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RP results

User
Posted 15 Aug 2024 at 16:50

Hi Everyone 

I thought I report the scores on the doors from our journey so far. My husband was 58 at diagnosis

April

Initial MPMRI PIRADs 5 16mm left central lesion. PSA 5:6

May

TP biospy

PCa confirmed 6 of 18 cores positive foe Gleason 9 left side only Initial stage T2b 

June

Robotic Radical Prostectomy left nerve bundle taken. 

July 31st

1st PSA test <0.01 🍾 

Aug 14th 

Meeting with surgeon 

Prostate cancer found in both sides of Prostate 

Gleeson 9 but minuscule amounts of grade 5 found mainly 4 

Cancer extremely close to edge of capsule but contained no extracapsular extension 

No seminal vesicles involved 

No nodes taken 

Very clear negative margins 

No cribriform or Intraductal present 

Stage 2c

Consultant feels very good outcome with a good prognosis (did discuss salvage Treatment in event of rising PSA) 

This result is the most we could have hoped for at the beginning of the diagnosis where we had a very negative first consultant who made us feel this was a dire situation. Our second consultant now feels we should be very positive for the future. 

I hope this post helps someone at the beginning of the journey or even someone who encounters a negative medic that even high Gleeson cancer is very curable and treatable 

M x

 

User
Posted 15 Aug 2024 at 16:50

Hi Everyone 

I thought I report the scores on the doors from our journey so far. My husband was 58 at diagnosis

April

Initial MPMRI PIRADs 5 16mm left central lesion. PSA 5:6

May

TP biospy

PCa confirmed 6 of 18 cores positive foe Gleason 9 left side only Initial stage T2b 

June

Robotic Radical Prostectomy left nerve bundle taken. 

July 31st

1st PSA test <0.01 🍾 

Aug 14th 

Meeting with surgeon 

Prostate cancer found in both sides of Prostate 

Gleeson 9 but minuscule amounts of grade 5 found mainly 4 

Cancer extremely close to edge of capsule but contained no extracapsular extension 

No seminal vesicles involved 

No nodes taken 

Very clear negative margins 

No cribriform or Intraductal present 

Stage 2c

Consultant feels very good outcome with a good prognosis (did discuss salvage Treatment in event of rising PSA) 

This result is the most we could have hoped for at the beginning of the diagnosis where we had a very negative first consultant who made us feel this was a dire situation. Our second consultant now feels we should be very positive for the future. 

I hope this post helps someone at the beginning of the journey or even someone who encounters a negative medic that even high Gleeson cancer is very curable and treatable 

M x

 

User
Posted 15 Aug 2024 at 19:45

Thanks for the update Margot. It's great news.

As you know my post op histology showed bilateral disease, Gleason 9 (4+5) with capsular breach, T3a. I'm 18 months post op and my PSA is still undetectable.

I hope that your husband, me, and others in a similar position, keeping getting the < for years to come. 👍

 

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User
Posted 15 Aug 2024 at 19:45

Thanks for the update Margot. It's great news.

As you know my post op histology showed bilateral disease, Gleason 9 (4+5) with capsular breach, T3a. I'm 18 months post op and my PSA is still undetectable.

I hope that your husband, me, and others in a similar position, keeping getting the < for years to come. 👍

 

 
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