← Return to PSA/MRI not too bad, Biopsy not too good. What?? [updated]

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Profile picture for jeff1963 @jeff1963

@jeffmarc I didn't ask my question correctly.

Sometimes the cancer is so advanced that surgery is not an option.

All of my diagnostic tests (MRI, biopsy) said surgery is an option. What happens on operating table if surgeon finds that the diagnostic tests were wrong and the cancer is so advanced that surgery is not an option?

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Replies to "@jeffmarc I didn't ask my question correctly. Sometimes the cancer is so advanced that surgery is..."

@jeff1963
If it has not spread outside the prostate to other organs, they will normally just do the surgery and if it is more extensive they will tell you that margins are not clear, If it has spread wider than they thought it was then they will recommend radiation sooner rather than later. Once they start surgery, they will remove the prostate and any lymph nodes they suspect.

If they are sure it has spread to the lymph nodes they may not want to do surgery and prefer to do radiation because they can treat everything that way. If the Affected lymph nodes are near the prostate they might still go with surgery, But then you may find the margins are not clear as mentioned above.

I’ve never heard of them, not completing the prostatectomy because the cancer had spread more than expected.