When The Lymph Nodes Are Positive
Posted in the Prostate Cancer Forum
#1 Aug 1, 2011
In my last post, I discussed lymph node dissection for men undergoing prostatectomy. Specifically, I focused on who does and does not need a lymph node dissection based on the risk of lymph node involvement by prostate cancer. But what happens when prostate cancer is actually identified in the lymph nodes? In the past, managing men with lymph node positive prostate cancer was not very complicated. Most men were monitored until symptomatic spread of the cancer was noted. After symptoms of metastatic disease emerged, palliative therapy with hormones was initiated. The prognosis was always poor. Today, however, the situation is quite different. First, the prognosis is not the same for all men with lymph node positive disease but, rather, varies with the extent of lymph node involvement. Also, therapy is usually initiated very soon after lymph node disease is diagnosed. Finally, different treatment modalities are being implemented beyond just hormonal therapy. In this post, I will describe these new approaches to treating men with prostate cancer in the lymph nodes.
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Hope you find it useful!
This blog is not a medical practice and cannot provide specific medical advice. This information should never be used to replace or discount the medical advice you receive from your physician
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