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Medical Forum / Diseases and Disorders / Prostate Cancer / September 2004Another Bad post LRP Lab report
I had LRP on Aug 20 and finally got the Pathology report and it does not look good. I will meet with the surgeon for a six weeks checkup in about a month to go over what to do next. Looks like radiation for sure. The surgeon's nurse said the doctor would want me to heal for 3 or 4 months and then start radiation. I wonder if they give hormones prior to the radiation like they would have if I had skipped the LRP and went strait to radiation? From where I sit things don't look too good. Age 61 PSA 9.5 Free PSA 10 Gleason 3+4=7 Local Lab Gleason 4+3=7 Johns Hopkins Lab Size 47 Grams 4 cores with 5% PCA each all from one lobe. All 6 other cores no PCA Bone scan and CT scan negative Acid phosphatase 1.6 (In normal range) Pathology Report After LRP Gleason 3+5=8 Stage T3/N0/M/0 Gleason score 8(stage III) Not in lympth nodes In Seminal vesicles Size 66 Grams Roy Roy, Your PSA was lower than mine, your Gleason higher and your post-op about the same. I too was told to wait for my salvage radiation and did. But, when my PSA went down to .1, we put off EBRT. Then when it started going, I got EBRT. Then, within a short time (relative) it started going up again, so I'm now on HT. The point of this is, you'll probably follow a similar line and you'll probably still be kicking 4 years from now with sub .1 PSAs like I am. By then, we should be really close to something resembling a cure.  SignatureProstate Cancer Survivor (so far), not a doctor PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Erection 05/12/2003 @ 48 HTbegins 07/21/2003 @ 48 PSA .07 .05 Lupron 7/03, 8/03, 12/03, 4/04 non illegitimi carborundum > I had LRP on Aug 20 and finally got the Pathology report and it does > not look good. I will meet with the surgeon for a six weeks checkup [quoted text clipped - 25 lines] > Size 66 Grams > Roy Roy, Sorry to hear about the marginal path report. It does sound like radiation, but the chances getting rid of the cancer cells at this stage are still very good. The 3+5=8 is surely better than a 5+3, but it is an 8 all the same. It's a bummer having to go through the radiation, I'm sure, but we're all pulling for a complete cure for you at the other end. SignatureJerryW jweindel at flash dot net 2/11/04 PSA 2.6, Suspicious DRE (age 62) 2/23/04 Biopsy: Gleason 3+4=7, T2a, left lobe 5/18/04 RRP, Path: Gleason 4+3=7, T2c, both lobes Tumor organ-contained; lymph nodes clear, seminal vesicles clear Both nerve bundles spared 7/13/04 PSA <0.1 > I had LRP on Aug 20 and finally got the Pathology report and it does > not look good. I will meet with the surgeon for a six weeks checkup [quoted text clipped - 25 lines] > Size 66 Grams > Roy |
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