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Keep or remove lymph nodes with RALP prostatectomy?

Prostate Cancer | Last Active: Sep 27 8:38pm | Replies (19)

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I would go with dissection of a package of obturator lymph nodes for pathology. Although your MRI and PET may indicate everything is contained as mine did, my Surgeon did use real time pathology during surgery and was surprised when margins came back positive when everything would have inferred they would not. He then needed to continue my surgery for additional two hours carefully removing more margin and my final post surgery pathology was negative margin. He took out one set of lymph nodes which were negative.

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Replies to "I would go with dissection of a package of obturator lymph nodes for pathology. Although your..."

I wish more surgeons would do the pathology in surgery.
I assume it has something to do with insurance not wanting to pay the extra cost of time.
How long ago was your surgery.
Glad to hear of yourself continued health.