johns hopkins prostate cancer second opinion
Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, The Sidney Kimmel Comprehensive Cancer Center. 1. In the rare chance a baby needs highly specialized care, the team at Johns Hopkins is available to treat rare and complex conditions through breakthrough fetal procedures. Most choose treatment they originally planned to follow, study finds. The site is secure. Find a doctor at The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center or Johns Hopkins Community Physicians. Two things you learn here is get a second opinion from Johns Hopkins on biopsy and get treated at Center of Excellence. The results were ambiguous. Conclusions: The out-of-pocket cost may be in the $300 range (insurance may not cover it), and it is a simple matter to call your urologist to forward the slides to them. I had no idea there were second opinions and I didn't have a clue about Genomic testing, or even genetic testing. On the first scan (post FLA) a lesion was identified by the local radiologist that performed the scan, but the FLA radiologist that performed my procedure was over reading and monitoring my care and stated strongly that there was no cancer. Dr. Erick Walser at University of Texas Medical Center. Transurethral microwave thermotherapy : In selected patients, microwave energy helps to restructure prostate tissue and alleviate symptoms such as incontinence and voiding dysfunction, Laparoscopic prostatectomy: The prostate is removed with a miniature telescopic instrument, which allows for a quicker recovery, Robotic surgery: This breakthrough technology, which often is used for prostatectomy surgery, requires only a few small incisions. Radhakrishnan A, Grande D, Mitra N, Bekelman J, Stillson C, Pollack CE. We have sought a second opinion and all tests are being reviewed by that second team.My question has to do with the symphysis pubis. official website and that any information you provide is encrypted !I've pasted a previous update below for background.I just got my PSA results and the numbers are still trending in the right direction. A fusion biopsy was performed in late May and I just received those results last Thursday. Ask your PCP to refer you to several different types of treating doctors before making a treatment decision. Will these places of excellence consider me, or am I bound to my regular doctor for insurance purposes? The biopsy took 3 samples from the targeted region plus 16 sextant. probably organ confined disease. 6 cancers that are the toughest to diagnose are prostate, bladder, head and neck, soft tissue, skin and lymph system. 4. Now, though, encouraging animal data and preliminary studies in human patients are making some doctors feel optimistic. Covid turned the 1 year into 16 months and PSA tested at 7.44 in August 2020, followed by another referral back to the urologist. I did ask some questions about the study, if anyone is interested. I personally have benefitted from second opinions on my so-called cancer journey. For all other cancer appointments, please call: 1-855-702-8222. Prostate cancer is a slow growing condition. Diffuse probable benign peripheral zone changes limit evaluation for One Johns Hopkins study showed that out of 14,000 men who had surgery and were found to have Gleason 6 cancer confined to the prostate, "zero of those 14,000 men had lymph node metastases. When you review your pathology report and are going to be making important decisions, like treatment decisions, which will be based on the information from the pathology report. Instructions for Second Opinion on Pathology (Gleason score) Benign prostatic tissue And 2 cores from left apex of 3+3=6 with 10% involvement. (I must say that those low numbers concern me a bit.) Hello. )As for side effectsI occasionally have some urgency/hesitancy having to pee. Im immediately referred to Urologist. Urologists at the Johns Hopkins Brady Urological Institute can make the difficult process of deciding on a treatment plan easier. You May Like: Sbrt Radiation Therapy Prostate Cancer. D. Prostate, left base, core biopsy: I trust the second opinion Dr. Bush gave. Laparoscopic prostatectomy: The prostate is removed with a miniature telescopic instrument, which allows for a quicker recovery, Robotic surgery: This breakthrough technology, which often is used for prostatectomy surgery, requires only a few small incisions. Enter the last name, specialty or keyword for your search below. Find more COVID-19 testing locations on Maryland.gov. have no symptoms, and yet you have cancer? 5. My current situation is age 67, no health issues, never had erectile dysfunction or incontinence, 6 tall, 175 lbs, generally fit and active. Obtaining a second opinion on your pathology report is no different than getting a second doctors opinion, it is a must for all of us. The percentage of Gleason grade 4 and/or 5 is 5 % Patient preferences and urologist recommendations among local-stage prostate cancer patients who present for initial consultation and second opinions. Two 1cc tumors, gleason score 3+4 each, one in each lobe. radiation, active surveillance, surgery, hormone therapy, and more. 3T MRI with coil is done initially, along with a TRUS biopsy. Spent the night in hospital with very little pain after the first couple of hrs. It works. Your current doctor will frequently suggest a second opinion, if only to confirm the recommended course of action. I also sent my biopsy slides to Johns Hopkins for a second opinion (Epstein's read was 3+4, but with lower pattern 4 involvement than the local pathologist.). However, there are other cases when a second opinion results in a very different diagnosis or set of treatment recommendations. I fear limiting myself to an inferior treatment because the people I talk to have hammers, therefore everything must be a nail. Second opinions are more likely to be comprehensive, or inclusive of every possible perspective, when performed in a cancer center with a multidisciplinary team, which usually includes surgeons, oncologists, radiation therapists, and sub-specialist oncologists. * PIRADS v2 Score: 5 The https:// ensures that you are connecting to the My urologist has decided we'll go ahead with the MRI due to the continued elevated PSA scores, in addition to the overall PHI score. John Hopkins Prostate Cancer Second Opinion It may be a new cancer, but it is more likely a recurrence since it is really near the ablation zone. Here's what JH says (same lesion). 