← Return to Pt3b N0 Help

Discussion
dave27 avatar

Pt3b N0 Help

Prostate Cancer | Last Active: 1 day ago | Replies (21)

Comment receiving replies
Profile picture for jeff Marchi @jeffmarc

It’s too bad you didn’t mention what the Gleason score is. That is very important, especially when you have an advanced prostate cancer problem like seminal vesicle invasion. Yes, that is something to worry about it can cause you to have a reoccurrence sooner.

A high Gleason score (over 7) plus Seminal vesicle invasion gives a high probability of reoccurrence.

You should ask the doctor to get a decipher test. That will determine the probability of reoccurrence.

Was anything else found in his biopsy like intraductal, cribriform, EPE or ECE.

Jump to this post


Replies to "It’s too bad you didn’t mention what the Gleason score is. That is very important, especially..."

@jeffmarc
Sorry here is the report.
Diagnosis/Comments:
Radical prostatectomy :
- Adenocarcinoma, Acinar.
- Modified Gleason score : 3+4=7.
- Prognostic grade group -2.
- Tumour constitutes - 11-20% of the entire prostatic tissue.
- Percentage of pattern 4 constitutes 21-30% of the tumour component.
- Tumour involves both the lobes of prostate.
- Perineural invasion is identified.
- Lymphovascular invasion is not identified.
- Extra prostatic extension is identified, non-focal, at right posterior, Right posterolateral region with modified Gleason's score of 3+3 =6, Grade group- 1.
- Right seminal vesicle is involved by tumor, left seminal vesicle is negative for malignancy.
- Bilateral vas deferens are negative for malignancy.
- All margins of resection including apex and base are negative for malignancy.
Lymph nodes :
- Fifteen lymph nodes identified, negative for malignancy (0/15).
Pathological stage :pT3b N0