Hi,
I’m currently 4 months post RP.
Continence fully back to normal. ED an issue.
My biggest concern is that they found a greater than 3mm positive margin after pathology looked at the removed prostate.
MARGIN STATUS - POSITIVE
EXTENT (TOTAL) - GREATER THAN 3MM
LOCATION - APEX
LYMPHOVASCULAR INVASION - NOT IDENTIFIED
INVASIVE CRIBRIFORM AND/OR INTRADUCTAL - NOT IDENTIFIED.
Consultant’s letter after six weeks check:
“ We had long discussions about the apical margin positivity. I have explained that the prostate is deficient of capsule at the apex but it is an area that he had a primary disease. All that can be done at the moment is to monitor the PSA. If it rises above 0.2, he will require a PSMA PET scan to decide if he could benefit from adjuvant radiotherapy. For the time being, I have reassured him that his PSA is where we expect it to be”.
How concerned should I be about this PSM?
Will I need further treatment?
Your thoughts please.
Thank you
