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Positive margins

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

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@perrychristopher

My Gleason was 4 + 3 in August of 22. My findings were the same as yours. No EPE, no seminal vesicle invasion, 15 lymph nodes removed and were clear. I did have a positive margin. It was 1mm per the pathology. I asked my Urologist/Surgeon about this as soon as I read the report and asked if I should see an Oncologist. He said no as he said it was at the margin and did not extend past the removed prostate. So far my PSA is below 0.1. I did not opt for ultra sensitive PSA tests. At 1 year my Urologist said I could get checked twice annually instead of 4 times but I asked to get my PSA tested 3 times a year instead. I have also seen some studies where the outcome for patients with one micro positive margin (anything under 3mm) that their chances of BCR are no worse than someone with no positive margins. This would be an excellent point of discussion with your Urologist at the first post surgery meeting.

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Replies to "My Gleason was 4 + 3 in August of 22. My findings were the same as..."

Thank you for this. I have no details on the margins as yet, just a comment in the pathology report that (Resection margins positive for malignancy". No measurements. Hopefully it falls into the low number, smaller size you experienced. I will hopefully get those details when I speak with the urologist. I am happy that your experience has been so good, and hoping I get the same prognosis and experience. Thanks again