seminal vesicles

[Gmac6911]

does positive core samples in close proximity to seminal vesicles mean high risk?

[Tall_Allen]

What does the mpMRI show? Biopsy cores are not taken of seminal vesicles.

[Gmac6911 in reply to Tall_Allen]

the radiologist says it is close to and they have moved me from intermediate to high risk to start brachytherapy boost with adt

[Gmac6911 in reply to Gmac6911]

I have also ordered another MRI

[Tall_Allen in reply to Gmac6911]

If it has infiltrated the seminal vesicles, it is stage T3b, which is high risk. So Brachy boost with ADT is a good move.

[Hidden in reply to Tall_Allen]

My MRI and DRE showed a small tumor contained in the prostate but the ONC decided to hit the seminal vesicles with radiation also. Of the 27 sessions, the first 11 included them. When I orgasm now, I ejaculate a very small amount of mostly clear fluid which I'm guessing is produced by the remaining good prostate cells and contains sperm. No more pre-cum these days.

[Tall_Allen in reply to Hidden]

Cowper's Gland secretions come out after orgasm.

[mperloe]

What is the Gleason score if it is GL4+3, or the mp3TMRI shows disease bulging or into the seminal vesicles, a PET would be indicated to see if there is disease has spread to SV or pelvic lymph nodes.

[Gmac6911 in reply to mperloe]

Gleeson is 3+4 psa is 3.6 10 of 18 cores positive. One radiologist says vesicles are unremarkable and the other says cores are in close proximity. I don’t know if they are infiltrated

[Shorehousejam in reply to mperloe]

Hi my apologies for crashing this post is seminal vessels invasion the only way pelvic lymph nodes would be affected/positive?