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Positive margins

Prostate Cancer | Last Active: May 1 7:21am | Replies (19)

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@jsh327

I was Gleason 3+4, had RP, and had a positive margin. The prostatectomy provided me with more detailed information of the lesion that resulted in a positive margin. Typically, your PSA can be tested as early as 6 weeks after the prostatectomy and more typically 12 weeks, to give you a first indication of any prostate cancer cells remaining in the prostate bed. If your PSA tests eventually show anything detectable, above 0.01 Ng/ml, your PSA will be monitored to look at the doubling time (amount of time for the value to double) and prior to the PSA reaching the value of 0.2ng/ml (biochemical recurrence) you will have agreed upon a treatment plan that is typically salvage radiation. For a Gleason 3+4, even if you have a biochemical recurrence, it is more likely that any remaining prostate cancer cells are localized in the prostate bed, treatable with salvage radiation, and still curable. There is a lot of good online information at PCF.org and PCRI.org which explains next steps and the questions to ask your doctors.

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Replies to "I was Gleason 3+4, had RP, and had a positive margin. The prostatectomy provided me with..."

Thank you for the comments on your experience as well as the references, which i will access. I guess the key is to obtain details on the "Resection margins positive for malignancy" comment in the pathology report. It does not detail size or number of positive margins. Suffice it to say your experience and others who commented on this post at least calm me down a bit while I await a meeting with the urologist. Thanks again.