I posted this on Ralphs thread, but thought it was worth its own thread.
From the InfoLink:prostatecancerinfolink.net/2010/02/10/surgery-for-lymph-node-positive-prostate-cancer-a-second-look/
Mayo Clinic and the Munich Cancer Registry seem to agree that surgery is a good option for lymphatic invasion prostate cancer. This data is showing once more that RP and advanced cases is a great option. Mayo Clinic has argued this for years and was a pioneer in continuing RP even after discovering positive nodes prior to removing prostates. As you may already know, many surgeons will test nodes prior to performing the RP, and if found positive, they stop the procedure without completing the RP. The data in these studies have shown that is not a best practice. But rather, removing as many regional nodes as possible and completing the RP has shown excellent results.
However, it is worth noting that adjuvant radiation can also improve bFRS in these cases. You should bring this study to your doctor and ask his input on it.
Good news for the guys who had the nodes removed... Maybe not so good news for those told it would not help if they were. Of course, Snuffy Myers had a lymphadectomy in 1999 after his diagnosis with stage 4 N+ prostate cancer. Could help explain why he is still cancer free in 2010. (aside from that being an excellent oncologist himself)...
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