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Prostate Cancer (Expert Forum)
radiation following prostate surgery
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Lefrak Institute for Robotic Surgery and Prostate Cancer
New York - NY
This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis , Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.
radiation following prostate surgery
by vinnie1948, Nov 04, 2009 12:23PM
Following robotic surgery to remove prostate (Gleason 6 and PSA 8), the pathology report showed some invasion in the seminal vesicles. Surgeon assured me that because of my Gleason score, PSA level, age (61) and overall health (very good - rapide recover from surgery - full continence day catheter was removed), he believes that whatever invasion was small.
Scheduled for a blood test tomorrow and will get a first PSA reading.
Everything I read indicates that I might be a good candidate for radiation treatment.
All things considered, is there a good chance of some long-term recovery or is my prognosis unfavorable?
Scheduled for a blood test tomorrow and will get a first PSA reading.
Everything I read indicates that I might be a good candidate for radiation treatment.
All things considered, is there a good chance of some long-term recovery or is my prognosis unfavorable?
Doctor's Answer
by Ash Tewari, MD, M.Ch., Nov 14, 2009 01:53PM
, Nov 14, 2009 01:53PMTo: vinnie1948
Thank you for your question. Please see this reference as a nice review of seminal vesicle involvement after radical prostatectomy.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1476128/
In short, SVI alone shouldn't be used as a prognostic variable to predict longterm outcomes. Gleason score, and surgical margin status should also be considered. You may request to have your slides read by pathologists who specialize in prostate cancer. Some institutions include Johns Hopkins, Weill Cornell, and Cedars Sinai.
Ashutosh (Ash) K. Tewari, MD
www.cornellroboticprostate.org
This forum is for information only. The contents, such as graphics, images, text, quoted information and all other materials ("Content") are provided for reference only, do not claim to be complete or exhaustive or to be applicable to any particular individual's medical condition. Users should always consult with a qualified and licensed physician or other medical care provider. Users are warned to follow the advice of their physicians without delay regardless of anything read in this forum. The Weill Cornell Prostate Cancer Institute assumes no duty to correct or update the Content nor to resolve or clarify any inconsistent information which may be a part of the Content. Reliance on any Content is solely at the User's risk. This forum may contain health or medically related materials considered sexually explicit. Users are warned that if they may be offended by such Content, an alternate source of information should be found. Publication of information or reference in forum to specific sources such as specific products, procedures, physicians, treatments, or diagnoses are for information only and are not endorsements of the Weill Cornell Prostate Cancer Institute.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1476128/
In short, SVI alone shouldn't be used as a prognostic variable to predict longterm outcomes. Gleason score, and surgical margin status should also be considered. You may request to have your slides read by pathologists who specialize in prostate cancer. Some institutions include Johns Hopkins, Weill Cornell, and Cedars Sinai.
Ashutosh (Ash) K. Tewari, MD
www.cornellroboticprostate.org
This forum is for information only. The contents, such as graphics, images, text, quoted information and all other materials ("Content") are provided for reference only, do not claim to be complete or exhaustive or to be applicable to any particular individual's medical condition. Users should always consult with a qualified and licensed physician or other medical care provider. Users are warned to follow the advice of their physicians without delay regardless of anything read in this forum. The Weill Cornell Prostate Cancer Institute assumes no duty to correct or update the Content nor to resolve or clarify any inconsistent information which may be a part of the Content. Reliance on any Content is solely at the User's risk. This forum may contain health or medically related materials considered sexually explicit. Users are warned that if they may be offended by such Content, an alternate source of information should be found. Publication of information or reference in forum to specific sources such as specific products, procedures, physicians, treatments, or diagnoses are for information only and are not endorsements of the Weill Cornell Prostate Cancer Institute.
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