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Prostate Cancer
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maldugs
Veteran Member
Joined : Jun 2007
Posts : 813
Posted 7/24/2007 5:24 AM (GMT -8)
Hi have been told that when the surgeon starts RP, he takes the lymph nodes out first, and if the cancer is evident in them he does not remove the prostate, any feedback on this?

Regards Mal.

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CVK
Regular Member
Joined : Apr 2007
Posts : 66
Posted 7/24/2007 6:47 AM (GMT -8)
In Curt's case, the Dr. removed the prostate and "extra lymph nodes" due to the volume of cancer on one side. It turned out that the nodes were clear as were the margins.
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Swimom
Veteran Member
Joined : Apr 2006
Posts : 1732
Posted 7/24/2007 7:01 AM (GMT -8)
Yes and no...

Doing a node biopsy seperate from an actual prostatectomy used to quite common. It is still true that IF, obvious cancer can be seen once the surgeon has opened the patient, the standard of care is to close the patient backup and change treatment modes. That standard may be changing a bit as more and more evidence suggests removing the organ even under advanced conditons has an advantage. Times are definately changing.

swim
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Izzyblizzy
Regular Member
Joined : Oct 2006
Posts : 411
Posted 7/24/2007 2:59 PM (GMT -8)
I am not sure, but in our case, the lymph nodes were left behind. I think they said they would do a lymph node biopsy if necessary when going in, but then they said it was totally not necessary? I don't think they even did a biopsy of lymph nodes, and just let them be?
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biker90
Veteran Member
Joined : Nov 2006
Posts : 1465
Posted 7/24/2007 3:02 PM (GMT -8)
They did a lymph node biopsy while I was in the OR. They came out clean so they went ahead with the RRP. Doc told me that if they had been affected, he would not have removed my prostate. I don't know what kind of treatment I would have had in that case.

Jim
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AEG
Regular Member
Joined : Nov 2005
Posts : 154
Posted 7/24/2007 7:14 PM (GMT -8)
Hi Maldugs,

I haven't heard that before and it doesn't sound right to me. If cancer is present in lymph nodes and the prostate is removed then perhaps all of the cancer is removed as well. Can you get a second opinion?

AEG
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anniea
Regular Member
Joined : May 2007
Posts : 234
Posted 7/25/2007 9:01 PM (GMT -8)

Hi Mal,

My doc said that once they open me up they do a quick freeze and test the lymph nodes, if they have cancer they stop and try a different treatment. My lymph nodes were negative so he continued the surgery. The next thing to worry about are the margins. You will find out about this after the surgery from the pathologt report.

Good Luck

Rick

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sterd82
Regular Member
Joined : Sep 2006
Posts : 187
Posted 7/27/2007 4:15 AM (GMT -8)
As others have noted, my understanding is this is pretty standard procedure unless they really think they've caught everything very early....docs and opinions differ on what to do if they find cancer in the lympth nodes.   I was told that if they find cancer in the nodes, they'd sew me back up and spare me the morbidity of the operation--- however, as Swim noted, there are differing opinions on this....

I have a little story on this to share....prior to my surgery, I explained to my wife that the procedure ought to be 3-4 hours.  If they come to get her really early, brace herself because it would mean they found enough cancer in the nodes to scrap the full RP--- and that would be a bad thing.

about 20 minutes after they took me in, my wife, who was in the waiting area with her sister and my sister, gets called up to the desk, where the nurse cheerfully chirped that I was all done, and the doctor would be in to see her shortly.  She starts freaking out, as does my sister.... the nurse can't figure out why everyone's upset.   My wife's sister is the one that smells a rat, and they tell the nurse to double check -- that I shouldn't be done just yet.   Sure enough, it was some glitch on the notification system.

My uro, who's a bit of a bad-ass, was not pleased when he heard this story later --- I'm sure some poor nurse got chewed up on that..... my nodes were clear and we proceded as planned....weird stuff!

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