so i decided to have the prostate remove by laparoscopic surgery 15 weeks ago. I entered hospital on Thursday had surgery at 9am and left hospital on Monday so far so good i feel well i have no incontinence or any other problems so take heart it is not the end it is only the start of beating this disease. I wish you and your family only the best Regards Tony.View Thread