Does anyone understand this report?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

mr bill
Veteran Member


Date Joined Sep 2010
Total Posts : 709
   Posted 2/2/2011 12:46 PM (GMT -6)   
Does anyone know what this means?  I had MRI of pelvis with and without dye.  Part of the report reads “ There are lymph nodes present the largest of which is seen on the right image 9 medial inguinal region of approximate 15mm size.  These are typically reactive inflammatory in etiology; however, the histological nature of any single node is indeterminate.”   
Maybe it’s my present state of mind.  I just do not understand what this statement means.  I even went to the University of Google, only got more confused.  Has anybody had any experience with this?

Age 66
BPH since 1996. at least three negative biopsies Erie. Uro did not Rx finasteride
2007 acute urine retention photovaporize Clev. Clinic Rx finasteride
8-9-10 PSA rose to 10.14 with finasteride positive biopsy gleason 9, cat & bone scan negative
9-8-10 RP at Cleveland. Biopsy 9 nodes 2 positive,
seminal & vas deferens +
PSA 3 wk .06, 6 wk <.03, 12wk 0.0

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 2/2/2011 12:52 PM (GMT -6)   
Me thinketh you may liketh the indeterminatedness of it all. My total s.w.a.g. guess and not knowing crap on this...is....the region mentioned is a common area for PCa to first show its stink'n head and the size 15mm is a little larger than normal, maybe inflammed? But not determined if caused by cancer. If I am wrong forget about it. Of course I could be light years off on this. Surprized google Univ. didn't have much to say.
Dx-2002 total urinary blockage, bPsa 46.6 12/12 biopsies all loaded 75-95% vol.; Gleasons scores 7,8,9's (2-sets), gland size 35, ct and bone scans look clear- ADT3 5 months prior to radiations neutron/photon 2-machines, cont'd. ADT3, quit after 2 yrs. switched to DES 1-mg, off 1+ yr., controlled well, resumed, used intermittently, resumed useage

mr bill
Veteran Member


Date Joined Sep 2010
Total Posts : 709
   Posted 2/2/2011 1:15 PM (GMT -6)   
That's what I don't understand.   My Psa after surgery on Sept 8,2010, has been undectectable, even with my path report.  Google did give me a lot of hits, but nothing in layman's terms.  The more I read the dumber I get. 

Jerry L.
Veteran Member


Date Joined Feb 2010
Total Posts : 3072
   Posted 2/2/2011 1:19 PM (GMT -6)   
Mr. Bill,

Was the MRI done before surgery?
Nov. 2009 Dx at Age 44
Dec. 2009 DaVinci Robotic Surgery
Jan. 2010 T3b, Gleason 9
Feb. 2010 Adjuvant Radiation

PSA History:
-----------------
Nov. 2009 4.30
Feb. 2010 <.05
May 2010 <.05
Aug. 2010 <.05
Nov. 2010 <.05

mr bill
Veteran Member


Date Joined Sep 2010
Total Posts : 709
   Posted 2/2/2011 1:59 PM (GMT -6)   
Jerry,
 
No it was done after surgery, but prior to RT.

mr bill
Veteran Member


Date Joined Sep 2010
Total Posts : 709
   Posted 2/2/2011 2:02 PM (GMT -6)   
Jerry,
Did they reccomend HT with adjuvant radiatiion for you? I am just curious as surg. onc. said no to HT with ART and Rad onc. said he would reccomend HT with ART.

Jerry L.
Veteran Member


Date Joined Feb 2010
Total Posts : 3072
   Posted 2/2/2011 4:39 PM (GMT -6)   
Mr. Bill,

All of my doctors recommended not doing HT following surgery and at the same time as radiation. It's a tough decision and in fact I am still considering HT at this time as a proactive measure. You might want to read Dr. Charles Myer's book on Hormone Therapy and Diet. He is in the camp that uses HT early. There is a good chapter about using HT as an adj. therapy.

Some say adding HT before radiaion adds to the benefit of radiation.

The other camp tends to believe that HT is meant for when there is BCR.

Both camps agree on one thing --- nobody wants to go on HT given the side effects.

If I read your signature correctly, I believe you have some lymph node invovelment. If that is the case, I would probably lean on doing the HT early. But trust me, I am no expert and am learning myself.

Jerry L.
Nov. 2009 Dx at Age 44
Dec. 2009 DaVinci Robotic Surgery
Jan. 2010 T3b, Gleason 9
Feb. 2010 Adjuvant Radiation

PSA History:
-----------------
Nov. 2009 4.30
Feb. 2010 <.05
May 2010 <.05
Aug. 2010 <.05
Nov. 2010 <.05
New Topic Post Reply Printable Version
Forum Information
Currently it is Friday, September 21, 2018 12:52 AM (GMT -6)
There are a total of 3,005,343 posts in 329,219 threads.
View Active Threads


Who's Online
This forum has 161772 registered members. Please welcome our newest member, MaryAnderson.
253 Guest(s), 3 Registered Member(s) are currently online.  Details
bobmars, oregonhay, kittytalk371