johns hopkins prostate cancer second opinionike turner first wife lorraine taylor

Dont Miss: New Treatments For Stage 4 Prostate Cancer. 1st opinion"Nonspecific sclerotic change of the right pubic bone with low-level radiotracer activity, favor degenerative change rather than osseous metastasis." This has only low-level nonspecific activity with SUV max of 2.05 and may be due to degenerative changes at the symphysis pubis." If you are diagnosed with a urologic cancer, including but not limited to the prostate, bladder, kidney, and testicular or urinary tract, its important to consider a second opinion. This fee includes: Studies show the clinical and financial benefits of obtaining a pathology second opinion. Metastatic disease considered less likely for this pattern. It is OK to be scared. Seminal vesicles are normal. Dr. Erick Walser at University of Texas Medical Center. Extraprostatic extension: negative 2. This sounds to me like they're not familiar with the Oncotype DX test and makes me wonder how common is the test. Forty percent of the men obtained a second opinion from urologists, most often because they wanted more information about their cancer or wanted to be seen by the best doctor . And 2 cores from left apex of 3+3=6 with 10% involvement. An acute bacterial infection can cause a burning sensation. If I am rested, I find that I am more ready than if I am not. While the size of an enlarged prostate will influence the extent of urinary symptoms, men may experience a range of urinary symptoms. - Johns Hopkins Medicine -- Get a Second Opinion The symptoms of acute bacterial prostatitis are similar to those of CPPS. Enter the last name, specialty or keyword for your search below. In order to give treatment for each patient with utmost security we would like to announce that currently there will be no visitors allowed.Please note that only one attendant per in-patients is permitted. Hello, I apologize upfront for the length of this post, but I was recently diagnosed with prostate cancer (T2C) and figure more information is better than not enough. Dr. Jonathan Epstein of Johns Hopkins University Hospital. * Prostate volume: 22 cc In fact, additional biopsies revealed no additional cancer. Have a condition that isnt improving or is getting worse, despite treatment. Last checkup (July 2022) my PSA was .46 and it is currently at .32.I am still eating primarily a plant based diet (only lean meats/cheeses/eggs about 10% of my diet) and maintaining steady weight and I am still quite active physically.As for symptomswith 5mg Daily Cialis the occasional ED symptoms have pretty much gone away. 24.5 BMI TRANSPERINEAL MRI GUIDED BIOPSY RESULTS Benign prostatic tissue Usually, patients obtain a second opinion after being referred to a second physician or to a special team of experts in a cancer center, called a multidisciplinary team. Unbelievable that this happened!!! - High grade prostatic intraepithelial neoplasia (HGPIN) I really just want the results of their innovative PTEN test. Even if someone is being seen at a different academic center, the trials and other treatment options that we offer here may be different. In order to receive appropriate treatment, patients must understand the treatment options that are available. PREVIOUS MRI RESULTS (LOTS of them) doi: 10.1001/jamanetworkopen.2020.28320. We are vaccinating all eligible patients. 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. The urologist offered surgery and radiation as options on 3/10 when we met. 2015 Feb;115(2):188-97. doi: 10.1111/bju.12665. The percentage of tissue with carcinoma is 45% * Adjacent organ invasion: None. PELVIC LYMPH NODES: No adenopathy. The linear amount of tissue with carcinoma is 11 mm 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. If you choose to be treated at Johns Hopkins, you may be able to begin treatment immediately. - DWI-ADC = 4/5 5: Prostate, left medial apex It will be interesting to see, I think. Benign Processes: Request an Appointment 410-955-6100 Dont Miss: Can Prostate Problems Cause Burning Urination, Why Prostate Cancer Survivor John Shearron Thinks Its Important To Do Your Research | PCRI, Prostate Cancer Pathology in 2021 | Jonathan Epstein, MD | PCRI 2021 Conference, Johns Hopkins Prostate Cancer Second Opinion, treat rare and complex conditions through breakthrough fetal procedures, Function Of The Prostate Gland And Seminal Vesicles, Best Treatment For Intermediate Prostate Cancer, How Old Can You Be To Get Prostate Cancer, New Treatments For Stage 4 Prostate Cancer, Prostate Radiation Treatment Side Effects, Can Prostate Problems Cause Burning Urination, Prostate Cancer Spread To Skull Prognosis, Life Expectancy Stage 4 Prostate Cancer No Treatment, Diagnostic Procedures For Prostate Cancer. My diagnosis is T2c, Gleason 7 (3+4). That being said, they can be a beneficial member of the treatment team. * Perineural Invasion detected have no symptoms, and yet you have cancer? I had been carefully watching as my PSA increased to 3.2 from 3.9 in summer 2010. I also changed my diet to plant based food, started juicing, and started taking supplements (think Turmeric, Green Tea, etc.). !