My Prostate Pathology Report

[B8ssist]

TUMOR

Histologic Type: Acinar adenocarcinoma

Grade Group and Gleason Score: Grade group 3 (Gleason Score 4 + 3 = 7) with

focal grade 5

Tumor Quantitation: 25%

Extraprostatic Extension (EPE): Not identified

Urinary Bladder Neck Invasion: Not identified

Seminal Vesicle Invasion: Not identified

Treatment Effect: No known presurgical therapy

Lymphovascular Invasion: Not Identified

Perineural Invasion: Present

MARGINS

Margins: Involved by invasive carcinoma

Limited (< 3 mm)

Location of Positive Margin(s): Right anterior

Gleason Pattern at Positive Margin(s): Pattern 3

LYMPH NODES

Number of Lymph Nodes Involved: 1

Specify Site(s): Other (specify)

Other (specify): Perivesicular

Size of Largest Metastatic Deposit in Centimeters (cm): Specify in

Centimeters

(cm)

Size of Largest Lymph Node Involved in Centimeters (cm): .35cm

Extranodal Extension: Present

Number of Lymph Nodes Examined: 3

PATHOLOGIC STAGE CLASSIFICATION (pTNM, AJCC 8th Edition)

TNM Descriptors: Not applicable

Primary Tumor (pT): pT2: Organ confined

Regional Lymph Nodes (pN): pN1: Metastasis in regional nodes

Distant Metastasis (pM): Not applicable - pM cannot be determined from the

submitted specimen(s)

[Tall_Allen]

Not what you'd hoped for, but there is still a chance at a cure. It is important that you start hormone therapy ASAP. That will stop any spread while giving your recently cut tissues time to heal and regain continence. After about 7 months recovery, you can begin whole pelvic salvage radiation, followed by at least 2-3 years of continued hormone therapy. There are clinical trials of intensified hormone therapy (e.g., Lupron+Zytiga or Erleada).

[B8ssist in reply to Tall_Allen]

Thank you. So I am not misleading, this was after my RP in January 2020. I started Eligard in March of 2020, then had Radiation to the prostate bed from June through August 19th. I have not posted my results before & I was looking back over some messages from Kaliber who had directed me to post my results.

I will say that a recent Bone Density scan, asked for by me, showed I have osteoporosis. I am to be starting on Boniva whenever my pharmacy gets it in.

The radiation messed me up pretty bad. 9 months later and I am no closer to regaining continence that I had before the radiation. So I am now scheduled for an Artificial Urethral Sphincter on the 27th.

I hate the idea, but my quality of life took a major dive. I am on my feet a lot as a nurse, and find I go through 8+ pads/ day. The

several accidents I have had, don’t embarrass me, but have beat me down emotionally.

[Tall_Allen in reply to B8ssist]

Why would you have radiation only to your prostate bed when there is a positive lymph node?

[B8ssist in reply to Tall_Allen]

Tall_Allen, I was not clear. I had radiation also to the bladder and to the lymph nodes where the cancer usually spreads too. I had 7 weeks, 35 treatments.

[Tall_Allen in reply to B8ssist]

Did you have the entire pelvic lymph node area treated or just the area around the detected lymph nodes? How long did you have ADT afterwards?

[B8ssist in reply to Tall_Allen]

From what I was told, the Pelvic Lymph nodes were treated, the perivesicles lymph nodes were treated as well. My urologist here in Texas actually used the word cure on my last visit. I am a little skeptical and prefer to take a wait and see attitude. I have been unable to get the Radiation Oncologist’s notes that spell out what was completed. I may need to call for that. I am putting everything on a thumb drive for my sons so they have a record.

[B8ssist in reply to Tall_Allen]

BTW, thank you for your questIons . It is actually making me think and clarify even for myself what was done to this body. I was 59 when my initial PSA came back as a 5.1. I requested a T3 Weighted MRI that showed low probability of cancer. I put off getting another PSA for 3 months at which time it almost doubled. Still not entirely sure it was cancer, and not an infection I had antibiotics for 3 weeks at which time it was almost tripled and I agreed to the biopsy. In my move from Texas to Tennessee is when I received a call about my biopsy results. I had already made contact with a Vanderbilt urologist just in case.

[tsim in reply to B8ssist]

Are you still on Eligard? That would explain the way you're stringing out this information. (Not busting your chops, we've been there)

[B8ssist in reply to tsim]

I am a little scatterbrained at times. Its my ADHD.

[B8ssist in reply to B8ssist]

I just remembered a very recent talk with my very good friend. He cautioned me to monitor the loudness of my voice and to watch that I don’t go running down too many rabbit trails at an upcoming retreat with we have with some other men from our church.

[easyonmenow]

Gallium 68 pmsa pet scans take the guesswork out of the equation. Before I finally had my first scan it was “we will hit the prostate bed. That’s the usual place”. That’s just an assumption. Know before you go.

[B8ssist in reply to easyonmenow]

What surprised me was my urologist in Nashville did not want to get any scans . I asked specifically and was told at that time post RP, that it would not show anything. I also asked my urologist here in San Antonio the same question. He is waiting on a scan because they were working or trialing some new scan and maybe once it is available, I can get it done. I do remember my Radiation Oncologist asking if I had any scans completed. My answer was that my urologist felt it unnecessary at that time.

[Justfor_ in reply to B8ssist]

No surprise at all. Indifferent people like to live within their routine. They just DONT want to know.

[B8ssist in reply to Justfor_]

Agree! At some point, when I get past one more year of the Eligard injections, and they are stopped, I believe my urologist here will probably have me scanned if my PSA doesn’t stay undetectable.

[Hidden]

You’re an amazing guy to be working on your feet with that urology . You’re one tuff cookie . My friend has the valve and was a tuff surge but once functioning a life saver sounds like to me . I wish you luck and the energy to prevail over pc . 😷✌️