thoughts on what I should do.
48 years old , So How screwed am I. Dr. gave me two options radiation pellets or a Prostatectomy. Pet scan is next week. right now its panic and wait. was told if I did radiation then surgery was not an option after the fact as no dr would remove the prostate after I had received radiation first. but If I removed the Prostate and the cancer came back then I could get radiation afterword's.
SPECIMEN C: PROSTATE, LABELED AS "RIGHT APEX", CORE BIOPSY:
- ACINAR ADENOCARCINOMA, GRADE GROUP 3 (GLEASON SCORE 4+3=7)
- PERCENTAGE OF GLEASON PATTERN 4: 71-80%
- CRIBRIFORM GLANDS: NOT IDENTIFIED
- NUMBER OF POSITIVE CORES: 2 OF 2
- TOTAL CORE LENGTH INVOLVED: < 5%, 6-10%
- PIN4 MULTIPLEX IMMUNOHISTOCHEMICAL STAIN SHOWS THE ABSENCE OF BASAL
CELLS (p63 AND 34betaE12) AND IS POSITIVE FOR AMACR STAINING WITHIN
GLANDS OF INTEREST
- SEE COMMENT
Comment: The Gleason grade 4 tumor shows some nuclear stratification and
tufting suggestive of ductal features; however, the quantity of tumor
present precludes a more definitive diagnosis of ductal carcinoma.
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When I say "see", he did say that my lymph nodes were analyzed and no cancer was found, it was done in real-time as the surgery occurs, by a pathologist that attends the surgery. I can even see the detailed surgical bill where each of his tests had a line item.
My surgeon did indicate that it is his usual practice to remove all lymph nodes but the analysis indicated that was unnecessary and not done because that can lead to lymphedema.
I’m curious about how a pathologist can analyze a lymph node without it being removed first. I’d like to understand this process. Is it done by needle biopsy or similar?
Hey ctl, as in my case, he probably took out the first “bullseye” node, and finding it clear, made the call that if IT was clear, the others further down had to be.
I certainly understand the logic behind it and perhaps the custom of removing so many nodes is a throwback to an earlier protocol🤞
How did you get back to sexual function in 7 month, boy am I jealous I’m 6 months out from surgery and finish radiation tomorrow. Then one more hormone shot so that’s another 3 months or more before I should try the different options. Are pills alone working or are you using jel or injection, thanks for giving the rest of us some hope , my oncologist told me my sex days are over but my surgeon disagrees, not fond of my oncologist as you can imagine