Many thanks for the excellent lecture... top standard lecture as usual from you, Prof. Shah. I appreciate the precious time and expertise put into these lectures...
Thank you Dr.Shah, much needed ! Can u please clarify the foll.point ..CAP says.."Seminal vesicle involvement is defined as a tumor invasion of the muscular wall of seminal vesicle..Only extraprostatic seminal vesicle invasion is included in the definition of seminal vesicle involvement.." At 22:05, Ty I invasion along ejaculatory ducts into SV wall.. would that be pT3b? Thanks in advance.
Ejaculatory duct could be a route for inversion into seminal vesicle. Importantly you need invasion into the extra prosthetic portion of the seminal vesicle to qualify for the seminal vesicle invasion. If you see invasion of only ejaculatory duct, that would be still pT2
Some people consider ejaculatory duct as a intraprostatic portion of seminal vesicle, however for staging you do need invasion of the extra prosthetic portion of the seminal vesicle. I hope this is clear to you
Good question, Tino! I would consider iatrogenic margin as a real one as it has been created by the surgeon by cutting through the prostate. I report it as a positive but I do describe further in the comment
Excelente!! Thank you so much
Excellent, I am ready for signout tomorrow in GU!
Thank you, Simon! I am glad that you are finding these lectures practical and useful! Please check out all and share with your colleagues!
Excellent. Thank you Dr. Shah
Thanks for liking
Many thanks for the excellent lecture... top standard lecture as usual from you, Prof. Shah. I appreciate the precious time and expertise put into these lectures...
Thank you, Mohamed!
Very well explained and equally demonstrated! Thank you very much!
Very nice presentation.
Thanks for sharing.
Thanks for making this high yield video
Thank you Dr.Shah, much needed ! Can u please clarify the foll.point ..CAP says.."Seminal vesicle involvement is defined as a tumor invasion of the muscular wall of seminal vesicle..Only extraprostatic seminal vesicle invasion is included in the definition of seminal vesicle involvement.." At 22:05, Ty I invasion along ejaculatory ducts into SV wall.. would that be pT3b? Thanks in advance.
Ejaculatory duct could be a route for inversion into seminal vesicle. Importantly you need invasion into the extra prosthetic portion of the seminal vesicle to qualify for the seminal vesicle invasion. If you see invasion of only ejaculatory duct, that would be still pT2
Some people consider ejaculatory duct as a intraprostatic portion of seminal vesicle, however for staging you do need invasion of the extra prosthetic portion of the seminal vesicle. I hope this is clear to you
@@rajalbshahExperturologicpath Yes, thank you. So, whether invasion of extraprostatic SV wall is from within or without, its SV invasion!
Thanks for sharing. Please keep posting
Just one question: isn't an iatrogenic margin a real one???!!
Good question, Tino! I would consider iatrogenic margin as a real one as it has been created by the surgeon by cutting through the prostate. I report it as a positive but I do describe further in the comment