Waiting 6 to 7 months for Prostate surgery

Shalom7777777

Thanks for replying. Wishing you all the best!

Shalom7777777

Does the tumour size matter when considering prognosis? Al.so the zone, i read that transitional zone lesions are slower than the peripheral ones. btw does being in the peripheral zone indicate it is close to gettingout?

Wheel

Shalom,

just because it may break out of the capsule does not mean it is necessarily any worse for your treatment choice if it just occurred. As I previously mentioned I was Gleason 8. I think the studies take that into account. Mine, with the PET showing it had not reached lymph nodes or his believe it had left the capsule and the Surgeon during surgery having previously done hundreds did not appear to him visually had left the capsule was totally shocked when the stains during surgery came back positive margin and he then spent additional two hours working to eliminate that margin. Ultimately my final pathology after the surgery was that my Surgeon achieved the negative margins. I am one year out with my PSA < then the laboratory measurement threshold. I did not know ADT was routinely offered with a Gleason 7 and no evidence it had left the prostate, even with surgery 6 or 7 months from diagnosis. It just shows you how different Doctors approach the same issue. The key is that so long as you are comfortable with your Doctor.

swl1956

swl1956

Yeah, initially having had a 4+3=7 unfavorable biopsy report, I sorta wish I had been taking Orgovyx for the 6 months prior to my ablation procedure. Perhaps the metastasis to the lymph nodes may not have occurred? If the ADT drug puts the bandit in stasis, it seems like a logical approach for those waiting for, or deciding on which treatment to go with. There must be some reasoning why this is not the norm? Even though ADT comes with some bothersome side effects, a short course of a few months would be worth it if it stops the Pca in its tracks.

Shalom7777777

https://csn.cancer.org/discussion/comment/1723881#Comment_1723881

Did you have mets at the time of diagnosis? Do you think this happened in the months before the surgery?

Shalom7777777

Yes, you are right.

swl1956

https://csn.cancer.org/discussion/comment/1723882#Comment_1723882

PSMA PET indicated no mets about 3 months prior to the ablation procedure. But that doesn't necessarily mean they weren't there. Micro metastasis could have been present, but too small to be detectable by the scan. It only lit up the tumor in my prostate gland. My PSA dropped from 5 down to only 4 in the first 3 months after the procedure and then rose to 9 at the next 3 month test. Anyhow, water under the bridge, but I do wonder if I had been on ADT right at diagnosis which was 6 months before the procedure if that might have prevented my metastasis to the lymph nodes. The ADT was able to lower my PSA from 9 down to below 1 in only a couple months time. It's now at 0.04

Shalom7777777

https://csn.cancer.org/discussion/comment/1723874#Comment_1723874

https://csn.cancer.org/discussion/comment/1723886#Comment_1723886

Yes, i agree. Thanks for the explanation.

https://csn.cancer.org/discussion/comment/1723886#Comment_1723886

Thank you for sharing!

Steve1961

wasI waited six months to see a top surgeon only to find out after more that I had aggressive prostrate cancer and then I freaked out. I waited almost 7 months to start radiation treatment and then five years it came back and I had surgery. Don’t freak out. It grows slow.

mac2237

Is a 4 month stint of Lupron worth it? Going to have SBRT.

Josephg

https://csn.cancer.org/discussion/comment/1723953#Comment_1723953

Lupron (or related ADT medications) with SBRT significantly improves the effectiveness of the SBRT in killing the cancer cells. The choice is yours.

mac2237

Lots to think about, many options at times gets confusing and convuluted. Thx for your reply. Wishing the best to everyone going through this ordeal.

iwhuppedcancer

Hi there, sorry to hear the bad news, close to 8 months wait for me before i had my surgery, only your surgeon can really tell you guys how long to wait after the pathologist views your scans, i left it up to the professionals cause they do this every day. God Bless!

Shalom7777777

https://csn.cancer.org/discussion/comment/1724029#Comment_1724029

Thank you replying! Can you please tell me your Gleason score before and after surgery please? Did the 8 month wait make a difference to your pathology? Doctors say there should be no difference, but i read people saying it did!

Old Salt

A biopsy samples a minute portion of the prostate. Once the prostate is removed, a much more complete picture emerges because slices from the whole prostate are examined. There may well be differences.