Re: 46 YOA PCa Diagnosis/NYC Metro Area

[Guest guest]

1. Since the Memorial Sloan Kettering website is one of the key

sources of information on the Web, perhaps MSKCC (in Manhattan, the

last I knew) would be worth visiting. " Teaching hospital " or not,

there are lots of experts there.

2. You're probably a candidate for " active surveillance " , given your

low PSA and Gleason scores. Gleason 6 is always " 3+3 " . You have the

option of doing nothing, at least for a while.

Take your time in deciding on treatment, and on who does it. You'll

be living with the side effects for a long time.

> ________________________________

>

> To: ProstateCancerSupport

> Sent: Monday, December 1, 2008 7:45:03 PM

> Subject: 46 YOA PCa Diagnosis/NYC Metro Area

>

>

> Hello All, i've been reading all yours posts with interest. I just

> joined the group a few days ago. I was diagnosed with PCa a few weeks

> ago.

> I'm 46yoa male with no family history of PCa. Diagnosis is a result of

> DRE, palable nodule (node), ultrasound and biopsy with 13 core samples

> taken. PSA was 1.5, Gleason was 6 (Urologist did not give me the

> breakdown of two different breakdowns of the Gleason scores). Nor did

> doctor give me staging information yet. He said several core samples

> were positive for PCa. Although it does not seem to be agressive. To

> say the least I've been doing a lot of research since the diagnosis.

> The urologist gave me the dx and immediately began to talk about

> surgery and or radiation - whichever I preferred, but disease

> contingent. I asked the doctor to send lab work to a second lab for

> verification. I'm in the New York City metro area and am considering

> going into NYC for second opinion etc. Although in speaking to my

> internist today (who incidentally found the intial enlarged prostate

> and node), mentioned not not liking the larger NY City hospitals as

> they are teaching hospitals and generally you don't get the same doctor

> working on you who you have consulted with. Internist brought up about

> notion of private hospitals (Boston & Florida), particularly one or two

> in Flordia where daVinci robotic suregery for PCa is there specialty.

> Doctor could not recall name of doctors there nor hospitals, but is

> checking for me.

> Any suggestions, thoughts or advice? I'm scheduled for a CT and Bone

> scan within the this Thursday, but from what I've read may not officer

> that much help. I've also read about Dr. Bard (clinical radiologist) ,

> in NYC, doing power doppler imaging ultrasound using blood flow

> ultrasound technology to differntiate between cancer and benign

> prostatic hypertrophy. Any help and suggestions would be appreciated!

>