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charlesprestridge avatar

Possible Extracapsular Extension - How much influence on treatment(s)?

Prostate Cancer | Last Active: Jan 8 11:35am | Replies (18)
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Profile picture for wwsmith @wwsmith

@psychometric Hopefully, there was no escape before the RP was performed. A clear PSMA Pet scan and clear margins don't guarantee that no escape has already occurred. This post RP nomogram from MSK predicts the probability of remaining cancer recurrence-free at two, five, seven, and ten years following surgery. Using dynamic statistical formulas, this nomogram draws on data from more than 10,000 prostate cancer patients treated at MSK.
https://www.mskcc.org/nomograms/prostate/post_op

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Replies to "@psychometric Hopefully, there was no escape before the RP was performed. A clear PSMA Pet scan..."
charlesprestridge | @charlesprestridge | Jan 7 12:03pm

@wwsmith

Thanks for the link to the post RP survey. Great info.

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psychometric | @psychometric | Jan 8 11:35am

@wwsmith

Yeah, hopefully it hadn't wandered out of the area at that point but there's not much I can do about it now. The difference in the MSK nomogram's predicted probabilities between what my initial biopsy showed and my post-op pathology is substantial, especially at 10 years. I still have better odds than Lloyd Christmas so I'm adopting his positive attitude until proven otherwise!

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