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Medical Forum / Diseases and Disorders / Prostate Cancer / December 2004

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Staging Prostate Cancer

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sandi - 28 Dec 2004 00:33 GMT
My husbands oncologist has referred to my husbands PCa as Stage T3b.  I
never really paid much attention to the staging until today when I ran
across some literature which addressed the different stages.  My
husband per path. report had seminal vesicle involvement as well as
bladder neck extension.  I believe my husband really falls into Stage
T4a not T3b.  Has the classification system changed recently or am I
reading it incorrectly?  

Thanks,
Sandi
DonC - 28 Dec 2004 02:14 GMT
> My husbands oncologist has referred to my husbands PCa as Stage T3b.  I
> never really paid much attention to the staging until today when I ran
[quoted text clipped - 6 lines]
> Thanks,
> Sandi

Sounds like T4a from what I read at:
http://tinyurl.com/4pja7

It would be T3c if it had not reached the bladder neck.

     T3  Tumor extends through prostate capsule
     T3a  Extends through one lobe
     T3b  Extends through both lobes
     T3c  Extends into seminal vesicles
     T4  Involves structures other than seminal vesicles
     T4a  Invades bladder neck, external sphincter, or rectum
     T4b  Invades muscles and/or pelvic wall
mrbill@misterpond.com - 28 Dec 2004 02:56 GMT
Sandi,
I have not heard of any adjustments to the scale.  Don posted an easy
to follow scale for the grading.
My PCa was not quite as advanced, T2C.  Keep us posted on your husbands
progress report.  We will keep you guys in our prayers.
Thanks Don for the link.

MrBill
age at diagnosis 48
PSA 1.4
Gleason 3+3=6
T2c
12 cores, 5 right positive, 1 left positive
robotic RRP 12/15/03
Post-op Pathology G7(3+4)
PSA 4/2/04, 7/8/04, 10/11/04 = <.1
pad free 8/15/04
age 49

> > My husbands oncologist has referred to my husbands PCa as Stage T3b.  I
> > never really paid much attention to the staging until today when I ran
[quoted text clipped - 19 lines]
>       T4a  Invades bladder neck, external sphincter, or rectum
>       T4b  Invades muscles and/or pelvic wall
 
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