johns hopkins prostate cancer second opinion

2018 May;115:133-138. doi: 10.1016/j.urology.2018.01.048. Slight BPH findings. Inflammation of the prostate can affect the bladder and result in discomfort and other symptoms. Overall, obtaining second opinions was not associated with definitive treatment or perceived quality of cancer care. I frequently make a 2 hour car ride and I have to stop about 25% of the time and when I don't, the urgency is a bit more evident and with the urgency come some hesitancy, but not terrible. 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. It also rules out Brachytherapy. - Perineural invasion is present Second Opinions & Consultations - Brain Tumor | Johns Hopkins Pathology They agreed with the PI-RADS 4. Second Opinions & Consultations - Johns Hopkins Pathology Prostate Cancer News, Reviews & Views: Second opinions But, ultimately decided on whole gland treatment using Proton Beam Radiation.So. Radhakrishnan A, Grande D, Mitra N, Pollack CE. Being in Wisconsin, my insurance gives me the option of two hospitals to manage me. Based on this forum, Im very lucky for this outcome. 2nd opinion"Sclerotic change at the right pubic bone with max SUV of 1.4." F. Prostate, left apex, core biopsy: MRI obtained outsideon 04/16/2021. I want to insure that the Imaging was read correctly and nothing was overlooked or missed. Second opinions from urologists for prostate cancer: Who gets - PubMed Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, The Sidney Kimmel Comprehensive Cancer Center. I'm 58 yrs old and had a TRUS random biopsy October 2020 after my PSA continually stayed between 4.4 and 8, and PHI score was 126. The all-inclusive cost for a virtual second opinion for patients in the U.S. is $1,850. And when I attempt to ask questions about intradcutal, I get responses about how little is known about it because it's so rare or that it is controversial or that they're not familiar with the study I'm referencing. 6 A study at the Johns Hopkins Health System found it was 3.4 times more common in Black Americans than in White Americans. We will give that a shot and see how it turns out. I say bullshit to them. 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. Radhakrishnan A, Grande D, Mitra N, Bekelman J, Stillson C, Pollack CE. FAX 310-574-4002 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. intricate disease and not all doctors have the same amount of experience Pathology reports are subjective. - Perineural invasion is present The James Buchanan Brady Urological Institute, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov. My direct phone (mobile) number is 703-992-3662, or you can private message me via this platform. Advances in our understanding of breast cancer have opened up new treatment options or clinical trial opportunities, including targeted drug therapies and tissue-conserving procedures proven to greatly reduce pain and nausea. - Prostatic adenocarcinoma, Gleason score 3+4=7 (grade group 2, pattern 4: 5%) involving 2 of 2 cores (combined: 10.5 mm, 40%), 0.2 mm to the blue inked tissue edge * IF ANYONE reading this doesn't believe in the value of MRI first and targeted biopsy next then take note that my systematic biopsy cores showed 0 positive in 8 cores and my MRI guided core samples were 6 for 6 being positive! Experts believe that this study is the first in history to have achieved such results. 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. J Am Board Fam Med. Now its easier than ever to get the answers you need and peace of mind you deserve. Explore our state-of-the-art patient care facilities in the Sheikh Zayed Tower. Without your support, I could easily have subjected myself to random biopsies that are risky, don't do a good job of finding lesions, and can mess up the clarity of the prostate for an MRI. Identified an approximate 2 cm lesion of mostly Gleason 7 (3+4) with only 20% being 4, contained in prostate. A fusion biopsy was performed in late May and I just received those results last Thursday. Prostate, left lateral base: Is there such a thing as having a team that isnt equipped with the best equipment nor the most experienced radiologists? If I am rested, I find that I am more ready than if I am not. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. Overall PIRADS Score: 2/5 Utilize your primary care physicians as an un-biased resource to help you get second opinions from a range of specialists. There are three main types of doctors that manage prostate cancer: urologists, radiation oncologists, and medical oncologists. Future study is needed to determine when second opinions contribute to increasing the value of cancer care. However, many insurance and health care companies do pay for such opinions and acknowledge the importance of second opinions. -------------------------------------------------------- Sometimes, you may find out about treatment options you didnt know were available. Lesion 1: Left mid-base transition zone. Grade Group: 2 Anyway, would appreciate knowing how to contact Johns Hopkins. Luckily, his report co-coincided with the original QDx report. It hasn't let me down. At this time, I am leaning towards Active Surveillance or FLA. AS would be my choice, except that a total of three lesions, on both sides of Peripheral Zone, makes this controversial. Last year, Epsteins lab reviewed the pathology reports of 30,000 cases in which patients requested second opinions.Netto says patients should be proactive in requesting that doctors take another look.A second opinion can reverse the diagnosis in up to 5 percent of cases for some types of cancers, he says, like those of the breast and pancreas.Diagnosis Errors by the Numbers. * Extracapsular extension: None. U.S. News & World Report ranked the institute #7in the country. I had been carefully watching as my PSA increased to 3.2 from 3.9 in summer 2010. However, many insurance and health care companies do pay for such opinions and acknowledge the importance of second opinions. Lesions are all small or very small. I've been on AS for two years after my initial TRUS biopsy showed 3 cores 3+3 (10% volume) on Right side, and 2 cores 3+3 on Left side. BJU Int. Asking for your comments: A second opinion is part of the education process that is critical for many cancer patients. Want confirmation about a diagnosis or treatment. Methods: I'm leaning towards SBRT. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. Johns Hopkins Prostate Cancer Second Opinion Even at the age of 48, he thought I would be a good candidate for AS. The study included nearly 2,400 men in the Philadelphia area recently diagnosed with localized prostate cancer. Of course, my old school Urologist recommended surgeryHe, of course, knew the best robotic surgeons around.Anyway. 9. - 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) If the problem is unresponsive to other treatments, your doctor may suggest a surgical procedure. Either the patient or the primary physician can initiate the process of getting a second opinion. Research was mixed on PINS, but in those days, many doctors saw them as likely to develop into cancer. Second opinions are a common practice in any area of medicine that is complex and that has multiple treatment options available. The site is secure. I question the potential EPE and he said it didn't matter, but went ahead and ordered Oncotype. Y'all are in my prayers! 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. The TRUS biopsy is behind me, the second opinion from Johns Hopkins is behind me, and its time for next steps. My mind goes all over the place as to why this is. With The Clinic by Cleveland Clinic, patients have access to Cleveland Clinics 3,500 specialists with extensive experience in all types of cancers. Whats right for you will depend on the stage of the cancer, your level of risk and your general overall health. Prostate, right medial base: There were several areas of interest - but nothing in seminal vesicles, lymph, or bones. The Radiation Oncologist said he would be comfortable waiting a little more, but he wasn't confident that I'd grow a target lesion, nor would I be able to wait years before having to do "something." This has raised some questions on all the scans so far. 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? Original Sloan Biopsy Results: As soon as pathology slides were ready, Emory sent them to Dr. Epstein at Johns Hopkins. LESION 2 Total Gleason score: 6 Results: Because physicians may differ in their approach to treating breast cancer, its very important to check with a breast cancer expert to know youre receiving the best treatment for you. Last year, Epstein's lab reviewed the pathology reports of 30,000 cases in which patients requested second opinions. My family physician for years told me that small increases PSA was common so when it went over 4 it didnt bother me and my Dr who was retiring, didnt say anything either.

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