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MRI ? What is this ?

 
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grynch
New User


Joined: 29 Nov 2006
Posts: 2
PostPosted: Mon Apr 23, 2007 7:34 am    Post subject: MRI ? Reply with quote
Hello All, Can anyone here speak about MRI, and I guess the need for?

My Urologist, and potential surgeon diagnosed me with Prostate cancer back in March and recommenced a prostectomy. His preferred method is open surgery.

The second surgeon I spoke with has recommenced daVinci laparascopic and recommended an MRI the day before surgery.

The third surgeon I spoke with, who would also do a daVinci laparascopic procedure has said due to my age, my low PSA and relatively low Glesaons that an MRI would not be called for as there is no indication the cancer has spread beyond the prostate. By the way this third surgeon has performed 200+ daVinci prostectomys and the second surgeon 60+ ( The first surgeon I have pretty much decided not to go with due to his preference for the "open" method.)


P.S.... let me give you a little background on myself.... I'm 52 year old recently diagnosed with Prostate cancer. My current PSA is upper 4.'s ( high of 5.82 ). Biopsies I had done in March came back positive with a Gleasons score of 6 ( 3 / 3 ) and by DRE my surgeons (!!) describe the stage as T1c.
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rlee
Site Admin


Joined: 15 Jan 2006
Posts: 245
PostPosted: Tue Apr 24, 2007 8:21 pm    Post subject: Re: MRI ? Reply with quote
grynch,
If you go by the NCCN guidelines, which can be found here
http://www.nccn.org/professionals/physician_gls/default.asp

then, they don't recommended CT/MRI for people with a low likelihood of LN involvement. From what you've said thus far, you seem to be in a low risk category for LN involvement. Some use the Memorial-Sloan Kettering prostogram to help calculate this. You can find more info here:

http://www.mskcc.org/mskcc/html/5794.cfm

Thus I think your 3rd doctor seems to have the most reasonable approach inline with standard of care in the US from the limited information you have given us. Good luck.
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RLee, MD

Any information provided is NOT intended to provide specific medical advice to users but rather to provide users with information to help them better understand their health condition and related care. All readers are strongly encouraged to consult with a qualified physician for answers to their personal medical questions.
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