Update on my buddy in Seattle with new case of P Ca.

Here was my original post--My 60 y/o friend has these results. He is in Seattle.
He is otherwise healthy and fit.

PSA 4.1
volume of prostate I guess 55.7cc
positive in 5/14 cores

Here is the positive core data--

1. rt apex--well differentiated adenocarcinoma, 3+3 for 6
involves 5% of tissue, tumor in 1 of 3 biopsies, no perineural invasion

4. lft apex-- moderately differentiated adenocarcinoma, 4+3 for 7, less than 5% of tissue, tumor in 1 of 3 biopsies, no perineural invasion

5. left mid, mod differentiated adenocarcinoma, 4+3 for 7, involves 30% of tissue sampled, tumor in 2 of 3 biopsies, no perineural invasion.

6. left base--poorly differentiated adenocarcinoma, 4+4 for 8, involves 10% of tissue sampled, tumor in 1 of 3 biopsies, no perineural invasion.


Since then--- He got the Da Vinci procedure at Sweedish hospital in Seattle by a very experienced surgeon, (1600 prior Da Vincis). The surgery went well. 1 week on the cath. They took most of his lymph nodes in the area.

Post surgery patho-- downgraded Gleason to 3+4=7, NO met to any lymph node. NO met anywhere. Clean margins everywhere, No extracapsular extension, etc etc etc--- solid gold patho report. No rec for further tx. They took nerves on one side only. today, first day out--- the first pad is still dry after most of the day! --- We appreciated all of the advice out here-- needless to say he is having a good day today.....still has a lymph drain in but all in all I'd say he is grateful....Thanks--- Craig

Glad to hear the good news. A "gold star' path report is what everyone wants to receive after joining the club.

Here's wishing for a very speedy & complete recovery for your friend.

Chuck

Resident of Highland, Indiana just outside of Chicago, IL.
July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7.
Local urologist DRE revealed significant BPH, but no lumps.
PCa Dx Aug. 2011 at age of 61.
Biopsy revealed adenocarcinoma in 3 of 20 cores (one 5%, two 20%). T2C.
Gleason score 3+3=6.
CT of abdomen, bone scan both negative.
DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
My surgeon was Dr. Matthew Tollefson, who I highly recommend.
Final pathology shows tumor confined to prostate.
5 lymph nodes, seminal vesicles, extraprostatic soft tissue all negative.
1.0 x 0.6 x 0.6 cm mass involving right posterior inferior,
right posterior apex & left mid posterior prostate.
Right posterior apex margin involved by tumor over a 0.2 cm length, doctor says this is insignificant.
Prostate 98.3 grams, tumor 2 grams. Prostate size 5.0 x 4.7 x 4.5 cm.
Catheter out in 7 days. No incontinence, occasional minor dripping.
Post-op exams 2/13/12, 9/10/12, PSA <0.1.
Semi-firm erections now happening 14 months post-op & slowly getting a bit stronger.

Awesome, awesome, awesome - so great to hear the good news. Continued best to you both.

Hi Craig,
I hope that you and your friend are both well. (I also hope that you see this post.)

My husband was recently diagnosed and we live in the Seattle area. Could you please find out who performed your friend's Da Vinci surgery? (My guess is that it was Jim Porter but I'd like it confirmed.)
Thanks,
Melaine

Thanks Craig! I hope that you both continue to be well.