Could I get some help with reading my husbands pathology report if anyone has time.
PSA indicates 0.03 is this ok?
Surgeon said my Daves cancer was extremely aggressive. There is also a life expectancy/recurrence indicator app to check too isn’t there.
The detectable/undetectable debat.
Any advice would be greatly appreciated from your Irish friend... ☘️💚
This pathology report should make you somewhat happy because it has many good prognostic factors. (The best thing would have been him having NO Pca.)
(1) Your husband's PCa is plain adenocarcinoma which means a regular, garden variety type of Pca ..which occurs in close to 92% of people. Fortunately, he does not seem to have ductal, small cell or neuro-endocrine types which are more aggressive.
(2) Another good news is that his Gleason Grade is low. i.e. 3+4=7 only. This indicates that his cancer cells are less virulent and thus less likely to metastasize. These cells are very less deformed and distorted so they are less mean and less aggressive.
(3) Again, not having seminal vesicle invasion, lymph node invasion, vascular invasion , having negative surgical margins ..are all good signs.
(4) The icing on the cake is low PSA (0.03 )
If you put all these factors together and take a composite picture, he is likely to have many many years of progression free and overall cancer specific survival.
Thank you, I knew you would be great for the detail. ☘️💚
Dublin, you probably already know that 3+4=7 means that when pathologist looked his cancer slide under the microscope, he/she saw most of the cells as "non cancerous" (thus gave number 3) but then he/she saw some cells as mildly cancerous (thus comes number 4) So basically his cancer cells are very mild type and very less in number...good thing indeed !