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Prostate Surgery With Bilateral Lymph node dissection

Prostate Cancer | Last Active: Sep 11 5:30pm | Replies (41)

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Thak you Jeff. I appreciate your input.

Yes, my GPS score of 47 shows my cancer DNA is the aggressive type, but currently it is Gleason 3+4, and only one out of 18 cores. Also a recent PSMA PET scan showed no metastitis. That is why I am questioning why we need to remove the lymph nodes. I have emailed my concerns to my Urologist, and hopefully he will answer my questions possbly when I see him just before the surgery.

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Replies to "Thak you Jeff. I appreciate your input. Yes, my GPS score of 47 shows my cancer..."

Did the pet test see cancer in a lymph node, Or at least it was iffy whether there was cancer.

Were they also going to do a prostatectomy at the same time? That is often what they do when they remove lymph nodes. They don’t usually remove many in that situation.

I’m a little puzzled as to what direction they are going for you when you only have one core and it’s a 3+4.

Have you considered going for a second opinion? It sounds like you need more information.

@soli From your original post: "Since I was recently d[i]agnosed with prostate cancer (Gleason 3+7, PSA: 14.5, and GPS score of 47), my urologist is . . . "

From the above, "currently it is Gleason 3+4," this serves as correction. The highest ("perfect") Gleason score is 5+5 = 10.

I wish you a successful surgery.