Don't get me started about lymph nodes!
I was VERY concerned about taking lymph nodes as a matter of course, because of lymphadema. My aunt suffered greatly from it in her arm after breast cancer lumpectomy and lymph node removal. Her arm swelled and she could not use it. Men also get it from node removal in the groin area, but very little is known about it. However, in younger men with PCa, they rarely have lymph node involvement and the surgeons at Henry Ford have not been removing them as was norm in most radical prostatectomies of yore.
So, when I met with our surgeon I asked about his protocol. He said he never takes lymph nodes or does a dissection. There is no need to, because we are lucky to have PSA. PSA says it all.
The mainstream medical society doesn't know a whole lot about the lymph system. My intuition tells me that the lymph system fights cancer, so removing lymph nodes, just as a matter of course, may not be advisable.
PSA from 3.2 to 4.3 in one yr
4 of 12 cores positive, one lobe, less than 10%
Inflammation only second lobe
Stage T1C Clinical Dx
PSA prior to surgery: 3.9
Da Vinci Prostatectomy 2/27/07:
PCa in BOTH lobes 5-10% of gland
Negative tissue margins
Bladder, seminal ves, vas deferntia negative
Two inguinal hernia repairs
Catheter removed 1 wk after surgery
Full continence (no pad needed) 1 wk after surgeryFull potency, 12th day after surgery