I have been a frequent reader and rare poster to this board. My dad was Dx with PC in November 2009. He was 68 at the time with a Gleason of 6 (3+3) with 2 cores out of 12 positive. I believe one core was 10% and the other 40% positive. After much debate, research and prayer he decided to have a radical prostatectomy by Dr. Vipul Patel using the DaVinci Robot. We were told that the cancer was contained within the capsule of the prostate but I was able to look at his pathology report today....Here is the mini version:
Invasive Prostatic Adenocarcinoma
Pathologic Stage pT2a.
Gleason Grade 3+4 =7
Percentage of tumor involvement of the gland; 5%
Surgical Resection Margins: Tumor Free
Lymph Nodes: None Submitted
(Some repeat of the above which I will spare you then>>>
Tumor location: Right side of the prostate
Tumor size 0.6 cm
Extraprostatic extension: Absent
Resection margins: Tumor Free
Seminal Vesicle Invasion: Absent Perineural Invasion: Present
Angiolymphatic invasion: Absent
Other findings: Extensive areas of prostatic atrophy (may be from his TUNA procedure?)
And again....Pathologic stage pT2a ; N not known; M not known
So you see where my concern lies...the word "invasion
I tried to research it on my own and most of the articles said that Perineural Invasion is a most important diagnosing factor with needle biopsy but NOT after prostatectomy. I am soooo confused.
My dad sees the office personnel again on Monday (doubtful he will see Dr. Patel) and I will get him to ask at that time what it means. But even then....I trust you more. Can you please help? That word made my heart grip.
Thank you so much for your time