I had "Perineural invasion identified" on my report but margins were otherwise clear. Unfortunately both our reports weren't optimal. What are your docs saying about the report, they must have discussed it with you on your surgical follow up, no?

If I'm seeing this correctly and understanding the HGPIN, those are essentially precancerous cells. They would indicate an increase in the risk of developing prostate cancer. That ship has obviously already sailed. You'd have to ask the docs if that's still an issue, meaning, can they still turn into cancer cells if you don't have a prostate? I don't know. Perhaps someone else here with more experience or who has done more research may be able to help on that.

In my case, there must have been some cancer cells still floating about after the surgery. My PSA started in the wrong direction and I was referred for salvage radiation therapy. My guess is the docs will simply keep an eye on your PSA for now and if it starts to rise, you'll be given next step imaging/treatment options.

For now I would just concentrate on getting back to a life as normal as possible and let the post surgery healing take place.

Best of Luck to you!