What is a Positive Margin After a Prostatectomy?
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- Опубликовано: 14 апр 2015
- In an ideal world, after radical prostatectomy, the pathologist would send a triumphant report to the surgeon: "I've looked at the prostate tissue you removed from Mr. Jones, and all of the edges are clear. Congratulations! You've removed all the cancer!"
Most often, it happens that way. Sometimes, however, the pathologist's report is more ambiguous: Either the margins -- the edges of the removed tumor -- are "positive," meaning they show cancer cells, or they're "close," meaning cancer is just a hair's breadth away from the edge of the specimen.
Dr. Bevan-Thomas breaks this down and shares why obtaining a pathology report after surgery is so important for patients to do.
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Thanks, DR. I'm having the surgery soon, and this is great information to know.
Thanks, Doc! I’m having my da Vinci robotic prostatectomy this coming Monday. You’ve given me something to discuss with my surgeon and my urologist.👍
How surgery go. I’m post 7 days....
Great explanation! Just received my pathology report after RP surgery. Glesson score went up to 4+5 (biopsy was 4+3), stage 2 (contained), 1 positive margin. First PSA at 4 weeks was .02. Hoping that drops to
So how was it? I am waiting for my patology report.
@@suggarface1 all good on all my subsequent psa checks (psa undetectable). Going every 6 months now. Good luck to you.
@@suggarface1 my psa remains
@@suggarface1 psa remains undetectable after 18 months.
Is positive surgical margin the same thing as Extraprostetic Extension (EPE)?
I am 9 days post RARP. Gleason 4+3. My surgeon (Dr Michael Cookson in OKC) said at the time of surgery, everything looked wonderful, no evidence of any cancer remaining. The pathology is now on my patient portal, although we have not had a chance to review with the doctor yet. The good news is that all lymph nodes, seminal vessicles, and other tissue submitted were negative. But there were 2 areas of concern: the EPE which was non-focal, right posterior and posterolateral; and Perineural Nerve Involvement (PNI) was present. Both of those seem to carry an increased risk of recurrent cancer. Would you suspect that some sort of adjuvant therapy be needed?
My brother had prostate cancer and had it removed and had radiation therapy and hormone shots. He’s on prednisone but is still losing weight. I’m worried about him. Do you think that the cancer is somewhere else?
Nice info doc.
Hopefully the surgeons, in the seven years since this video made, have gained techniques to widen their margins as much as possible. Just a few millimeters can make a huge difference in outcome.
I think the radiation guys widen their IMRT beams a bit beyond the edge of the prostate for this very reason.
Does the person need to metigate on if the cancer is back due to bladder infections or whatever
*What is a positive margin after a prostatectomy?*
In an ideal world, after radical prostatectomy, the pathologist would send a triumphant report to the surgeon: “I’ve looked at the prostate tissue you removed from Mr. Jones, and all of the edges are clear. Congratulations! You’ve removed all the cancer!”
Most often, it happens that way. Sometimes, however, the pathologist’s report is more ambiguous: Either the margins - the edges of the removed tumor - are “positive,” meaning they show cancer cells, or they’re “close,” meaning cancer is just a hair’s breadth away from the edge of the specimen.
In this video, Dr. Bevan-Thomas breaks what a positive margin after prostatectomy means, and shares why obtaining a pathology report after surgery is so important for patients to do.
#prostatecancer #prostatecancerawareness #cancer
does it mean it could be in cancer?
what are margins ?
If I have cancer cells in my heart do you cut it out......?
Prostate is the heart of my feelings if is gone so my heart. So I will try to find out .....with out doing damige to my body. My prostate is gone so some big damige is done. Will see my future.
Never mentioned hormone replacement don't know why.....
Some cancer are more aggressive..you can't generalize...radiation after surgery is common...goal is to kill it and monitor it....early detection is key