New member

jerryo

Welcome to the club no one wants to be a member of, however if you meet the qualifications - being have PCa - this is the place to be.

Lots of great guys and gals here, a wealth of experience and camaraderie.

No you did not ramble too much at all! My first post -well that was rabbling:)

Where are you? We have folks from all over the globe.

I'm in Northern VA near Dulles Airport.

Bud

Raddad:

Moved to Saint George Utah 16 years ago, was lucky enough to retire young, Saint George is Is in the Southern portion of utah close to Las Vegas

Jerry o

Jerry, I am also a G8. Not much fun, but going down from a biopsy G9 is good news. Get well now that surgery is over. Hope is PSa is good news. BB

Hi jerryo, - Maybe I can help clarify the relative significance of your individual Pathology Report results.

"History 66 year old male:
Psa on 5/12/10 1.5
psa on 5/11/11 5.8 referred to Urologist, he felt a lump and a bump

Bioposy on 6/20/11 10 segments all showed gleason of 9
(az4p-NOTE 1: This is an unfavorable finding on the Biopsy Report, as it indicates a probable wide-spread involvement of an aggressive tumor in the Prostate. But this is "clinical"(c) pathology taken from tissue "samples" and the more accurate, post-surgical "pathologic"(p) results, when the total Prostate is available for examination, always take precedence over the (c) results. END OF NOTE 1)

Had a bone scan and CT Scan on 7/2/11 all clear,- az4p-NOTE 2 (This is favorable and expected at your PSA numbers.) END OF NOTE 2

Radical prostectomy performed on August 3rd with Lymph Node Disection.
Path report received yesterday Results as follows
Prostate weight 29G - NOTE 3 (Relatively small for a 66 y/o. Not much BPH involved)

Histologic Grade primary Grade 4
Secondary patter Grade 4 total gleason =8 NOTE 4 (This means that only Gleason Pattern 4 was identified and, therefore, it is assigned as both the Primary and secondary patterns (GRADES). This LOWERING of the (p) Gleason Score from the Biopsy (c) Score of 9 is a favorable development, although still classified as "high risk", you are now a Gleason 4+4=8, which is the more favorable. END OF NOTE 4

Proportion ofprostate involved by tumor 35% (SELF EXPLANATORY)

Seminal Vesicle invasion present NOTE 5 (this is an unfavorable finding and increases the statistical likelihood (the odds) of eventual treatment failure, but that is only an numbers increase and surely NOT a certainty.) END OF NOTE 5

Margins Univloved by invasive carcinoma
Lymph Vascular invasion not identified
no lymph noned Metastasis. NOTE 6 (all 3 of these findings are FAVORABLE and reduce the statistical POTENTIAL for treatment failure. END OF NOTE 6

So all has gone well since the surgery, very little leakage, had the first psa test yesterday and schelduled every two months. Dr. was concerned as to how agressive the cancer was, but no radiation or chemo. Hope I did not ramble to much. NOTE 7
(your Urologist is apparently going to follow your PSA closely and those results will probably determine whether any secondary treatment will be recommended. IDEALLY, the post-surgical PSA results should consistantly remain at clinically "undetectable" levels, which is usually defined as any reading of LESS THAN 0.1 ng/ml.. END OF NOTE 7

I wish you the best of luck in your recovery and I hope this has been of some help! - [email protected] (aka) az4peaks

Jerryo, I'm a G8 guy like yourself. I had my surgery in 2/09 at the age of 67. So far I'm have blessed with nothing by zero PSA. My next test is next month.

The Prostate Cancer Infolink today reported on a French retrospective analysis that concluded that all men found to have positive seminal vesicles (SV+) after radical prostatectomy should receive immediate adjuvant treatment with external beam radiation and androgen deprivation therapy (ADT).

Here's the link: prostatecancerinfolink.net/2011/09/15/adjuvant-radiation-adt-after-surgery-for-sv-prostate-cancer/

The site gives the recurrence-free stats:

* The estimated probability for biochemical recurrence-free survival at 5 years was
o 32.6 percent for men not treated
o 44.4 percent for men with adjuvant RT
o 48.4 percent for men with adjuvant ADT
o 82.8 percent for men with adjuvant RT and ADT
* The estimated probability for biochemical recurrence-free survival at 7 years was
o 25.9 percent for men not treated
o 28.6 percent for men with adjuvant RT
o 32.3 percent for men with adjuvant ADT
o 62.1 percent for men with adjuvant RT and ADT

The site noted that these were stats based on recurrence data, not survival data. While the study suggests that survival would be be better with adjuvant RT + ADT, the strongest conclusion to be made is that if adjuvant therapy is advised, the most effective would be RT + ADT.

For what it's worth.
Nellie