He spent an hour on the phone reassuring me that I didn't need to rush into anything, and they he'd love to scan me 6-8 weeks after my TRUS Biopsyhave to let the trauma and all the blood leave the prostate for a good image. I wish the VA would be more informative about this disease they owe it to our veterans.
Second Opinion For Cancer Treatment And Care | CTCA | City of Hope Men often seek second opinions from urologists before they initiate treatment for their newly diagnosed prostate cancer. Research was mixed on PINS, but in those days, many doctors saw them as likely to develop into cancer. - High grade prostatic intraepithelial neoplasia (HGPIN) Find more COVID-19 testing locations on Maryland.gov. 2.Tammy Jiang, Christian H. Stillson, Craig Evan Pollack, Linda Crossette, Miupdachelle Ross, Archana Radhakrishnan, and David Grande, How Men with Prostate Cancer Choose Specialists: A Qualitative Study, Journal of the American Board of Family Medicine: JABFM, 30(2), (2017): 220229. I really liked the new group I went to as they identified the lesion right away, unlike the radiologist who performed the first procedure, and they also have a urologist on staff as well monitoring everything. Best wishes to all those whose concerns for the day are far more serious than mine. Our regional community network integrates academic specialty cancer care at Allegheny General Hospital and West Penn Hospital and at more than 20 community cancer centers throughout the region. Some men have minimal or no symptoms at all. But, ultimately decided on whole gland treatment using Proton Beam Radiation.So. First of all we would like to emphasize that the health of our employees, our patients and their relatives is our first priority. And luckily I lived in Chattanooga and had mutual friends with Dr. Joe Busch (my Urologist never mentioned him, yet we could almost see his facility from the exam room in which he broke the news. Note respondents were able to, MeSH Primary Gleason grade: 3 7 in 10 PATIENTS WHO GET A SECOND OPINION AT CTCA CHOOSE TO TREAT WITH US Call now to find out why: 800.888.8888 Rosie P. Colorectal Cancer
PDF Cancer A Second Opinion A Look At Understanding Controlling And Curing Original Sloan Biopsy Results: * Seminal vesicle invasion: None. We are vaccinating all eligible patients. He schedules appointments with a Radiologist and two local surgeons. Read books and realize as soon as they are published, they are outdated. I'm leaning towards SBRT. The linear amount of tissue with carcinoma is 23 mm I will say, the people I dealt with at Johns Hopkins were extremely nice and professional. Grade Group: 2 I'm currently in the process of getting an appointment set up with a Dr. Wang at UCLA. I had two no-risk, non-invasive tests: a Free PSA with an adverse score of 9% and a PCA3 test with a disappointing 41. I made the appointments. Johns Hopkins is home to many of the world's leaders in Pathology. Total Gleason score: 6 Both of which are normal volumes, the Bullet Volume is considered more precise in prostates smaller than 55ml. information. Brachytherapy Experience with Dr. Albert Chang at UCLA? They replied they are sending the slides but they said they're looking into the DX test and will get back to me once they have that information. Given that some 3+4 is now evident, I can no longer say that all my PCa is all 3+3 and that I can stay on AS for an extended period. Compared to younger men, men 70-74 years old and men 75 years were less likely to obtain a second opinion whereas men with college graduate level education or beyond were more likely compared to men with less than high school level education. Can it be salvaged or are the risks of cancer too high? I am an airline pilot with exposure to radiation, jet fuels/fumes, etc. Second opinions offer different things in different circumstances, Dr. Matasar says. 2018 May;115:133-138. doi: 10.1016/j.urology.2018.01.048. __________________________________________________________________________July 2022I've neglected to make journal entries for a couple years, so I will recap below and continue with what I have done and what I have learned.In 2018, at the age of 48, after a routine physical that showed a PSA of (4.X) and after a TRUS biopsy, I was diagnosed with PCa. Greatest dimension 2cm. I was on active surveillance after a FLA procedure done in 2018. Radhakrishnan A, Grande D, Mitra N, Pollack CE. A second opinion is a review of the cancer diagnosis and the treatment recommendations of the physician who is treating the cancer by another, independent physician. Getting a second opinion from Johns Hopkins, is it free or does one have to pay for it? Perineural invasion is identified Thank you for your understanding and cooperation. Dr. Nour - Emory in Atlanta. This teamwork ensures the best possible patient outcomes. It is OK to be overwhelmed with info. * Adjacent organ invasion: None. Getting a second opinion can sometimes lead to a complete change in diagnosis (such as cancerous to benign or vice versa) in non-cancerous growths, inflammatory disorders, infections, cancer and other conditions. - Prostatic adenocarcinoma, Gleason score 3+4=7 (grade group 2, pattern 4: 5%) involving 2 of 2 cores (medial core: 3.5 mm, 30%; lateral core: 2.5 mm, 20%), 0.5 mm to the blue inked tissue edge (the closer) And just this week, 1 YEAR post treatment, it is .46. Consult Fees In some cases, additional testing may be required. feel the clock ticking. I am at that critical juncture in which I at least need to formalize a plan, select a doctor/facility to work with, and continue my testing to make sure I have what I think I have. You May Like: Prostate Cancer External Beam Radiation Side Effects. 