pathology result questions.
While I was out today of course the Dr. called with Franks pathology results and now I have a question I hope someone will be able to answer for us.
Here is what our doctor said: Margins were clear, pattern was 3 + 4 has now changed to 4+3, 16% of left side of gland had cancer. Lymph node from left side OK.
Now the original pre op biopsy said:
Right apex Negative for malignancy,
Right middle, focal atypical small acinar proliferation,
Right base, focal atypical small acinar proliferation. Doctor called it ASAP.
Left apex, Invasive adenocarcinoma (Gleason 7/10 .. 3+4. 1 of 2 cores and less than 5% of the combined total of those two cores involved no extraprostatic extenstion, seminal vesicle involvement, or perineural invasion identified.
Left middle, Invasive adenocarcinoma (Gleason 7/10... 3+4. 2 of 2 cores and approximately 10 to 15% of the combined total of those two cores involved no extraprostatic extension, seminal vesicle involvement or perineural invasion identified.
left base, Focal atypical small acinar proliferation.
Doctor told Frank that he was T1c, PSA 8.8, told it was low volume intermediate prostate cancer.
My question is, do we have to worry that the cancer has spread because the lymph nodes on the right side were not removed for testing?
We do not see the doctor for two months for Franks first post op PSA test.
Hopefully I'm just a worry wort. I know many of you have more serious results to deal with, but I would appreciate all your input to easy my mind.