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RARP Pathology report questions
Prostate Cancer | Last Active: Feb 5 8:17am | Replies (13)Comment receiving replies
Thyroid cancer is not uncommon. They just remove the thyroid and put you on a pill every day that replaces its function. This is pretty common, so don’t sweat it.
Urinary Bladder Neck Invasion Shows signs that the PSA Reoccurrence is more frequent.
Having intraductal means that while you do have a seven gleason your cancer is actually more aggressive than that. Recent seminar, I went to says that if you have intraductal you almost always have cribriform.
They point out that “Greatest Dimension of Dominant Nodule: 18 mm Extraprostatic Extension”. This means that the cancer has gotten out of the prostate, and that your chance of reoccurrence is much higher because of it. EPE is a significant predictor of recurrence and metastasis, and is an important factor in prostate cancer staging.
The report does say only one lymph node had cancer so that’s why they only removed one.
While this doesn’t sound real great. Your chance of surviving for many years is really great because of the drugs and treatments that are available.
Have they put you on ADT? This sounds like a case where you should be on ADT and maybe another drug to prevent your cancer from coming back.
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Hi Jeff,
thanks very Much for your response and insight, its clear you have a good understanding of this disease and follow the medical advances.
There were a total of 19 lymph nodes removed I guess I should have included more of the pathology report for clarity, here it is. It references invasive carcinoma at the margin which seems to go along with the Metastic Prostate Carcinoma found in the one lymph node.
Our follow up appointment is on Feb 24 where presumably we will discuss ADT as well as radiation, we had discussed going on hormone therapy prior to surgery but only had about two weeks prior to surgery so decided to deal with the surgery first then look at the next steps. They did tell us that the normal follow up after surgery is three months later but because the cancer is more aggressive we are having it after two months. My understanding is that radiation generally needs to wait between four and six months post surgery to give area time to heal properly but the hormone therapy can be started anytime, not sure if I have that right or not or what others experience has been on how long they waited to do these other treatments after the surgery.
Thanks again for your thoughtful response it is very much appreciated, have a great rest of your weekend!
Margin Status
Invasive carcinoma present at margin
Linear length of margin(s) involved: Three foci, less than 1 mm each Margin(s) involved: Left posterior
REGIONAL LYMPH NODES
Regional Lymph Nodes Status Regional Lymph Nodes Present
Tumor Present in Regional Lymph Node(s) Number of Lymph Nodes with Tumor: 1 Number of Lymph Nodes Examined: 19
DISTANT METASTASIS
Distant Metastasis. Distant Site(s) Involved: Not applicable
pTNM Classification (AJCC, 8th edition)
Modified Classification: Not applicable
pT Category: pT3a: Extraprostatic extension or microscopic invasion of bladder neck
T Suffix: Not applicable
pN Category: pN1: Metastasis in regional nodes
pM Category: Not applicable - pM cannot be determined from the submitted specimen(s)
Representative Tumor Block: C10, C16, C18
Comment: Select slides seen in consultation with Dr. Jordan Reynolds.
The synoptic report incorporates information from all relevant surgical material and includes all required data elements of the current CAP Cancer Protocol.