Connect
← Return to What are the Odds No Cancer Ever Returns After a radical prostatectomy
Discussion
What are the Odds No Cancer Ever Returns After a radical prostatectomy
Prostate Cancer | Last Active: Mar 31 1:28pm | Replies (33)Comment receiving replies
That will depend...
When you have your biopsy report, that will give you some clinical data if it shows prostate cancer.
If that clinical data leads you to a treatment decision (if it showed Gleason Score 3+3, you may decide on active surveillance vice treatment) , and if that treatment decision is prostate surgery, the next piece of clinical data will be the pathology report. That will indicate Gleason Score, the amount of involvement of the prostate cancer in your prostate (10, 20, 30%...), whether or not there was involvement of your seminal vesicles, margins where the prostate was removed were negative (or not), and other data. Your surgeon would also have his surgical notes.
That pathology report could be use in a nomogram to give you a population based statistical probability of a recurrence.
https://www.mskcc.org/nomograms/prostate
Kevin
Replies to "That will depend... When you have your biopsy report, that will give you some clinical data..."
Connect
Thank you, Kevin. Part of the conundrum is even if everything is confined to the Prostate, is radiation/Androgen therapy a better decision than prostate removal. Since you wrote this my brother called from NYC and said he has prostate cancer and is going with a radioactive insert placed between his prostate and adjoining areas and his cancer is confined to the Prostate. Its almost as if one is deciding on which side effects and processes are more or less appealing, general effectiveness notwithstanding.