Diagnosis:
Prostate, Nerve Sparing Prostectomy with Pelvic Lymph Node Dissection:
Infliltrating Adenocarcinoma of the Prosate
- Gleason Score 3+2=5
- Pathologic Stage T2, N0, M0
- Tumor is NOT identified in the margin of resection
- Tumor measures 1.5 cm and is confined to the left lobe
- Capsular Invasion is NOT identified.
- Angiolymphatic invasion is NOT identified
- Focal Perineural Invasion is identified
- Mulitfocal PIN is identied
- Ten (10) of ten (10) pelvic lymph nodes are negitive for metastatic adenocarcinoma.
- Right and Left Seminal Vesicle are negitive for tumor.
|
|
* - 12 ng/dl
|
|
| * -3.9
|_*________*____*____*___*-0.0 ng/dl
more imagesTotal Serum PSA - 0.0 ng/dl
Major prognostic markers for patients status post radical prostectomy for prostatic adenocarcinoma include pathologic stage, Gleason grade and Total Serum PSA levels.
Search of our database finds 39 males, age 70-75, with similar Surgical Pathology findings (Stage 2B, Gleason 3+2=5) that have had undetectable Serum PSA one year after Radical Prostectecomy. 89% have had no evidence of recurrence with a average followup time of 2.2 years (1.1 - 5.0 years).
This patient had moderately differenciated adenocarcinoma that did not invade the capsule, had no angio-lymphatic invasion and was completely removed. Serum PSA has been undetectable for one year post surgery. Laboratory data indicate that this pateint has a very high likelyhood of cure. Laboratory data needs to be combined with all clinical data to generate a complete clinical picture. Continued Annual Total Serum PSA levels are recommended.