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RARP Pathology II: Looking for direction

Prostate Cancer | Last Active: Jun 27, 2025 | Replies (4)

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While the EPE is concerning the invasive margins are more immediately concerning issue. Frequently, under these conditions, they would do radiation on the margins to make sure they don’t metastasize. Your doctor has already talk to you about that. He may wait to see you in if your PSA rises before doing anything.

Ask your doctor if invasive margins were on the side of EPE or in another area? Was the area near the EPE cleared?.

EPE can result in the cancer getting into your bloodstream, which means it could spread anywhere. A PSE test can detect if there is still cancer in your bloodstream though the PSA test also does that. It could be a PSE test could detect the possibility of metastasis better than a PSA test, You could discuss it with your doctor. Episwitch, who makes the PSE test, claims it’s also useful for after surgery to detect cancer in the bloodstream.

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Replies to "While the EPE is concerning the invasive margins are more immediately concerning issue. Frequently, under these..."

This was the clinical note, in totality, added to my record after our visit. I don't know that I can discern anything else from the pathology and notes.

We discussed his pathology and his EPE and positive margin status, both right posterior prostate. This is an interesting finding as it did not correlate with his MRI and biopsy, however we are pleased that his PSA is undetectable today and his leakage is non bothersome. He will plan on seeing his local urologist for continued surveillance and will contact our office should any issues arise. He voiced his understanding and is
agreeable to the plan.

Appears to be on same side.