Looking for NYC Doctor for Radical Prostatectomy
Posted , 11 users are following.
My name is Keith Nice to meet all of you I have read quite few of your comments and I am grateful for your responses to people in need ! I would like to ask you some questions if ok with you I hope ! ? Here is my background
I am 59 excellent physical shape my PSA . 4.6 . My Father had prostate cancer but and had his prostrate removed and lived for many years after and died of a series of strokes
I had 12 biopsies done on 6/5/18 . 8 out of 12 showed cancer involvement
Here is Pathology Report
Right Base Needle Biopsy
1.)Adenocarcinoma of Prostrate Gleason Score of 7 . (3+4) . involving 40 % of tissue
comment: Perineural Invasion is identified (from what I can tell this is not good)
Right Mid Needle Biopsy
2.) .
Adenocarcinoma of Prostrate Gleason Score of 6 . (3+3) . involving 50 % of tissue
comment 2 out of 4 cores involved by Tumor
High Grade Prostatic Intraepithelial neoplasia (HGPIN) is also present . ??
Right Apex Needle Biopsy
3.)
Adenocarcinoma of Prostrate Gleason Score of 6 . (3+3) . involving 75 % of tissue
Left Base Needle Biopsy
4.)
Adenocarcinoma of Prostrate Gleason Score of 6 . (3+3) . involving less than 5 % of tissue
Left Mid
Adenocarcinoma of Prostrate Gleason Score of 6 . (3+3) . involving less than 5 % of tissue 2 out of 4 cores involved by Tumor
comment a rare atypical gland is seen in a third core . ??
Left Apex Needle Biopsy
6.)
Adenocarcinoma of Prostrate Gleason Score of 6 . (3+3) . involving 10 % of tissue
My questions are . What does this mean ? especially the comment Perinueral invasion is identified ? I am leaning towards Removing my Prostrate but do not have any leads for a qualified Surgeon in the NYC area
Do you have any recommendations ?? Very Grateful for your help and input
Thank You . Keith
0 likes, 41 replies
Triplets sharpcut
Posted
your Gleason though shows the cancer is low grade at the moment but in view of your Dads history I suggest you get an appointment with a urologist and there must surely be a good one not that far from you
My inclination would be to remove the prostate but obviously you must see an good urologist
cheers and good luck Keith
sharpcut Triplets
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anthony70342 sharpcut
Posted
sharpcut anthony70342
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rocketman42 sharpcut
Posted
I'd ignore your friend if I were you.
Look into James Eastham or Vincent Laudone for surgery and Michael Zelefsky for radiation oncology.
No place better in the world.
sharpcut rocketman42
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Davey22 sharpcut
Posted
Check out his website
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n-mac Davey22
Posted
I was prepared to travel anywhere in the USA to find the very best, and in the end did so. I ruled out Dr. Vipul Patel very early from my list of options after I learned from some research that he does something like 6 RALRPs per day, which IMO is far way too many. I decided that I want my surgeon to be in tip-top state of mind and attention when operating on me, and not weary and worn out. Plus, I found good reason to be concerned that it may not necessarily be only Dr. Patel who'd be running the robot for 100% of my RALRP. All in all, everything (website included) came across as way to much commercial, marketing, and high volume production line.
anthony70342 n-mac
Posted
May I recommend contacting Dr. Sangal @ Cancer Center Treatment Center of Phoenix, AZ? IMO he is one of the BEST oncologists around or should I say that we've have dealt with.
richard98806 n-mac
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Guarantee that 1 Dr couldn't perform 6 per day. That would be 12-18hrs of surgery. You know he is only overseeing most of the surgeries. You do want a surgeon with many successful surgeries under his belt but this situation seems like a teaching hospital. As a matter of fact my surgeon did his robotic training there.
n-mac richard98806
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n-mac.
charles61038 sharpcut
Posted
Keith, you have many people in this forum that can offer their advice and their experiences. I was diagnosed a little over 2 years ago. The cells found were the adenocarcinoma which I understand from my urologist is a non aggressive type and slow growing - which is good. You have other things going on too and I'm not sure how aggressive the rest of the findings are. Do yourself a big favor and do lots of research on your situation. There are websites where you can plug in your numbers i.e. PSA and Gleason score and it will give you treatment options that would be good. There are many treatments available and you should explore them. Radiation, Cyberknife, Brachytherapy, to name a few. If you can, ask your doctor what he would do if this were his situation, or one of his dad. What ever you decide, make sure the doctor has performed that procedure many times successfully. I researched options and had the Brachytherapy. I also considered Cyberknife. If you would be a candidate for these, they are much less invasive that the radical prostatectomy. But if that is the best treatment option for you - then do research for a good doctor. Maybe even a second opinion.
Keep us posted on your decision. Good luck to you.
sharpcut charles61038
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hopeful65 sharpcut
Posted
I highly recommend Dr. Vincent Laudone at Memorial Sloan Kettering
All the best to you
sharpcut hopeful65
Posted