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Selecting Active Survelliance based on GG1 and small GG2 in biopsy?

Prostate Cancer | Last Active: Dec 8, 2023 | Replies (25)
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@bfg1

I did active surveillance for 3 years. 3 biopsies over that period. When an MRI showed a lesion left side and biopsy 3 +4=7 from a previous Gleason 6 docs recommended treatment. I saw a surgeon, radiologist, and oncologist all at Dana Farber in Boston.
They said intermediate prostate cancer should be treated. I chose surgery at age 65, active life style. 2 years out psa < .1. It changed my life no doubt but the pathology post surgery report showed it had progressed outside of the prostate. No lymph node cancer cells and clean margins. Some may have suggested continue AS. I don’t know for sure. I’m glad I opted treatment. I could be facing worse now had I kept waiting.
My pathology stage was
pT3aNO. I would need an expert to explain exactly what this means. Anyone? Thanks

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Replies to "I did active surveillance for 3 years. 3 biopsies over that period. When an MRI showed..."
handera | @handera | Oct 28, 2023

Sounds like you remained diligent and had three good years of AS before having to decide on a treatment. Glad you are happy with your treatment decision. All the best for your future!

According to the John Hopkins website, T3aN0 means: T3a = The tumor has developed outside the prostate; however it has not spread to the seminal vesicles and N0 = indicates that the tumor has not spread to nearby lymph nodes.

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