outer thigh pain and numbness

[purelife53]

I've posted this before and I guess you thought it did'nt warrent a reply, but I'll try again. Have you ever seen prostate cancer jump to the outher thigh between the hip and the knee? I've never had a full body scan of ant sort and it's been 6 months since my robotic procedure. thanks

[purelife53]

I've been tagged with pt3a. psa was 2.5 prior to surgery. After surgery the surgeon said that he was not surprised about the p.c. getting out and into the fat because the endo rectal mri that
i had a week before suggested that it probably did. My question is if they knew it probably escaped the capsule, why the surgery? Do statistics show your much better off with surgery than radiation? I see that your in NYC Dr. T. Do you do 2nd opinions or lets say consults after a PT has a surgery elsewhere?  No insurance here but access to cash. I havent done anything yet. I can get radiation as part of a study in MD. They refuse to do a bone or pet scan for some reason. Imus had a bone scan right away....lol....he's a billionaire....does that make a difference?

[purelife53]

No pain or numbness in the feet or lower legs. Just the outer thigh on the left and occasional sharp pains in the outer left thigh. I don't at all mind the pain or numbness, just concerned about the cancer. I had a robotic removal 6 months ago and the gleason score turned out to be a # 8.... The needle biopsy done in NJ had the Gleason as a # 7. It was upgraded after the surgery to a # 8.....and thats after the original slides from NJ were shipped to the NIH from NJ and we're declared to be only a # 6 prior to my surgery.....So a gleason # 7 in NJ became a # 6 in MD and actually {perhaps} is a # 8.....Pretty normal  I hear....Pretty aggressive I've heard and read. I've never had a bone scan or pet scan, as the doc. refused to  allow them......He gets a gold star for limiting the $ spent at the NIH I guess. I'm 52  I've done nothing since surgery. The Doc. wants to start radiation. I've refused so far. Still non-detectable PSA

[HGR]

How about pain and numbness in feet?  Weird we humans.

[Ash Tewari, MD, M.Ch.]

Thanks for your question. Sorry for the delay in response, as I have been preparing to send the last child off to college.

With respect to your initial question, the usual metastatic sites for prostate cancer are bone, soft tissue, rectum and bladder. An important consideration is the Gleason grade, tumor bulk, capsular invasion, and positive surgical margin's after prostatectomy. This are important to understand to have an appropriate followup regimen (adjuvant therapy). It is important to consider that Gleason grades 4 and 5, is associated with adverse pathologic findings and disease progression, however, low-grade cancer can also be biologically aggressive.

I would watch the PSA. A bone scan may be warranted, but cannot rule out micrometastasis until much later.

At Cornell we have an integrated prostate cancer program. Personally, I have had success in treating T3 cancers robotically. From the Journal of Clinical Oncology http://bit.ly/zm6pZ. If you'd like to schedule an appointment please use the website link below.

Thanks again for your question.

Ash K. Tewari, MD
www.cornellroboticprostate.org

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