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Newly diagnosed with prostate cancer: What might I be in for?
Prostate Cancer | Last Active: Oct 23 6:42am | Replies (43)Comment receiving replies
Question: Can there be ‘surgical pathology’ with this TULSA? My feeling is that since tissue is ablated it cannot be used for post-op biopsy.
Sure, the tumor/cells are destroyed but what about marginal tissues? They can harbor cancer cells as well and sometimes of an even higher grade. How many of us have had our Gleasons upgraded from a surgical specimen? And I know radiation can also be accused of this shortcoming but usually the whole gland is treated regardless of the size and number of tumors. Just my two cents - always eager to learn! Thanks!
Replies to "Question: Can there be ‘surgical pathology’ with this TULSA? My feeling is that since tissue is..."
@heavyphil
I agree with the premise of the question. Those micro cells are the ones that cause the problems that cannot be picked up by imaging, which is why they either remove or they treat the entire prostate plus some.
I would like to see more studies on the microcells and biological reoccurrence so that maybe it becomes easier to make decisions related to radiation and ablation
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Any alternative treatment will require PSMA Pet/CT before they even schedule, so that makes up for no surgical pathology at least to some degree. At the same time these newer treatments are making it out there, we get better and better PSMA. So things are working forward.