3. !I'll try editing a previous post and see if it reads like a journal instead of creating a new thread every update.I just got my PSA results and the numbers are still trending in the right direction. The linear amount of tissue with carcinoma is 11 mm After extensive discussion of his management options with his local urologist, primary care physician, and radiation oncologist, he also sought a second opinion at the Johns Hopkins Prostate Cancer Multidisciplinary Clinic at Sibley Memorial Hospital.The patient expressed an overwhelming desire to avoid surgery and any other invasive treatments. Instead, I did my homework. Also, if any of you have a way to get medicare to pay some portion of the cost, please let me know as well. 1st opinion"PYL PSMA PET/CT scan demonstrating foci of moderate to intense uptake in the prostate gland consistent with known prostatic cancer. It is very rare (<3% of all prostrate cancers) and potentially very lethal (one study showed that 59% of men in the study with Gleason scores of 5 had died within 3 years and it had metastasized in 13% of the remaining men). Prostate Cancer Pathology in 2021 | Jonathan Epstein, MD | PCRI 2021 Conference, Why Prostate Cancer Survivor John Shearron Thinks Its Important To Do Your Research | PCRI, John Hopkins Prostate Cancer Second Opinion, a higher risk of developing uterine cancer, surgery may not always be necessary for all breast cancer patients, The cancer vanished in every single participant, Long Term Side Effects Of Brachytherapy For Prostate Cancer, treat rare and complex conditions through breakthrough fetal procedures, Prostate Cancer External Beam Radiation Side Effects, Can Enlarged Prostate Cause Blood Clots In Urine, Life Expectancy Stage 4 Prostate Cancer No Treatment, Prostate Cancer Spread To Skull Prognosis, Diagnostic Procedures For Prostate Cancer. A small early-stage clinical trial found that a carefully selected group of patients who responded remarkably well to chemotherapy could skip surgery altogether. It works.
Why It's Worth Seeking a Second Opinion for Prostate Cancer Although a large proportion of men with localized prostate cancer obtained a second opinion, the reasons for doing so were not associated with treatment choice or perceived quality of cancer care. A new study by researchers at the Johns Hopkins University has found that . In adjusted models, obtaining a second opinion was not associated with receipt of definitive treatment . 4. Dr. Erick Walser at University of Texas Medical Center. About 60% of prostate cancers occur in people older than 65. ADC: mean 879 / median 839 / st dev 223 Depending on your location, you may be able to have a telemedicine consultation. Would you like email updates of new search results? prostate volume). not hear all the viable treatment options or receive the most up to date The all-inclusive cost for a virtual second opinion for patients in the U.S. is $1,850. I also had my PTEN test by META-MARK ( I don't have much to say about how I was treated by MM, but I won't be using their services again). Adenocarcinoma: Other: There is trace ascites in the mesosigmoid. Prostate, right lateral base: They did another 3T-MPMRI (Siemens machine) and it showed a faint area, near the margin, and very close to the down stream sphincter of prostate. - DWI-ADC = 4/5 Estimated prostate volume of 35 cc with an estimated PSA density of 0.11 ng/mL/cc. undefined will no longer be visible to you including posts, replies, and photos. MM, Much to my dismay my 4th targeted biopsy Oct 12 revealed 5% G4 (upgraded from Grade Group 1 to 2 (Gleason 3+4 intermediate/favorable). My strong preference would be to do FLA again and monitor. For these reasons, it is a good idea for HMO members to get a second opinion and make sure they are informed about clinical trials or other promising new treatments. One core had 5%, one 20%, and one 40%. Same with the amount of how much pattern 4. I frequently make a 2 hour car ride and I have to stop about 25% of the time and when I don't, the urgency is a bit more evident and with the urgency come some hesitancy, but not terrible. A biopsy was performed on 2/26. Avoiding obsolescence in advanced prostate cancer management: a guide for urologists. The study was published online Nov. 7 in the journal Cancer. Men often seek second opinions from urologists before they initiate treatment for their newly diagnosed prostate cancer.