Final Diagnosis after Radical Prostatectomy- Looking for suggestions

Posted by hmish @hmishkind, Feb 2, 2025

Friends
I elected to have a RP on 1/27/25. My Gleason score pre-op was 8. My PSMA Scan was clear. I just received my results and the results now are a Gleason 9 with extraprostatic extension. The cauterized tumor focally extends to the left lateral and left posterolateral zone with extension into the left transition zone. The margins are positive. Lymph nodes could not be dissected/sampled as I had mesh in the umbilical area 3 months before for hernia surgery and the surgeon did not want to disrupt the mesh and he felt he obtained clean margins. OBVIOUSLY, HE DID NOT.! I have not discussed the results yet with my surgeon but am looking for thoughts, questions and experiences from this group as I want to consider and evaluate the best treatment options to kick this cancer's ass and to get the best outcome and improve my quality of life. I am 69 years old and am willing to travel for the best outcome.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

No idea why that uploaded before I was finished…Yes, the final Gleason was 10 (5+5) with multiple samples showing 8-10. High risk of reoccurrence.

REPLY
Please sign in or register to post a reply.