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Prostate Surgery With Bilateral Lymph node dissection
Prostate Cancer | Last Active: Sep 11 5:30pm | Replies (41)Comment receiving replies
Oh boy, here we go again- one of the lymph nodes on PSMA was iffy but surgeon insisted "he is not convinced". We asked again before surgery if it would be prudent to take some nodes out and examine them and we were told after surgery that "they all looked normal size, so there was no need" . I guess some doctors have innate x-ray vision 😵💫. I am 100 % sure now after pathology report came as it is that "low glow node" was positive. This is really becoming medical negligence case, IMHO.
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Unfortunately, some aspects of prostate surgery do not have a 100% black and white guidelines and depend on the urlogist's risk assessment, experiece etc. And some urologists may not keep up with all the new guidliness or may be negligent. In my own experience one of the urlogists I consulted for second opinion decided I should be on active surveillance even before my pathology report was re-read, and while the GPS test score was pending!! He said that even if the new re-read of the pathology comes out to be 4+3 instead of 3+4, I should be on active surveillance! I am not a urologist, but what this doctor told me is 100% BS (a new medical term :)) ! It does not align at all with the NCCN guideline on treatiment for unfavorable intermediate risk patients. I never saw that dude again!!