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. Then about a month later I started 28 fractions of Proton Radiation.It was painless. Good Day Everyone. Nor did I have any idea that the 1 core had 20% involvement and <5% pattern 4 involvement. Shore ND, Karsh L, Gomella LG, Keane TE, Concepcion RS, Crawford ED. My biopsy report does not mention a GS and the second opinion from Johns Hopkins did not list a GS either. I guess the PET scan will be the next step in what type of treatment options are in store.Has this occurred to anyone else? It's really that simple! It has been 2.5 years and the PSA has still not doubled as well. Have you heard of PRECISE follow up score for an MRI? Also, a second opinion provides the opportunity to get information from someone other than the physician who will be directing treatment, which is usually the main source of information for most patients. 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. Grade Group: 2 And by FAA Aeromedical Ruling, I'd need a few post procedure reports before being cleared to fly again.) These so-called grading and staging errors are more common and can affect how aggressively a patient is treated. The prostates function is to create some of the fluid that insulates sperm cells found in semen. This shows very high signal intensity on the diffusion-weighted * Both Sloan and Johns Hopkins admit that large discrepancies are unusual, yet both stand by their opinions. Inflammation of the prostate can affect the bladder and result in discomfort and other symptoms. __________________________________________________________________________July 2022I've neglected to make journal entries for a couple years, so I will recap below and continue with what I have done and what I have learned.In 2018, at the age of 48, after a routine physical that showed a PSA of (4.X) and after a TRUS biopsy, I was diagnosed with PCa. Many researchers believe PTEN present is a strong brake on 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. Perineural invasion is identified Asking for your comments: 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.). Find more COVID-19 testing locations on Maryland.gov. This is a PI-RADS 5 lesion in It didnt look at changes of grading of the cancer.The chances for some type of modification based on a second opinion are even greater than the study indicated.Asking for a second opinion could lead to a significant change in surgical or medical intervention, Netto says.Even if the diagnosis error isnt catastrophic, such as advising a patient that he has cancer when he really doesnt, an error in grading can be consequential. When I inquired with the oncologist that I had selected for my therapy before receiving the second opinion whether I would be a candidate for Active Surveillance considering the downgrading, she said 'no' due to the intraductal component. Two things you learn here is get a second opinion from Johns Hopkins on biopsy and get treated at Center of Excellence. We are vaccinating all eligible patients. About 60% of prostate cancers occur in people older than 65. Also, infection was noted, so the current PSA is high in part due to prostatitis. This is often the case when the primary physician advises an expensive treatment. 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. What have your doctors told you? This doctor or team of doctors will review the following: The doctor then communicate their opinion regarding treatment to both the patient and the primary physician. MRI June 2017 again at SMIL. Prostate cancer is the second-most diagnosed cancer in American men. __________________________________________________________________________July 2022I've neglected to make journal entries for a couple years, so I will recap below and continue with what I have done and what I have learned.In 2018, at the age of 48, after a routine physical that showed a PSA of (4.X) and after a TRUS biopsy, I was diagnosed with PCa. During puberty, the body produces semen in a large number of cases, including enlarged prostate. Greenfield G, Shmueli L, Harvey A, Quezada-Yamamoto H, Davidovitch N, Pliskin JS, Rawaf S, Majeed A, Hayhoe B. BMJ Open. -------------------------------------------------------- Wow, I sound like a snob now! But was able to walk right into the JH Urology clinic for immediate treatment (flushing of bladder cleared everything up). You may also complete an online appointment request form and we'll respond to schedule an appointment. Second Opinions An accurate diagnosis is essential to ensure that the correct and most effective treatment is given. When I read the forums and questions on this site everyone mentions their Gleason Score from their biopsy. EVERY DAY, they'd take a low dose X-RAY and low dose CT to align the fiducials and ensure my bladder was full and the bowel was empty. In adjusted models, obtaining a second opinion was not associated with receipt of definitive treatment . You're also at greater risk of prostate cancer forming before age 50. 