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Six Days After LARP - Just Heard My Pathology Report.

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Prostate Cancer
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Posted 7/13/2011 8:12 PM (GMT 0)
I underwent a LARP at Vanderbilt on 7 July 2011. Dr. Joseph Smith was the surgeon I had selected for this operation.

Surgical Stats....

Surgery Date: 7 July 2011
Entered Surgery: 1:10pm
Left Recovery: 7pm
Clear (no ting) Urine: 5am (8 July)
Passed Gas: 5:30am (8 July)
Bowel Movement: 7am (8 July)
Discharged: 11am (8 July)
Incisions: 6 locations ranging in size from 1" to 2.5".
Doctor's Comments: Very little blood loss, very confident in results. "I think you're going to be cured".

Dr. Smith just called with my pathology...

The tumor extended from the apex to the base.
Seminal Vesicle intrusion was NEGATIVE.
EPE was NEGATIVE.
Margin was POSITIVE.

The Positive Surgical Margin was "focal at the left-mid".

He said we'll test my PSA in five weeks. My surgery had gone so well I didn't expect this relatively bad news and didn't have questions ready. If my PSA is undetectable do I still have ART to "look forward to"?
Posted 7/13/2011 8:17 PM (GMT 0)
Since my signature isn't showing up for some reason...here's my information:

DX 4/26/11 (Age 36)

6/15/09 PSA 2.1
3/17/11 Lost my father to Prostate Cancer that had metastasized to his bones (Age 59)
3/30/11 PSA 2.5 & Abnormal DRE (Nodules felt)
4/18/11 Biopsy
4/26/11 Biopsy Results = 3 of 12 Cores Positive (both lobes) with Gleason 6 (3+3)
5/5/11 CT & MRI = Negative for metastatic cancer
7/7/11 LARP at Vanderbilt
7/13/11 Pathology = Positive Margin
Posted 7/13/2011 8:36 PM (GMT 0)
A positive margin does not guarantee you that you will have reccurance. With some, reccurance happens after x amount of time, and with others, it doesn't. Way too early to tell at this point, just got to keep a close eye on future PSA tests
Posted 7/14/2011 1:10 AM (GMT 0)
What was your post op Gleason score. Did it stay 3+3=6?
Posted 7/14/2011 1:26 AM (GMT 0)
a positive margin doesn't mean automatic reoccurance - nor does it mean the cancer has escaped
- just try to relax (ha!) and let your body recover from the surgery
-wishing you all the best,
hugs,
Bronson
Posted 7/14/2011 2:54 AM (GMT 0)
With the G-6 pathology, I suspect they will let your future PSA numbers dictate any future treatment..It just depends on how aggressive your doctors want to be...
Posted 7/15/2011 11:08 PM (GMT 0)
Dude ,what ever you do ...take it easy....the healing is different for evryone...enjoy your time off....I'm down to 2 or three pads a day depending on activity,but a severe pain has taken me over and they think it is a hernia,I never felt it happen or anthing,so catch up on reading,tv,whatever is easy.You will be ok,take one step at a time.Be positive.I SEND MY CHI energy.
Gams
Posted 7/16/2011 1:03 AM (GMT 0)
Dude ,what ever you do ...take it easy....the healing is different for evryone...enjoy your time off....I'm down to 2 or three pads a day depending on activity,but a severe pain has taken me over and they think it is a hernia,I never felt it happen or anthing,so catch up on reading,tv,whatever is easy.You will be ok,take one step at a time.Be positive.I SEND MY CHI energy.
Gams
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