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Prostatectomy

TJWard posted:

Had prostatectomy,

Pathology:

Gleason 3 + 4,

all margins negative ,

found focal extraprostatic extension (microscopic invasion in bladder neck), (This concerns me)

posterior bladder neck margin is negative,

no lymphovascular invasion,

perineural invasion present, (what does this mean?)

seminal vesicles - no malignancy,

pT3a.

4 weeks after surgery, PSA 0.2, Doctor thinks it will be 0.0 in 2 more weeks.

Not sure what I have to worry about. Doctor states 1 % chance of death in 15 years, but cannot say I am cured (80% probability of cure).

I'd like to know:

1. What is the likelihood of spread?

2. Whether they can find the location of prostate cancer, should my PSA go up?

3. If there is spread, Is prostate cancer likely to be in my bladder?

4. Is there treatment if I move quickly?

Thank you, Tim

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