PSA is now less than 0.1 which is where they want it to be. He said that all the cancer was contained in the prostate. However, there was a 3mm positive margin at the apex. He didn’t seem too over concerned by this; (but I am). They now monitor me 3 monthly for PSA level. PSA may well stay where it is, which would be great. If it rises to 0.2, then they will do a more specialist PSMA PET-CT scan. If this were to find anything, then I would be given radiotherapy. So just a life of PSA monitoring anxiety!
Most positive margins occur in the apex area of the prostate as there is no real capsule here. The biggest tumour was here.
The final Gleason grade is 7 (3+4) and tumour grading upgraded from T2a to T2c. Only the right hand side nerve bundle was saved.
Should I be worried about the 3mm positive margin as I really wanted the margins to be negative (clear)?
