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Newly diagnosed with prostate cancer: What might I be in for?
Prostate Cancer | Last Active: Oct 23 6:42am | Replies (43)Comment receiving replies
I should also mention that pulse field ablation is starting to make its way into treating prostate cancer. It is pretty new in treating heart issues but is also being used, from what I have heard, in prostate cancer I.e. John Hopkins. PFA uses high-voltage but very short electrical pulses. These pulses create transient pores in the membranes of cells (electroporation), leading to a process called irreversible electroporation (IRE). In essence, the pores cause the targeted cells to die without significant thermal damage to the surrounding tissues.
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Question: Can there be ‘surgical pathology’ with this TULSA? My feeling is that since tissue is ablated it cannot be used for post-op biopsy.
Sure, the tumor/cells are destroyed but what about marginal tissues? They can harbor cancer cells as well and sometimes of an even higher grade. How many of us have had our Gleasons upgraded from a surgical specimen? And I know radiation can also be accused of this shortcoming but usually the whole gland is treated regardless of the size and number of tumors. Just my two cents - always eager to learn! Thanks!