← Return to Prostatectomy or Radiation? Lot of stress over which to choose

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Profile picture for icorps @icorps

I chose the prostatectomy in major part because the scans suggested I might have EPE. So I wanted to nail that down. In the event the prostatectomy pathology report said there was none, that my Gleason was 3+4 (my biopsy suggested it'd be 4+3) no positive margins; no affected lymph nodes; no cribiform or intraductal; no metasis etc. But there was +PNI
I felt I was home but a year later I had BCR. And I've been dealing with it ever since. Apparently it was the +PNI that was the culprit in its escape.
I'd still choose the prostatectomy because of all the definitive info I got up front that then made my salvage radiotherapy much more well informed.
Another reason-
the adage I had drilled into my head over half a century ago at Ft Benning training as an infantry lieutenant for Vietnam-
"Lieutenant-always bring the boss bad news first.
Good news takes care of itself."

Good luck!!!

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Replies to "I chose the prostatectomy in major part because the scans suggested I might have EPE. So..."

@icorps
PNI is extremely common in biopsy results.

I had it my brother had it. I know so many other people that have had it in their biopsies that it doesn’t seem to be a real issue over time.

I would suspect it’s a lot more likely that EPE would be the main issue rather than PNI.