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PSA "undetectible" for amost a year

Prostate Cancer | Last Active: 54 minutes ago | Replies (38)

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Profile picture for Jeff Marchi @jeffmarc

@diverjer
When a pathology report states "Invasive carcinoma present at margin" after a prostatectomy, it means the surgical margin is positive. Cancer cells are touching the outer edge (the inked border) of the tissue removed during the surgery. This indicates that microscopic cancer cells may have been left behind in the body, though it does not guarantee the cancer will return.

Many patients that have this report, never have the cancer come back.

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Replies to "@diverjer When a pathology report states "Invasive carcinoma present at margin" after a prostatectomy, it means..."

@jeffmarc
Then why do they say: Margin Involvement by Invasive Carcinoma in Area of Extraprostatic Extension (EPE): Not identified ( I think in my pea brain that is fatty tissue around prostate that was removed)
But then say Invasive carcinoma present at margin Linear Length of Margin(s) Involved by Carcinoma: Less than 3 mm (limited). Could this be a margin that was just prostate and not EPE.

It almost like they have 2 margins checked. It got past prostate into Fatty EPE, but not clear past the outside of EPE? Hopefully I can get answers tomorrow from surgeon who is not that good of a communicator (suppose to be good at surgery) or on 25th with oncologist which I only met once.