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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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