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pT3b Prostate Cancer - where are you now post-op?

Prostate Cancer | Last Active: Sep 21 6:58pm | Replies (34)

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Profile picture for shalom7777777 @shalom7777777

Hi, thank you for sharing your story. you said "EPE, SVI, large cribriform, suspicion of IDC)." all present in post surgery pathology. Did your pre surgery biopsy also indicate these features? Thanks!

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Replies to "Hi, thank you for sharing your story. you said "EPE, SVI, large cribriform, suspicion of IDC)."..."

No, my original biopsy in January did not show any of those features. I have my first post-op PSA test on Monday - we'll see how it goes.

That is the limitation and fallacy of a biopsy...it can't tell your urologist anything beyond Gleason Score and perineurial invasion that nearly everyone has (my urologist wasn't concerned about it...he literally said "everyone has perineurial invasion.").
The only way you find out about all the rest of it is when they remove your prostate and do a gross- and micro-examination of all of the prostate and seminal vesicle tissue. That is when Extraprostatic Extension (EPE), seminal vesicle invasion, Cribriform glands, bladder neck involvement, surgical margins, etc., are discovered and change "everything."