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Gleason score 3+4=7

User
Posted 14 Sep 2023 at 14:27

Hi,

I was going through my medical record where I noticed part of my diagnoses indicated “G7, T3a, bilateral small peripheral zones invasion”. After prostatectomy the report indicated pTC2 with "Negative Margin" and stating that the local excision was complete.

The current convention is to categorize a margin as negative if tumor cells are not at the inked margin, even if they are within a few cells of the margin.

Q: Considering that T3a downgraded to T2c with negative margin means diagnoses “bilateral small peripheral zones” was not true prior to operation, there was no invasion of peripheral zones?

User
Posted 14 Sep 2023 at 15:01
Hi Fred

It would seem that the biopsy cores were not examined to the extent that the lab did to the removed prostate which would make some sense given that it is a sampling and not definitive.

The T2c indicates that the cancer had progressed to the gland wall but had not penetrated it - as you said, it could be a few cells away from doing so, in which case you caught it just in time :)

User
Posted 10 Nov 2023 at 20:25

My PSA, 22 months post prostatectomy is still undetectable.

I had a query and am sure there are good many members who could help and reply. I wonder how important is the post surgery pathology reports once PSA reaches 0.2 (that is when further treatment is needed) in planning future treatment plans? Or that from there onwards, further tests defines future treatments plan? 

Thank you all

User
Posted 10 Nov 2023 at 23:10

Originally Posted by: Online Community Member

My PSA, 22 months post prostatectomy is still undetectable.

Great news Fred.

I'm in a pretty similar position, but a year behind you. My three post op PSA tests have been undetectable. Let's hope that they remain that way.  I suppose if they increase above 0.2 they'll start a further treatment plan and that would involve reviewing our previous records including the histology of our removed prostates.

User
Posted 01 Mar 2025 at 19:21

Hi.

Just to say, 3 years post surgery and PSA = 0.03.

BEST for ALL too

 

User
Posted 01 Mar 2025 at 19:52

Brilliant news, Fred. Thanks for the update, mate.👍 

 
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