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@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
Replies to "@jeffmarc Sorry here is the report. Diagnosis/Comments: Radical prostatectomy : - Adenocarcinoma, Acinar. - Modified Gleason..."
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@dave27
One thing that is very aggressive was found, Besides seminal vesicle invasion
Non-focal extraprostatic extension" (EPE) describes prostate cancer that has spread beyond the prostate gland into the surrounding tissues in a widespread, extensive manner rather than a limited, pinpoint area. This finding, typically made after a radical prostatectomy (surgery) or potentially seen on imaging like MRI, indicates a more advanced stage of the disease (pT3a) and is a significant risk factor for poorer outcomes and cancer recurrence.
So not only do you have a pT3b but also pT3a
It does say all margins are negative, which is good, but the likelihood of reoccurrence is very high with the two different things that are the shown.
I would definitely want to see a decipher test after this biopsy.
You might discuss this with your doctor and ask what they think about your chance for reoccurrence.