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Robotic prostatectomy and lymph nodes dissection

Prostate Cancer | Last Active: Oct 30, 2023 | Replies (21)

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@al2

I read your comments about the removal of your negative lymph nodes/glands to avoid major cancer surgery. I was diagnosed 10 years ago with prostate cancer. My psa was a 21. So I opted for radiation seed therapy, my psa stayed under a 5 for ten years. A month and a half ago my psa went up to a 13. So I had a PET scan done, and it found two spots both less then a cm a piece. But they dont/can't say it's cancer, the doctors are calling them suspicious for now. For a month and a half I've been taking 1000mg of Abiraterone, and 5mg of Prednisone, with one injection on Lupron. Since that month in a half, my psa is at 0.3 now.
But my concern is at times I feel a little funny/weird down in my right side my leg and in my pelvis area, the same side of where my cancer was In my prostate. The feeling in my pelvis isn't pain, but I know it's there. Sometimes the feeling will shoot down the inside of my right leg. My concern is how will I know if these suspicious spots are cancerous? My oncologist told me they are to small to do a biopsy at this point. Also I wanted to know if the doctors, or my oncologist will be willing to just wait and see what develops with my psa numbers?
Or can the doctors do a laparoscopy surgery? Or just take to out the cancerous cells/tumors? Or do they take out some surrounding lymph glands? To get it all? How will this affect the way the lymph glands to the pelvis area and the leg area. I know these are a lot of questions guys, but the unknown can be stressful. I fo have a appointment the first week on November with my oncologist, in which I will ask these questions as well, I just wanted to reach out to my community of men that may be or have experienced cancer in tge lymph node glands?? Thanks all of you, and trusam1 for your patience to allow me to inquire about this possible further treatment.

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Replies to "I read your comments about the removal of your negative lymph nodes/glands to avoid major cancer..."

@al2, you’re asking all the right questions for your medical team at your upcoming appointment. I don’t have answers for you, but wanted to weight in to say that your questions are good ones. I hope you’ll share what you learn.