Prostate Cancer Survivors






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Re: Gleason 8 Ductal Crib form De Novo Pelvic Lymph Node 3 Lytic Lesions Radiology Prostatectomy, Ca

Hi Jam,
Given your circumstance, conventional medical thinking would be toward a systemic treatment focus. RP as you are no doubt aware is a localised treatment for a tumour that has not either breached or just breached the walls of the prostate. So I am not to sure what the rationale of your medical oncologist would be if they are recommending RP?

john bonneville

Re: Gleason 8 Ductal Crib form De Novo Pelvic Lymph Node 3 Lytic Lesions Radiology Prostatectomy, Ca

Well, I had the surgery as it was offered through a trial, but since I qualified I decided to go ahead and have Davinci Radical Prostatectomy with lymph node removal, 8 lymph nodes removed no pcs cancer, one showing resolved by chemotherapy. I am now per John Hopkins a Gleason 9, bladder neck and positive margins in some areas…the oncologist doesn’t want me to do radiation but John ahopkins, Dr Epstein states I should once my light leakage very now and then stops all together or clears up.