New Quest article by Dr Catalona

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Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 744
   Posted 12/2/2009 4:10 PM (GMT -6)   
I've been a reader of his Quest newsletter for quiet sometime. The latest issue discusses robotic vs open surgery.
 

BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 12/3/2009 5:35 AM (GMT -6)   
He certainly pulls no punches in preferring open prostatectomy over robotic..........Although I had robotic it is refreshing to read a point of view that dismisses claims of its robotic superiority and backs them up with reasoned argument.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)
PSA February 09 <0.01
PSA August 09 (2 year mark), <0.01

My Journey: www.yananow.net/Mentors/BillM2.htm

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