Post RP Treatment Recommendations
I am seeking inputs from this group on treatment recommendations post RP that occurred 3 weeks ago.
My default will be my urologist recommendation of PSA monitoring for less than 0.02 beginning in 3 weeks and every 3 months thereafter for the first year.
Post RP pathology report is:
TNM: pT 2c, N 0 (0/19), L 0, V 0, Pn 1
Residual tumor R classification: R1 (one side at bottom positive margin). Pn1 = Perineural invasion. Gleason stayed 7a.
So, even though the tumor was contained within the prostate and both lymph nodes and seminal vesicles are free of cancer, the pathologist reported that it is possible that cancer cells escaped via positive margin and/or nerves (Pn1).
Thanks in advance for any recommendations and comments.