2 of the 12 samples showed High Grade PIN and one area showed "suspicious for low-grade adenocarcinoma". Radhakrishnan A, Grande D, Mitra N, Bekelman J, Stillson C, Pollack CE. desired outcome. Bookshelf I had no idea there were second opinions and I didn't have a clue about Genomic testing, or even genetic testing. Since I have gotten so much out of this forum, I thought Id provide my story to help others. 2/23 PSA 4.7/fPSA 12% taken for 4K score (lab #2) Ask us questions on this webpage. So the pathologist suggested a second opinion. Prostate Cancer Grading: I have selected Focal Laser Ablation as my future (soon) treatment. 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. T2W MRI score= 2, DW MRI score= 3, DCE MRI score=positive But if I include the 3+3=6 cores then 4 cores tested positive and that moves me into the basic teal category and no longer a strong candidate for AS. Details are here: Total Gleason score: 6 This is why the prostate is important to the body. The more accurate the information we have, the better our treatment decisions. Usually, patients obtain a second opinion after being referred to a second physician or to a special team of experts in a cancer center, called a multidisciplinary team. peripheral zone signal intensity on T2-weighted images. MONDAY, Nov. 7, 2016 Second opinions have little impact on prostate cancer patients treatment decisions, new research suggests. 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. Dr stated that after seeing my muscles on the inside during operation he would have predicted this. I have posted here before, now with an update. 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. Greetings gentlemen! I worked out every day and it wasn't until the last week did I feel a bit fatiguedand experience a bit of urgency and hesitation having to peeflowmax fixed that right up!90 days after treatment my PSA came in at .56. 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. Johns Hopkins is home to many of the world's leaders in Pathology. Also these lesions did not abut or touch the wall of the prostate. probably organ confined disease. Thanks for considering. About 80 percent of prostate cancers are diagnosed at a localized stage, which means that the cancer hasn't spread outside of the prostate. The presence of any G4 has been my trigger to seek treatment. Dr. Albert Chang at UCLA appears to be the best in the biz for high dose rate (HDR) focal brachytherapy. Whether you want expert confirmation, lack understanding or confidence in your treatment plan, have a rare or unusual type of cancer, your cancer isnt responding to current treatment its reassuring to know that you have options through a second opinion. PROSTATE PROS Episode 6: Breakthroughs in Radiation PROSTATE ONCOLOGY SPECIALISTS, Like Man, Im Tired (Of Waiting): The How-to Guide for Men with Prostate Cancer PROSTATE ONCOLOGY SPECIALISTS, Considering Prostate Cancer Clinical Trials? He said that it will improve in the future due to future improvements in the treatments. I am already positively surprised that I am still alive 4.5 years after my diagnosis. About this time, I started reading this forum and my ignorance starts going away. Pathology reports are the opinion and interpretation of the individual pathologist viewing the tissue samples. PROSTATE LESIONS: Patient-initiated second medical consultations-patient characteristics and motivating factors, impact on care and satisfaction: a systematic review. It starts many years ago. Fear, confusion and uncertainty set in. If a targeted biopsy is planned, this lesion can be sampled at the same time. My experience at Johns Hopkins was awesome. Study after study confirms that doctors favor the treatment they are trained to do urologists typically recommend surgery and radiation oncologists recommend radiation. It may be a new cancer, but it is more likely a recurrence since it is really near the ablation zone. 2.Tammy Jiang, Christian H. Stillson, Craig Evan Pollack, Linda Crossette, Miupdachelle Ross, Archana Radhakrishnan, and David Grande, How Men with Prostate Cancer Choose Specialists: A Qualitative Study, Journal of the American Board of Family Medicine: JABFM, 30(2), (2017): 220229. Thank you, After more than three years on active surveillance, I've pretty much decided to have focal brachytherapy for my prostate cancer.

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