-------------------------------------------------------- Our collaborative processes also extend to our colleagues at Johns Hopkins Medicine, a world-wide leader in cancer research. Similarly, among those who received definitive treatment, second opinions were not associated with receiving surgery. There are also many reasons why you may want to seek another opinion during the course of your cancer care. Experts believe that this study is the first in history to have achieved such results. TZ zone more beneficial, but fairly large compared to whole gland and proximity to capsule edge would likely mean treatment would be suggested. PSA had increased to 5.4. Now the oncologist wants to perform a PSMA Pet Scan. Cancer. Centro Diagnostico Italiano , Milan, Italy, Manfred Dietel, M.D.Institute of Pathology Charit, Humboldt University of Medicine, Berlin, Germany, Jonathan I. Epstein, M.D.The Johns Hopkins Medical Institutions, Baltimore, MD, Robert J. Kurman, M.D.The Johns Hopkins Medical Institutions, Baltimore, MD, Elizabeth Montgomery, M.D.The Johns Hopkins Medical Institutions, Baltimore, MD, Manuel Sobrinho-Simes, M.D.University of Porto, Porto, Portugal, Ronald S. Weinstein, M.D.University of Arizona, Tuscon, AZ, Franco VisinoniMilestone Medical Technologies, Bergamo, Italy, Read Also: Nhs Prostate Cancer Risk Calculator. have no symptoms, and yet you have cancer? Johns Hopkins is home to many of the world's leaders in Pathology. When I read the forums and questions on this site everyone mentions their Gleason Score from their biopsy. However, he also said it's treatable even at a 2cm size and the transition zone is a favorable spot. peripheral zone signal intensity on T2-weighted images. The percentage of tissue with carcinoma is 45% IMPRESSION: I had a very bad experience with an incompetent nurse that did a catheter change. In the United States, prostate cancer is among the most common cancers found in men. However, just to be safe she schedules me for TRUS biopsy with the Urologist in another 6 weeks. He is the past president of the International Society of Urological Pathology. A new study by researchers at the Johns Hopkins University has found that second opinions did not change treatment choice among men diagnosed with low-risk prostate cancer. I am already positively surprised that I am still alive 4.5 years after my diagnosis. When you get a diagnosis of breast cancer from your doctor, its not uncommon to get a second opinion. Another type of prostate issue is chronic prostatitis, or chronic pelvic pain syndrome. The prostates function is to create some of the fluid that insulates sperm cells found in semen. When people recommend going to a Center of Excellence, believe them. For this study, published in the journal Cancer, 2386 men in the greater Philadelphia area, who were diagnosed with prostate cancer between 2012 and 2014, responded to survey questions. If the enlarged prostate is not completely removed, it will shrink. Race and ethnicity. Youve just been diagnosed with prostate cancer. Obtaining a second opinion in Pathology can in a small percent of cases lead to a complete change in diagnosis in a wide range of conditions including non-cancerous growths, inflammatory disorders, infections, and cancer. MY THOUGHTS AND ANYTHING DOCTOR NOTED: 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. Background: With world-renowned expertise, multidisciplinary specialists and the latest data, we partner with you to make informed decisions about managing your prostate cancer. Someone advised to always get my PSA checked at the same facility in order to make sure the same protocol and lab is used, is that critical? 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. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. A second opinion is part of the education process that is critical for many cancer patients. I was diagnosed with a 3T MP MRI and a 3T MP MRI guided 4 core biopsy. The Radiation Oncologist knew of Dr Busch (by now in Alpharetta, GA) and spoke highly of him. )I contacted Dr Busch (still in Chattanooga at the time) and he called me directly to talk me off the ledge. Thanks, BigD. 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. By choosing the first doctor you speak with to be your treating physician, you may be putting your health in the hands of someone who lacks the expertise to accurately and safely treat your prostate cancer. !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. They also determined there was extrapostatic extension because there was some fat in the sample that involved the cancer. My profession for forty years was health actuary consultant, so I have a pretty fair understanding of health data, outcomes, and risks. The primary goal is to be cured with the least toxic, most effective approach. Also, in 2018 I had an exosome Dx test which scored 45.34, but I also retook that test this year and it went down to 30.79. * Size: 1.5 cm Prostate, left lateral base: No extraprostatic extension. Do I need a third opinion? The Johns Hopkins Brady Urological Institute is known around the world for its expertise in diagnosing and treating urologic conditions. 