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I am nine days past a ten hour Da Vinci removal, and I received my pathology report on Tuesday along with the catheter removal. My recovery so far has been unremarkable, except that my scrotal sack is still huge. Here are the pertinent findings;
21 lymph nodes all negative
Bladder neck and smooth muscle negative for cancer
Prostate 209 grams, size 7.8 centimeters
Primary pattern four 70%
Secondary pattern three 30%
Total Gleason 7
Extraoprostatic extension present non focal
Established EPE at right base, 1 mm breadth (E26); right posterior, 4 mm breadth (E34 and E36); and left posterior, 1 mm breadth (E75)
Urinary bladder neck invasion: not identified
Seminal vessal invasion: not identified
Lymphovascular invasion: not identified
Perineural invasion: present
Margins: Uninvolved by invasive carcinoma
Clinical stage classification pt3a
I received these results from the physician's assistant, I did not see the surgeon which has me a little distressed. The assistant told me I would see the doctor at the three month point, at the first PSA.
Since receiving the report I have been reading like crazy and I was hoping I could get some opinions here regarding the need for additional treatment and timing of that treatment. I am going to contact the surgeon in advance of three months and the more I know, the better questions I can ask.
Any comments or suggestions you can give are greatly appreciated.