Posted on the PPML was an indication that the combidex scans are available but with referrals from only three doctors ~ Dattoli, Strum, and Myers. The radiologist doing them is Dr. Stephen Bravo.
This technique is used to attempt to identify which patients have positive lymph nodes without dissecting any of them. I still am not sure of the value of this technology. In the recent post by ChrisR on surgical outcomes with a median of 18.6 years, it was also noted that high risk patients that had extensive lymph node removal did far better those who left them in. Dr. Myers is on record as indicating, and through his own experience, that lymphadenectomy can be beneficial in stage 3 and 4 patients. Therefore my question is do we need to identify lymph node positive patients with imaging or simply radiate or remove a more significant number of regional nodes in high risk cases to improve prostate cancer specific mortality...?
Edited to re-state the last sentence with specifics...
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7
Da Vinci Surgery ~ 2/17/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
Post Edited (TC-LasVegas) : 2/2/2011 12:48:32 AM (GMT-7)