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My dilemma about a 2nd Opinion and a Request for Referrals to a Great Urologist in Portland Oregon

mcin777
Posts: 30
Joined: Feb 2013

Here is my deliema....I want a 2nd opinion regarding my lab results and from agreat  Urologist in Portland Oregon. after looking at my test results...however...since I have been diagnosed with Gleason 7 3+4 no matter what the 2nd opinion has to say am I not just stalling and/or putting off the inevitable which is Robotic Surgery or whateverelse I find that is supposed to work and have the least amount of side effects.

I have been advised by several on this board to get an MRI to find out where the cancer is located and to determine whether or not it has spread.  Won't that be determined anyway at the time the surgery is done?  Is the MRI an unnecessary step?  

 

Thanks for your advice,

Jim

jwoodie
Posts: 21
Joined: Feb 2013

Hi Jim,

 

I am exactly in your shoes, except I live in Northern California.  The two closest/best prostate centers are UCSF and Stanford, so I will be contacting them about a second opinion.  I will let you know what I find out.  By the way, I'm 65, which is squarely in the middle as far as the radiation/surgery choice is concerned.

 

John

mcin777
Posts: 30
Joined: Feb 2013

Thanks for the input.  I will for sure be getting a second opinion.  I am in good health as far as I know.  I need to do a lot more physical activity however.  I pray that all goes well for you.  Let's stay in touch.

Jim

ob66
Posts: 214
Joined: Apr 2010

The purpose of the MRI in advance of any surgery is to find out if the cancer has metastisized to other areas. If it shows on and MRI, surgery would more than likely not be done or be a consideration. Other options would be used. The difficult thing about an MRI is that if it is negative it also does not necessarily mean the cancer has not metastisized, but that it is not detectable. It is a precautionary measure mostly to eliminate surgery if there is metastisis, not any wonderful confirmation that there is no metastatic cancer. I hope others weigh in but that is my understanding. I remember I was relieved when my MRI was negative, but not too relieved.

ob66
Posts: 214
Joined: Apr 2010

The purpose of the MRI in advance of any surgery is to find out if the cancer has metastisized to other areas. If it shows on and MRI, surgery would more than likely not be done or be a consideration. Other options would be used. The difficult thing about an MRI is that if it is negative it also does not necessarily mean the cancer has not metastisized, but that it is not detectable. It is a precautionary measure mostly to eliminate surgery if there is metastisis, not any wonderful confirmation that there is no metastatic cancer. I hope others weigh in but that is my understanding. I remember I was relieved when my MRI was negative, but not too relieved.

ob66
Posts: 214
Joined: Apr 2010

The purpose of the MRI in advance of any surgery is to find out if the cancer has metastisized to other areas. If it shows on and MRI, surgery would more than likely not be done or be a consideration. Other options would be used. The difficult thing about an MRI is that if it is negative it also does not necessarily mean the cancer has not metastisized, but that it is not detectable. It is a precautionary measure mostly to eliminate surgery if there is metastisis, not any wonderful confirmation that there is no metastatic cancer. I hope others weigh in but that is my understanding. I remember I was relieved when my MRI was negative, but not too relieved.

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