Lymph Node Question

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J and J
New Member

Date Joined Apr 2008
Total Posts : 7
   Posted 6/9/2008 8:49 PM (GMT -6)   
Hello to all,
I have not posted since the first one but have been doing alot of reading.
We did go get a second opinion at the Arnold Palmer Cancer Center And got A new Urgogilist. They both think that the lymph nodes were to big so we had another CT Scan witch came back today showing they are still swollen they want to take them out to see if the cancer has spread. My question to all of you is . Did anybody with Lymph Nodes Involment have any pain in them. Jerry feels great right now and has no symptoms at all. We are just wondering if we should even mess with them or leave them alone since there is no pain. Thank you in advance for all of the help I have found just by reading your post.
God Bless
Age 69
Father of 8 Children 4 Boys 4 Girls ages from 14 to 43
PSA 4.5 Sept, 04
PSA 7 in June,  07
PSA 6.9 in Feb, 08
PSA 7.0 in May, 08
Biopsy March 31 08
Results April 7, 08
Gleason Score 3+4=7
Involving 80% of Specimen
1 of 2 Cores Contain Cancer
Gleason Score 3+4=7
Involving 90% of Specimen 
1 of 2 Cores Contiain Cancer
Bone Scan April 14,08
All Clear
CT Scan April 14, 08
Lymph nodes is Questionable

Regular Member

Date Joined Jan 2008
Total Posts : 338
   Posted 6/9/2008 9:32 PM (GMT -6)   

Welcome to HW and I am sure many will jump in with better info than I can provide.

I know so little about surgery but I would think you would only take out the lymph nodes if the prostate was also removed. I know my brother in law had his prostate removed and during the operation they took out lymph nodes. Even so he still had to have 40 radiation treatments because it had spread to futher lymph nodes. He has finished and is awaiting further followup.

I would think that radiation would be a possible way to go but I am not a doctor. I am only another PCa patent

I wish you the best.

Retired USAF Richard & Debbie on The Shores of Toledo Bend Lake Louisiana
Biospy 1/10/08 Gleason 10, Stage T1C  8 of 12 samples positive all Less Than 5% 
U of Florida Proton Therapy Institute
5/2/2008 LUPRON & Casodex
IMRT to start 5/16/2008 for approx 4 weeks with Proton to follow for approx 4 weeks
Turn Stumbling Blocks into Steping Stones and Keep Smiling
Our Journey is on WWW.GLEASON10.COM

Regular Member

Date Joined Feb 2008
Total Posts : 467
   Posted 6/9/2008 10:07 PM (GMT -6)   

I have never heard of pain in lymph nodes being a symptom, but like oldcoot, I am not an expert here.

There is a procedure that can be done to examine the lymph nodes before full blown surgery to remove the prostate....or before other treatment options are followed.

Here is a cut and paste on this topic from the U. of PA medical center site:

"Laparoscopic lymph node dissection

If there is a good chance the prostate cancer has already spread to the lymph nodes, then it makes sense to check those lymph nodes before having major surgery. A laparoscopic lymph node dissection is a minimally invasive procedure to remove lymph nodes. The surgeon makes a number of tiny incisions just below the navel and, to increase the workspace, pumps air into the abdomen. A laparoscope, a slim tube with a tiny camera on the end, is inserted into one incision and, while watching the procedure on a TV monitor, the surgeon inserts instruments through the other incisions and removes the lymph nodes."

If lymph nodes are involved, the sooner you know the better, in my opinion.

Good luck.

Danman Bob, Born 1951
Nerve-sparing, open prostate surgery November 13, 2007
Gleason score 9, PSA 14; Biopsy result - 9 of 12 sticks showed cancer
Post-op pathology stated that cancer was confined to the prostate
Unrelated surgery January 2008 delayed incontinence recovery, which is now showing good signs of improvement (fraction of a pad a day as of late April 2008)
100 MG Viagra 3 times a week beginning December 2007
Osbon Erec-Aid Esteem manual pump for therapy beginning mid-February 2008
30 MG papaverine/1 MG phentolamine bimix injections beginning late April 2008
Five week post-op PSA 0.2, five month post-op PSA 0.1, next test August 2008

Post Edited (DanmanBob) : 6/9/2008 9:11:28 PM (GMT-6)

Doting Daughter
Veteran Member

Date Joined Aug 2007
Total Posts : 1064
   Posted 6/9/2008 10:17 PM (GMT -6)   

My father ended up having lymph node involvement, but didn't know until the post op pathology report came back.  He never had ANY pain or discomfort, hence, the cancer came as quite a shock and the advanced cancer was an even bigger shock.  There are many options and I wish you the best in whatever treatment decision you reach.  This site has a lot of information and experience to draw from.  Ask away! 



Father's Age 62 (now 63)
Original Gleason 3+4=7, Post-Op Gleason- 4+3=7,
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin, One positive node. T3a N1 M0.
Bone Scan/CT Negative (Sept. 10, 2007)
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07, Lupron beg. Dec 03, 2007 2 yrs
Radiation March 03-April 22, 2008- 8 weeks 5x a week
Praying for a cured dad. First PSA 3 months!

Co-Moderator Prostate Cancer Forum

Veteran Member

Date Joined Apr 2008
Total Posts : 1382
   Posted 6/10/2008 5:18 AM (GMT -6)   
I believe I would go ahead and have a disection done, so as to know the extent of what you are dealing with. Metastatic PC is much different than caught while confined. I did not have pain in the lymph nodes so I will say mine came as a surprise however not knowing would have been a bigger surprise. For everyone's sake please get this checked out.

peace and love
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
cancer in 4 of 6 cores

Regular Member

Date Joined Mar 2008
Total Posts : 66
   Posted 6/10/2008 7:03 AM (GMT -6)   

My Uncle had a CAT scan that showed and enlarged pelvic node. A fine needle biopsy confirmed it contained cancer.  He did not have any pain.  He is on hormone therapy and radiation and responding well. Wishing your husband and lovely family well and come back with more questions if need be. 


Father diagnosed 13 years ago @ age 63
Watchful waiting until PSA jumped from 6 to 10
Cancer found in 1 core
Gleason score 6
Seeds implanted
PSA has been low since (don't know exact numbers)
Uncle (mother's brother) age 68
PSA jump from 2 to 8 in 18 months (2/08)
DRE was normal (2/08)
Biopsy (3/08) Cancer found
Bone scan (clear) 
Fine Needle Lymph Biopsy (Positive)
Gleason Score
(2) 4 + 3
(1) 3 + 3
(4) 4 + 3
7 of 12 cores positive
Pelvic Radiation started 6/2/08
Started Casodex and Eligard

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