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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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Profile picture for jeff Marchi @jeffmarc

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.

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Replies to "Did the pet test see cancer in a lymph node, Or at least it was iffy..."

3+4 is better that 4+3, and one core out of 18 is good, but I have two very high risk factors.
First is my PSA is 14.5. Second risk factor: a GPS score based on DNA test was 47. That is very high with less than 20 being very low risk , 20 to 40 being intermediate risk , and anything above 40 being very high risk of having a very aggressive form of cancer. That nailed if for me to seek definitive treatment. If my GPS score was less than 20, I would definitley have considered active surveillance.

Yes, the plan is to remove the lymph nodes with the prostatectomy.