6. Overall, obtaining second opinions was not associated with changes in treatment choice or with improvements in how patients viewed their quality of cancer care. PSA: 4.7 ng/ml/PSA density: 0.27 ng/ml2 However, there were no other suspicious areas on MRI. 53 years old Note that I'm trying to get a second opinion from Johns Hopkins but Mayo, where the biopsy was performed, appears incapable of processing my request. Over 80,000 specimen cases are seen at Johns Hopkins each year. And, even working in a fairly technical field myself, I was amazed at the technology and precision of that Proton Machine. Lesions are all small or very small. Overall, nearly 80% of men received definitive treatment 76.5% of men who obtained a second opinion from a urologist received definitive treatment compared to 81.6% who did not . He schedules appointments with a Radiologist and two local surgeons. I just turned 71 in February. During your visit, our specialists will review your medical records, diagnostic tests and other information provided by you or your current physician. Consultation with your nurse care manager. * Asked and Dr. said he isn't overly concerned about perineural finding with the grade and it won't impact treatment options or overall prognosis. This fluid causes the prostate to swell and cause a number of bladder-related symptoms. Thanks for Everyone's Help, Benign Processes: First 6 week PSA is undetectable. Hopkins states that the one positive core (10% G6) was visualized by the MRI, so I am hoping that this increases our chances of making it through the screening process. The best protection for cancer patients who are Health Maintenance Organization members is to seek a second opinion even if she or he has to pay for it. - High grade prostatic intraepithelial neoplasia (HGPIN) They replied they are sending the slides but they said they're looking into the DX test and will get back to me once they have that information. Your current doctor will frequently suggest a second opinion, if only to confirm the recommended course of action. My family doctor was alarmed because such a steep increase in prostate-specific antigen could be a sign of prostate cancer. 3. - Prostatic adenocarcinoma, Gleason score 3+4=7 (grade group 2, pattern 4: 5%) involving 2 of 2 cores (medial core: 3.5 mm, 30%; lateral core: 2.5 mm, 20%), 0.5 mm to the blue inked tissue edge (the closer) Dr. Nour is 100% sure that nothing has spread. You may also complete an online appointment request form and we'll respond to schedule an appointment. I didn't study for the test and it's possible some morning activities might have affected my test score :) Pathology Second Opinion-J.Epstein,M.D. Pathologist-Johns Hopkins I opted to waive the biopsy, wait 1 year and test again. LESION 2 No two cases of prostate cancer are alike and an accurate diagnosisis critical to developing the best treatment plan. Check Biopsy and Imaging Results for Accuracy. More medical freakouts. This is the most common urinary tract problem in men under 50, and the third most common in men over 65. Have a condition that isnt improving or is getting worse, despite treatment. Because I had an implant in my ear, they would only give me a 1.5T MRI. You think your doctor is underestimating how serious your cancer is. It is OK to be scared. However, just to be safe she schedules me for TRUS biopsy with the Urologist in another 6 weeks. I have posted here before, now with an update. 2 cores from left base of 3+4=7 with only 5% involvement. I was disappointed that only TRUS was being used, but I did find out that this was for screening only and IF you pass screeningthey use MRI guided biopsy for post-ablation follow up. I still have some urgency and frequency issues, but I am not complaining too bad. Compared to younger men, men 70-74 years old and men 75 years were less likely to obtain a second opinion whereas men with college graduate level education or beyond were more likely compared to men with less than high school level education. I tried to send the samples out for genetic testing to Prolaris and Decipher, but there was an ordering error and they never went thru. FAX 310-574-4002 Seminal vesicles: The seminal vesicles are normal and symmetrical bilaterally. Treatment Advice: Sloans radiation oncologist says radiation treatment will likely be the same whichever pathologist report prevails, but may add hormone therapy for about 2 months. E. Prostate, left mid, core biopsy: Recently diagnosed a Gleason 3 + 3. I am also doing a vegan diet with additional complementary substances. Visit and Like ZERO - The End of Prostate Cancer on Facebook, Sign up to receive emails and news from ZERO - The End of Prostate Cancer, Search prostate cancer clinical trials and studies. However, there are other cases when a second opinion results in a very different diagnosis or set of treatment recommendations. - High grade prostatic intraepithelial neoplasia (HGPIN) I would appreciate hearing from that 2.8% out there who have an intraductal component. It can: Confirm your original diagnosis and treatment plan Give you more detail about the type of breast cancer you have and stage it's in. Pathology reports are subjective. They agreed with the PI-RADS 4. Benign fibromuscular stroma; no prostatic glands are identified We prioritized treatment as AS, FLA/TULSA (if a lesion ever presented itself), and Proton Beam Radiation. The study included nearly 2,400 men in the Philadelphia area recently diagnosed with localized prostate cancer. I find that when I'm trapped in the cockpit not able to use the bathroom for a long time is when I experience that most. He adds that second opinions also can provide insight into topics like clinical genetics and family risk or issues related to complementary or integrative medicine approaches to manage symptoms. The other samples produced 4 more positive cancer cores for a total of 7 of 12 positives.
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