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Profile picture for rlpostrp @rlpostrp

Sorry to read of all of this. It sounds pretty ominous with bladder neck invasion, "both" seminal vesicles invaded, Cribriform glands, and lymph node invasion. Did he have a PET Scan prior to surgery? Is that how it was determined that it was in the lymph nodes? Hopefully there was no Gallium-68 uptake in the bones. I hope the surgery included removal of the lymph nodes...it sounds like it did. Sounds like he will go to 40-days-straight of radiation. Was there anything in the pathology report about "surgical margins"? He likely had that since it spread to the seminal vesicles (Extra-prostatic Extension or "EPE"). Surgical margins happen in 10-20% of surgical patients. It means the urologist did not remove "all" of the cancerous tissue, so there is an increased risk of the cancer returning within five years, especially with seminal vesicle invasion. I wish you and your partner good luck. You both might benefit from counseling/therapy understanding what the future will likely be.

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Replies to "Sorry to read of all of this. It sounds pretty ominous with bladder neck invasion, "both"..."

@rlpostrp

The scan was done prior to the RP and indicated no nodule involvement nor other organ or bones.

It was the surgical pathology that indicated the invasion of 2/9 lymph nodes, SVI, and bladder neck invasion.

The surgeon mentioned that the PSMA scan is only 40% accurate in detection. Absolutely wild.