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What is next after a final pathology report of T3bN0MX cancer stage ?
Prostate Cancer | Last Active: Sep 11 10:40am | Replies (13)Comment receiving replies
Thank you @surftohealth88 for helping me better understand my pathology and diagnosis.
Pathology report found acinar not cribform cancer. Then it says "all margins negative for invasive carcinoma". It also says "All regional lymph nodes negative for tumor". But they only examined 1 lymph node, so I have some questions for my urlogist about this.
I do not see IDC or aggressive fetures like cribriform anywhere in the report.
On the flip side it says: "lympho vascular invation present". "Perineural invation: present".
Also, I have a GPS genomic socre of 47 which predicts a very aggressive cancer.
So, it appears to be a mixed bag (which is often the case) that needs to be sorted out with my doctor, but any input you have on the diagnosis and treatment optionss (if needed) will be invaluable to me so I can ask my doc the right questions next week.
Replies to "Thank you @surftohealth88 for helping me better understand my pathology and diagnosis. Pathology report found acinar..."
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That is really good that you had negative margins 👍 - that means that in theory they removed all of the cancer from your body , so whatever was seen in pathology is now hopefully out of your body. Also, since they did not see any cribriform or IDC is also great news - that means that although your genetic test showed aggressiveness, your cells still (luckily) did not reach their full potential of becoming real spooks. BUT, they were very active - they invaded a lot of spaces that they should not have done. 🧐 I am sure that your doctor will wait for the first PSA test results and go from there. You can ask for him to explain findings and those "invasions" - where they were exactly and how extensive. Treatments after RP IF needed are very straightforward - radiation or radiation with short ADT or radiation with long ADT in case of very aggressive features and positive PSA results.
All in all, there are many treatments available but it could very well be that you will not need any 🍀🍀🍀.
Keep us posted 👍 and wishing you the best of luck 😊 !