Matt Age 46 said...
... positive PC for 3 of 15 cores. Each positive core was <5% cancer and all three were scored Gleason 3+3=6. ... He also indicated that he does a lymph node dissection with every surgery, which is appealing to me.
I am uncertain as to a number of acronyms used in posts, but hope to fine tune my knowledge shortly. Hello to all my fellow Chicago participants on this site!
Hello Matt, and welcome from a fellow-Chicagoan (suburbs in my case).
A couple things caught my eye (which I've quoted you on, above). It sounds like you are very early in your learning curve in understanding prostate cancer. From everything you've posted about
your case, you should not be rushing anything...especially an aggressive, irreversible surgery which leaves you with life-long side effects. Men with your diagnosis do not improve their longevity or cancer control by having surgery
...did you realize that? Take your time, and learn a little bit more. A great starting point for newbies like you who are interested in starting with acronyms is the sticky thread that was put together several years ago my the men here at HW/PC titled, "Newly diagnosed with PC? -- read this thread first"
There are lots of important things for you to learn in that thread.
The other thing that caught my eye was the mention of taking lymph nodes for your clearly low-risk case. Those lymph nodes are not like the appendix...no known function; lymph nodes support your immune system. In some men with more substantial disease than you, lymph node dissection often makes sense...but less than 15% of newly diagnosed cases are in the high-risk category, and lymph node metastasis is only found in about
half of those high-risk cases. Essentially the only reason to take lymph nodes during a radical prostatectomy is to determine, before ripping the prostate out, whether there may be metastasis...and if there is, then the surgery is STOPPED before prostate removal. Your case is not high-risk, or unfavorable intermediate-risk, or even favorable intermediate-risk...yours is low-risk. Having now had not one but 2 biopsies, your chances of upgrade are greatly reduced, so you have essentially zero need for lymph node dissection. Essentially zero. Automatic lymph done dissection is a hold-over from the days-gone-by of more higher risk cases—a generation ago—at the time of diagnosis...very few surgeons do this step in the contemporary era unless there is a reason.
Take your time, and learn a little before leaping...I strongly encourage doing this before, not after, you submit to life-altering surgery...psychological studies of men who "rushed" into surgery for low-risk prostate cancer (like your case characteristics seem to be, from what you've shared) found the highest levels of "treatment regret." Make sure this isn't you.
Matt, please consider
opening your own thread so that tennisplayer's thread doesn't go off-track...thanks
Post Edited (JackH) : 1/22/2017 4:55:26 PM (GMT-7)