How many lymph nodes were taken at your RP?

I was a G9. Doc took out 70 nodes. All neg. I asked why so many, he said he wanted to be sure what he was dealing with.

G7, 3+4, 4+3. 1 LN+(2mm lesion).
Dave

Now, when I had surgery to remove 2 melanomas from my back, they did a nuclear tracer scan and determined that I 'could' have lymph issues, and they took nodes from both armpits. For several days, the only way to lie down was on my front with both arms over my head. That pretty much sucked.

3+4 for me and my Surgeon took out 0 nodes.
I even asked about taking at least a couple and he had me sign an waiver stating that they could
take out nodes if he thought he needed to once in there but in the end he took out none.

I was a G9 at time of surgery (later downgraded to a 8 by MSK) and the pathology showed 3 lymph nodes removed, all cancer-free. My surgeon claimed he removed 13. I did have LVI. I had BCR 3 months after surgery and my radiologist decided it was best to radiate the whole pelvis in order to hit the lymph nodes. One year later and I am <0.01.

G8, 11 LN all neg (also -SM, but +SVI)

Was told after biopsy G7(4+3) although 2 cores were 4+4. 10 nodes removed, 3 involved. Post RALP scan showed multiple bone mets. 2nd opinion after RALP upgraded to G9.

DjinTonic said...

Pratoman said...
My biopsy was G6, I had a frozen section intra-operativel pathology that came back positive, and was resected to obtain a negative final margin. Possibly this was the reason that my surgeon took 9 lymph nodes.

Hi Pratoman. What prompted your surgeon to do frozen sections given your G6 biopsy. I see there were no positive margins. Did he suspect EPE or something else from imaging/lesion location? Does your surgeon do frozen sections for all patients?

Djin

Djin, its my understanding that my surgeON (Dr Ash Tewari, Mt Sinai NY), does a frozen section on everyone as part of his protocol. He did say, that based on my MRI which showed no EPE, he was sort of expecting and not surprised by my upgrade from G6 to G7(3+4). And just to be clear, the frozen section WAS positive.

As an aside, when i was considering SRT as my PSA had slowly and steadily risen to .06, then .08, i pressed for additional pathology data, and they reexamined the samples, came back and told me that the margin was G6, also that the primary lesion, the g7(3+4) was 5% pattern 4. I sometimes wonder if i pulled the trigger to fast based on that and my Decipher core of 37. But thats water under the bridge.

G7 downgraded to 3+4. They took 13.

Yes. I had a G7 pre surgery. I actually had a 5+4 after pathology which surprised my Uro.

Got it

I was a confirmed G 3+4, lymph nodes looked 'normal' (not swollen) on MRI, and during surgery. So, only four were removed and they checked out normal.

Premature salvage radiation, especially coupled with chemical castration, is a very real danger, especially with low PSA and Decipher scores. Getting hit by a carelessly tossed refrigerator can have long term negative impact.

I know!!!

Gleason 3+4 PSA 85 high volume. Had 23 lymph nodes removed, 3 were cancerous. I did have some mild swelling of both ankles and calves for about a year, compression socks and time resolved that issue.