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Decision on removing lymph nodes during Ralp procedure
Prostate Cancer | Last Active: 11 hours ago | Replies (28)Comment receiving replies
Even if they take a bunch of nodes out and don't find a positive one you can still have a reoccurrence. Surgeon took a bunch of mine but yet I never went undetectable lowest being 0.03. PC cancer can leak into the Prostate bed requiring salvage radiation. Mine was considered a margin not a node.
Replies to "Even if they take a bunch of nodes out and don't find a positive one you..."
Thank you very much for your reply. Sorry for the delayed response. I have heard of the salvage surgery.
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@chippydoo I agree…having seen some videos of this ‘bagging’ of the prostate before removal, it doesn’t seem very exacting and far from perfect.
There seems to be a fairly high chance for spillage, right? There’s no reason why these clumps of cells can’t reattach and regrow.
Years ago a friend had an aggressive colon cancer; after tumor removal she was reclined on the table (almost upside down) and her insides were repeatedly flushed with sterile saline to be sure no cells remained.
Makes me wonder if the 30% or so cases of recurrence after RARP are caused by the zeal to be ‘non-invasive’…
I would love to know what the numbers for recurrence were when ‘open’ surgery was performed. It’s probably out there somewhere…🤔
Phil