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Pathology report - bahhhhh :/

Prostate Cancer | Last Active: Aug 25 10:31am | Replies (38)

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Profile picture for jeff Marchi @jeffmarc

I’m disappointed to hear that your husband‘s case has become more aggressive. It is good to hear he is so optimistic about what’s going on. The mental attitude is really an important thing.

It might be possible to have a DVD of the prostatectomy and some tissue reviewed by another doctor to see if they come to the same conclusion about margins.

At one of the conferences I went to where they discussed cribriform they did say that it switches your Gleason to a five if large cribriform.

Have they talked about putting him on ADT, Or is he already on it? With the unknown margin issue going on ADT plus an ARSI Could give him a good amount of time without recurrence. This is something they do with a Gleason 9, In some cases.

Now it’s time to find out what his PSA is in a few months. Hopefully it becomes undetectable, and you can at least relax for a while.

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Replies to "I’m disappointed to hear that your husband‘s case has become more aggressive. It is good to..."

There is supposed to be a DVD of all prostatectomies?

Hi Jeff - thanks for giving me some advice for going forward 😟. Do you have any idea of how and where to send the whole gland for examination ? I guess it would be very difficult

Yes - it could be possible that cribriform made it to 5 level, and this also shows that biopsy is not so precise as we would like to think. It is often said that only when gland is out and on the table to be examined as a whole by pathologist the real and whole picture is known.

Pathology report was sent this morning without doctor's comments ( directly from pathology) so we will try to get hold of doctor tomorrow and possibly get some more info and explanation about findings.

My husband is not on any ADT , his initial findings pointed to intermediate unfavorable with no extensions and very small tumor burden. Out of 14 samples only single one had 4+3, and 2 others were 3+3 , all the rest clear. PSMA clear on everything but that one spot on the right side of prostate and he had detailed TRUS in July which also confirmed that all was contained in a gland.

We will ask about possible ADT and ARSI, thanks for telling me about that possibility.