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. A report with the diagnosis will be faxed to your doctor. Our OB-GYNs, maternal-fetal medicine specialists, and pediatricians collaborate regularly with the Johns Hopkins team getting second opinions and access to hundreds of clinical trials. 4. DIAGNOSIS: Prostatic Adenocarcinoma Had my PSA remained static I'd have remained on AS and had I grown a Target Lesion I'd have sought focal treatment.This science is emerging and only getting better. - Prostatic adenocarcinoma, Gleason score 3+4=7 (grade group 2, pattern 4: 5%) involving 1 of 2 cores (lateral core: 4 mm, 35%), 0.1 mm to the blue inked tissue edge (PZ) - normal 2. Even if someone is being seen at a different academic center, the trials and other treatment options that we offer here may be different. I'd like to talk with former patients who have gone through the procedure. When first diagnosed with prostate cancer, your PCP will generally refer you to a urologist for a biopsy. I have been drinking out of an information fire hose. Johns Hopkins second opinion - nothing found. The linear amount of tissue with carcinoma is 23 mm Either the patient or the primary physician can initiate the process of getting a second opinion. The results seemed fairly benign and my urologist and I decided to continue to monitor with 2 more PSA tests and then consider an MRI in April 2021. Enter the last name, specialty or keyword for your search below. 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. NONE of the many radiation oncologists, surgeons or urologists I've spoken with in my journey have ever mentioned the term to me so I had to look it up. Cancer 2017;123:1027-34. What are you doing about it? In general, a second opinion is a good option for people who have recently received a cancer diagnosis but have not started treatment, as well as for people who have already completed chemotherapy or radiation treatment. He has had a nagging "groin injury" for may years (he played pick up basket ball until he got injured) and we are now wondering if this could be the source of that recurring ache. You May Like: Best Treatment For Intermediate Prostate Cancer. It hasn't let me down. I was on disability from work the entire time (not that I was disabled, but as a pilot, I couldn't very well work and get treatment at the same time. The biopsy took 3 samples from the targeted region plus 16 sextant. Benign fibromuscular stroma; no prostatic glands are identified Seminal vesicles are normal. 6. You may be concerned that the cancer will grow rapidly out of control before you are able to get a second opinion. Doctors can review their peers treatment suggestions and explain why they agree or disagree. Getting a second opinion can sometimes lead to a complete change in diagnosis in non-cancerous growths, inflammatory disorders, infections, cancer and other conditions. Careers. BJU Int. His most-frequently cited first or last authored publications is Pathological and Clinical Findings to Predict Tumor Extent of Nonpalpable Prostate Cancer, published in JAMA, which established the criteria for active surveillance. Good Morning Brothers- - Benign prostatic tissue I was offered to have my first biopsy sent to Johns Hopkins for second opinion and said why not? which came back with Gleason 9 three weeks after having the what we thought was G-7 ablated. Some specialists have more expertise and more experience than others. Receiving a second opinion was not associated with perceived quality of prostate cancer care. Need guidance choosing from multiple treatment options. We specialize in minimally invasive treatments for prostate cancer such as: We place a high priority on sparing the nerves and tissue around the prostate whenever possible. Wondering if any of the "gurus" here want to take a stab at looking at this and see if they agree that it says what I think it says (I will be following up with doctor(s) to get their opinion, and I waive all HIPAA rights by allowing this to be seen). But I don't want to do a radical prostatectomy or radiation that would have large side effects now if the laser is a viable option given my data set. So the pathologist suggested a second opinion. So, I made an appointment at Emory Proton Center (Atlanta, GA) and got their opinion. He never sought treatment for the injury. In fact, additional biopsies revealed no additional cancer. Getting a second opinion on a diagnosis can reverse a diagnosis or alter the treatment plan. - High grade prostatic intraepithelial neoplasia (HGPIN) Keeping a timeline and organized medical records is important because it can contribute to your treatment plan. By basing a treatment Does this also include HIFU, Cryoablation? About this time, I started reading this forum and my ignorance starts going away.
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