Article: RP improves survival in lymph positive prostate cancer

I am convinced that lymph node dissection improves chances of nreduced BCR. Casey mentioned a study and/or I read about a study indicating a 30% reduction. I had 27/29 dissected all negative. I was on the table 41/2 hrs and had pratt drain in for 5 weeks, plus 2 lymphceles 2 mos post/op. It was worth it to me as I see it as a firewall against spread. Am totally aware of other pathways for spread. Not all surgeons do it. I was operated on at U of Washington , Seattle. It is a teaching hospital, and deduce that "students" did the disection and am fine with that. I am also certain the primary surgeon did the open, the close, the restitch of urethra, nerve spare, and prostate dissection with a wide cut on rt side. if I were to have RP, I would definitely speak to the surgeon and try to convince him of doing it , even to the point of only doing it with a surgeon that would. I also believe the patient should be in a higher state of fitness than average, so as to be able to endure a long operation. My surgeon as much as said say, without going into detail. the chances of it being done to the extent it was done with me by Divinci is questionable. 27 is a lot of nodes. Ps I understand that this study dealt with +nodes discovered during surgery, but as study indicated, even though they were positive, survival increased dramatically , indicating the possibility cancer was stopped in its node bed.

Ok, you know the negative margins should , operative word should, negate the EPE. A wide cut was made around extension so the specimen, prostate and cut wide flesh around, contained the cancer, hopefully. From a pathological sense, the post op slides, it did, The dissected +node is where this article is hopeful for your case. Did you have 18 nodes dissected or just ! Im understanding the former and the 17 were negative, this is were the study I mentioned, is helpful for you. Beyond that, the volume of and gl is concerning but personally I think the odds are quite favorable in yur case. Cure is a strong word inPCA, I don't consider my self cured in the physical sense , not sure I ever will, but strongly believe the worse I will face is a chronic disease, and will live a very long time and
admit that, that is what I am willing, coupled with the advancing science, and the 2 are different sides of the same coin

Interesting article. Thanks for sharing!

As time passes, we seem to see more and more info which appears to be in direct conflict with info available last month. It really makes it hard to know exactly which treatment is the correct one.

Thanks again! :)