Pt3b N0 Help

Posted by dave27 @dave27, 3 days ago

My Father has gone through Radical Prostatectomy few weeks back. We got his biopsy reports. And it says “ Pathological stage :pT3b N0”.
Lymph Nodes Identified Negative.
Right seminal vesicle is involved by tumor, left seminal vesicle is negative for malignancy.
All margins of resection including apex and base are negative for malignancy.

Any thoughts on above report? Any recurrence chances?
We have our next appointment in coming weeks. What questions should we ask our doctor? He is specialised uro oncologist.

Thanks for your time!

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surftohealth88 | @surftohealth88 | 1 day ago

A "tiny" EPE is much better than "not" tiny. Tiny means BCR will not maybe happen in 2 years but possibly in 6 years or even more years later. If you ask me, I would rather have 6 years before needing salvage.
I think that most people imagine EPE as some "toxic spill" in the region. Cells that make EPE are connected together, they are a tissue made of mutated cells that grew through the gland out. At first they look like tiny bump on the surface, than they brake through but they do not just "spill" around, they are connected to each other and are still also connected to the gland. If EPE is very close to surface and inside the margin it is theoretically removed AND in most cases also practically removed. In some people it will prove to be a real adverse feature, while in some people it will not effect time-frame in which BCR happens. There are people with no adverse features and having BCR in 5 years and other way around.
With PC one really needs to learn to live in present time or one will loose his mind IMHO. I tried to look 20 years in the future and make ideal plan for my husband but after all is said and done, it is impossible !!! Statistics are statistics, findings are findings but PC more often than not does not follow any of them. If I look my husband's AS there was about zero indication that he will ever develop any 4s, not to mention gleason 9 😰.
So, one just needs to learn to smoothly "surf" any type of sea that is ahead and not imagine sea vortex after every single choppy wave that passes. 😉 I'm still workings on it, my husband never had to work on it 😜, he sees only "bonaca" ahead (lucky ducky ...) lol. He is absolutely aware that he can have BCR but he likes to look into % that does not and not at the % that does, and one can never know what % it actually will be. We are not percents.