Hi was diagnosed with prostate cancer t3 and seminal vesicle involvement. What would my best tmt options be and is it poss there is lymph involvement. What sort of questions shoul i be asking. i had gleason 7 . is this an aggressive cancer. surgery if recommended not for 6 weeks. Is it likely to follow on with recurrence. Also what stage am i likely. only told gleason 7 and t3. Is t3 considered metastatic or is it just a locally advanced cancer if seminal vesicles. many thanks. excuse the haphazard questions but any direction of thought would be appreciated. is surgery enough or does it follow with hormones or radio tmt. I am 50 yr old.
Thank you for your question. When cancer involves the Seminal vesicles (SVs) it is classified as T3b (vs.T3a when the cancer extends out from the glands without involvement of the SVs). T3b is advanced localized cancer just like T3a. In the literature, urologists report up to 20% of the operated prostate cancers to be T3. A
Gleason 7 is an intermediate cancer. The need for adjuvant therapy (hormonal or radiation) will be decided post-operatively according to the pathology and the post-operative PSA values. That is to say, if surgical margins are positive (cancer left in the body) and/or the PSA levels do not normalize, adjuvant therapy would be recommended.
Ash Tewari, MD
This forum is for information only. The contents, such as graphics, images, text, quoted information and all other materials ("Content") are provided for reference only, do not claim to be complete or exhaustive or to be applicable to any particular individual's medical condition. Users should always consult with a qualified and licensed physician or other medical care provider. Users are warned to follow the advice of their physicians without delay regardless of anything read in this forum. The Weill Cornell Prostate Cancer Institute assumes no duty to correct or update the Content nor to resolve or clarify any inconsistent information which may be a part of the Content. Reliance on any Content is solely at the User's risk. This forum may contain health or medically related materials considered sexually explicit. Users are warned that if they may be offended by such Content, an alternate source of information should be found. Publication of information or reference in forum to specific sources such as specific products, procedures, physicians, treatments, or diagnoses are for information only and are not endorsements of the Weill Cornell Prostate Cancer Institute.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.