My prostatectomy was on 1/26/18 (almost 4 weeks ago). They removed 28 lymph nodes during surgery, 8 of which had cancer. There was extra capsular extension, seminal vesicle invasion, perineural nerve invasion, and positive margins near the bladder neck. Tumor in over 80% of the prostate, the vast majority of which was Gleason 9 (4+5). Staging after surgery was pt3bn1mx.
Today, I had another PSA and I also had an Axumin PET scan. My PSA was 2 and the scan could not detect any cancer in bones, organs, or distant nodes. However, it did detect cancer in 4 more regional nodes in the pelvic region.
I guess I should be thankful it is not in my bones, organs, or distant nodes, but the sheer number of regional nodes involved (12 total) is not good.
Has anyone on here had a similar experience? I understand that one or two nodes usually carry a prognosis just as good as if no nodes were involved, but a high Gleason score with multiple nodes is a good indicator of a poor prognosis for overall survival.
I hope to soon start chemo/hormonal treatment with Dr. Amato at Memorial Herman Cancer Center in Houston. It's a continuation (phase II trial) of the program (phase I trial) that Gourd Dancer had great success with 14 years ago. Wish me luck. I hate what this disease is doing to those I love more than I hate what it is doing to me.