T3a or what?

User

Posted 11 Feb 2023 at 20:21

I think you want a scientific definition that doesn't exist. T staging, like Gleason grade, is subjective - the opinion of the person looking at the slides under a microscope or the opinion and experience of the person who does the op or whatever. Urologist, radiologist and oncologist may look at the same information and interpret it slightly differently.

John was T1a pre-op and T2c/T3 post-op because they found cancer in all sections of his prostate and it had travelled up his urethra to his bladder. Medical notes state T3 - uro said T2 🤷‍♀️

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 11 Feb 2023 at 22:23

I feel that needed difinative answers is understandable. But yet it seems it is not possible. So we need to go with the data and averages….. trouble is sometimes that Doesn’t solve the stress and worry.

Lyn is absolutely right

my mental state is I will not be defined by cancer and I am convinced the medical team will do their best and I am going to use this situation as a kick up the arse to do things I should have done years ago

User

Posted 11 Feb 2023 at 23:13

I am more curious than stressed. Think I will just thank my lucky stars that no evidence of spread exists and hope it stays that way. Thanks all.

Peter

User

Posted 03 Mar 2023 at 13:01

So now I have my post op histology report and there are a couple of things that I need some help with, please.

Extraprostatic extension present, not organ confined but specimen confined. I understand EPE but not the references to the different confinements.

Positive for periprostatic tumour extension. Is that the same as above?

Perineural invasion - present. Dr Google says this is not significant (given that all inked margins (Neurosafe) were clear. Is that so?

Any help appreciated

Peter

User

Posted 03 Mar 2023 at 16:28

Extraprostatic is bad means it's at least a t3

Specimen contained is good means it's not a T4 (I think)

Periprostatic extension means the location of the bit where it was bulging out

Perineural invasion doesn't mean a great deal from what I have read elsewhere.

If you want to understand your risks put your post op stats in the nomogram here:
https://www.mskcc.org/nomograms/prostate/post_op

Edited by member 03 Mar 2023 at 16:28 | Reason: Not specified

User

Posted 03 Mar 2023 at 16:43

Thanks francij1. I'll take the nomogram results. 87% chance of no recurrance in 10 years and 98% chance of not popping off due to PCa in 15 years. Still do not understand the 'confined' statements. Perhaps 'not organ confined' is just another way of saying extraprostatic?

Peter

User

Posted 04 Mar 2023 at 19:51

Think so but no harm in emailing the Urologists secretary and asking....

User

Posted 04 Mar 2023 at 20:14

Done some digging. It seems that non organ confined is the same as extraprostatic, I. e. cancer has spread outside the prostate. Specimen confined means negative margins and negative lymph nodes.

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