Has anyone had a Peri-prostatic Lymph Node?

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Regular Member

Date Joined Feb 2011
Total Posts : 494
   Posted 5/5/2011 5:21 PM (GMT -6)   
I am a week out of a RP and just got my results back. A Gleason 8 was changed to a 9 with cancer with a lymph node on top of the prostate containing PC. Cancer was in the margins. The surgeon mentioned a peri (not sure of spelling) prostatic lymph node. In all my readings of the various books that are suggested reading, I can't recall but pretty sure I did not ever see that term and what it means. Has anyone had one diagnosed, and if so what does it mean?

Sounds like I have HT and IMRT coming up in my near future.

Thank you in advance for your reponse.
Born July'`1959
DRE Positive
Biopsy 7 out of 12 Positive
Gleason 4+4 both sides
PSA Jan 2011 5.5
Diag. February 15, 2011
Participant in Provenge Study
Surgery Scheduled for Aprtil 25

Veteran Member

Date Joined Mar 2009
Total Posts : 739
   Posted 5/5/2011 5:28 PM (GMT -6)   

Definition: (1) Surrounding or situated about the prostate. (2) Name of a lymph node in the pelvic area.

Thats the definition if that helps, personally never heard of it either.
Kev 53yrs [Gold Coast Qld, Australia]
PSA 4 Gleason 7 [3+4=7]
RP 24/12/08 Dr Philip Stricker [Sydney]
Upgrade Gleason Score 7.6 [4+3=7]
Stage 2 Margin status- Focal Involvement
ED- okay with Meds.
PSA at 2 yrs, no change remains 0.03
"Every-day in Every-way I Get Better"

Veteran Member

Date Joined Sep 2009
Total Posts : 5468
   Posted 5/5/2011 6:36 PM (GMT -6)   
Get a good medical oncologist versed in prostate cancer. It could still be curable with radiation. I would suggest having that rad onc, give you a fight ing chance argument though, cause , I may be wrong , others chime in here, but lymph node invovlement is usually indicative of systemic spread rather than local. Radiation can only help in local spread. You can live a long , long time even with systemic spread, which is not metatastic, and even then there is good treatment
Diagnosed 8/14/09 psa 8.1 66,now 67
2cores 70%, rest 6-7 < 5%
gleason 3+ 3, up to 3+4 @ the dub
RPP U of Wash, Bruce Dalkin,
pathology 4+3, tertiary5, 2 foci
extensive pni, prostate confined,27 nodes removed -, svi - margins -
99%continent@ cath removal. 1% incont@gaspass,sneeze,cough 18 mos, squirt @ running. psa std test reported on paper as 0.0 as of 12/14/10 ed improving

Veteran Member

Date Joined Feb 2010
Total Posts : 3771
   Posted 5/5/2011 6:41 PM (GMT -6)   
>>You can live a long , long time even with systemic spread, which is not metatastic, and even then there is good treatment<<
i've never heard that before.  how do you differentiate systemic spread vs. metatastic?  thanx.
age: 56
PSA on 12/09: 6.8
gleason 3+4 = 7
received 3rd and last lupron shot 9/14/10
2/8/11 PSA <.1, T= 6 ng/dl

Veteran Member

Date Joined Jul 2010
Total Posts : 3596
   Posted 5/5/2011 10:02 PM (GMT -6)   
This will be a tough call..There is going to be a big discussion between your doctors and insurance company as to whether they feel radiation would offer any benefit..I suspect that's why the lymph node has been given special status so as not to automatically rule out radiation treatment...
Age 68.
PSA age 55: 3.5, DRE normal.
age 58: 4.5
61: 5.2
64: 7.5, DRE "Abnormal"
65: 8.5, " normal", biopsy, 12 core, negative...
66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
67 4.5 DRE "normal"
68 7.0 3rd biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT. 2-15-'11 PSA 0.0
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