1st appointment after surgery

User

Posted 24 Jun 2025 at 14:17

Hello I received my full pathology report a few weeks back after my robotic prostatectomy. This week I’ve got my first appointment since my operation. Below is my report

acinar adenocarcinoma

doninant nodule left side 30mm 3+4 =7

smaller foci 22mm 3+4 =7

extraprostatic extension - No

bladder neck - No

seminal vesicles involved- No

margin status involved

extent - <3mm

gleason grade at margin 3

involved location- apical, left side intraprostatic

summary 3+4=7

grade group 2

stage pT2c NX

can any one suggest any questions I need to ask my consultant when I see him this week?
Can any one give any info or advice on the report?
should I be pushing for salvage radiotherapy with having positive margins

amy one had a similar outcome after there operation.
thsnks in advance

Gary

User

Posted 24 Jun 2025 at 14:48

Hello Gary.

The vast majority of the report is excellent news, the only slight downside is the positive margin.

Your first post operation PSA test will be significant as it will indicate if the positive margin may be problematic.

Your consultant should explain things to you.

I'm not medically trained, but I don't think you should start worrying about salvage treatment at this time.

Please keep us updated. Good luck, mate. 👍

User

Posted 28 Jun 2025 at 08:05

I'm glad you double checked, mate. Although they are only tiny numbers there is big difference between them, in relation to the undetectable aspect. Your .007 is an absolutely brilliant result. You should have a Martini, shaken not stirred, to celebrate Mr Bond. 😁

Good luck with your future results and I hope you have a speedy and smooth recovery.👍

User

Posted 28 Jun 2025 at 08:05

Hi Gary,

Try not to dwell too much on that positive margin, if your PSA does start to rise at some point, they'll know why, and where to fucus the treatment.

I had a positive margin and had SRT almost three years ago, my PSA is now undetectable.

Good luck,

Kev.

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User

Posted 24 Jun 2025 at 14:48

Hello Gary.

The vast majority of the report is excellent news, the only slight downside is the positive margin.

Your first post operation PSA test will be significant as it will indicate if the positive margin may be problematic.

Your consultant should explain things to you.

I'm not medically trained, but I don't think you should start worrying about salvage treatment at this time.

Please keep us updated. Good luck, mate. 👍

User

Posted 26 Jun 2025 at 16:12

spoke with consultant at the hospital today, psa undetectable, sure the figure he gave was 0.007. Asked about positive margin and was told not to worry to much while psa remains undetectable I’m no different to any one with negative margins. Only time they’ll act is if there’s a continuous jump in psa level. Thanks

User

Posted 26 Jun 2025 at 17:14

Hi Gary,

Thanks for posting. That is an excellent result mate. If he's told you your PSA is undetectable it means the assay you've used measures down to 0.007 which is very low. If that is the case there should be a less than arrow infront <0.007.

I trust no-one, mate and I'd double check the figure. My assays measure down to 0.02 and 0.04 respectively. Say yours measures down to similar levels and your PSA figure is actually 0.07 and not the James Bond .007, it would make it just above undetectable levels. Still a good result but not as good <undetectable

I've had wrong readings given to me in the past that's why I now always double check figures and look for that magic < arrow.

Whatever, I shall have a celebratory drink for you tonight. We're going through a good news spell. I love it!

Best of luck for the future mate, but please keep us updated, it's a great help to others.

Edited by member 26 Jun 2025 at 17:39 | Reason: Additional text

User

Posted 28 Jun 2025 at 05:32

Thanks I’ve double checked my results definitely 0.007 so feels like a bit of a weight lifted off my shoulders for now till I do it all again in 3 months time but for the moment I can file it away in back of my mind till the end of September. Thanks for your great response as usual. 👍

User

Posted 28 Jun 2025 at 08:05

Good luck with your future results and I hope you have a speedy and smooth recovery.👍

User

Posted 28 Jun 2025 at 08:05

Hi Gary,

Try not to dwell too much on that positive margin, if your PSA does start to rise at some point, they'll know why, and where to fucus the treatment.

I had a positive margin and had SRT almost three years ago, my PSA is now undetectable.

Good luck,

Kev.

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