← Return to pT3b - what were your radiation outcomes after radical prostatectomy?

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Profile picture for surftohealth88 @surftohealth88

I am so sorry to hear that you are very worried about future PSA tests, but try to look at them the same way you did during your AS. There is no difference, really, if you start thinking that way. Every PSA you took before RP could have been "bad news" - right ? The same way you took action when your PSA and other findings showed that it was time to do something about it, you will take appropriate steps when and IF time comes.

Now, regarding your "almost" 6, I do not understand it. You had positive margins and vesicle invasion and cribriform - ALL pointing to very serious and aggressive character of your cancer ! According to some pathology experts as soon as you have cribriform one is not even just 7 , but 7+. Your cancer was already getting out of the gland that contained highly aggressive cells !!!

Yes, cancer changes lives forever in many ways, but so does any other serious disease. One can not jump out of ones own skin unfortunately : (, so we have to work on acceptance and move forward < 3 .

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Replies to "I am so sorry to hear that you are very worried about future PSA tests, but..."

Yes...thanks...that was my point: you can have what appears to be a favorable Gleason score that was barely a 3+4=7 with just 6-10% "4" cells - all others being "3" cells, when in fact all of those other things are going on that you and your urologist have no clue about until the post-RP surgical pathology and microscopic report is provided that has all of the ugly things never seen or known from a mere biopsy. My urologist was not "nonchalant", but was very confident that "we caught this early" and you'll be here ("alive") well beyond 15 years from now. Well...he's not talking that way anymore, now that the EPE, Surgical Margins, Cribriform glands, and seminal vesicle invasion with a final category of pT3b was assigned and were all noted in the surgical pathology report. Now he is saying: "you seem to have an aggressive form of cancer despite the Gleason score, and being pT3b, we'll have to talk about radiation at some point,