Hi
My husband had RP in June he is Gleeson 9
He had his first PSA test today and results should be tomorrow.
He’s still waiting to see consultant but his histology is back and we have this limited info on it
Cancer Contained In prostate
No Extraprostatic Extension
No Seminal Vesical involvement
Negative Margins
No lymph nodes taken
We are so happy with the Initial details
My question is why were lymph nodes not taken? I would have thought with G9 they would?
His histology seems to mirror his biopsy histology but when I looked at the nonograms for his likely results he seems lucky to have no EE
Thanks in advance
A
Hi Annie
Sounds good news, they wouldn't take out lymph nodes if no cancer in them.
In this situation more important than Gleeson is size of tumour (s) cos if not too large and not near capsule edge then very unlikely to have spread.
Having said that of course the lower the Gleeson the better.
So fingers crossed for a low/no PSA .
Presume RP about 6 weeks ago.
Best wishes
Steve
Hi David
If indeed when we get full story this is the extent of it then it is a great result. The nongrams I was looking at suggested highly there would’ve been at least Extraprostatic Extension.
Big Pat on the back for the GP who didn’t dally when first PSA was 5.6 and sent him straight for MPMRI
Thanks David
A
This is the best possible result you could have. Absolutely brilliant.
And so you should be! That’s brilliant news for you both! I am so pleased for you:)
Hi Again
just managed to get one of the nurses to read me a bit more of the histology report.
On the MRI there was one left mid tumour this was also the case that the biopsy confirmed disease just on left side. T2b
But the histology has upgraded to T2c and disease was found on the right aswell and a lot of High grad precancer
Still Gleeson 9 4+5
it was also noted that the left tumour was extremely close to capsule edge but it was still a negative margin (surgeon took left hand nerve bundles)
Total cancer in prostate 15%
Does Gleeson 9 grow this fast? So raised PSA end March surgery mid June?
Also does anyone know if they will do any further treatment will be required just to closeness to the margins?
many thanks
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