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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Was Diagnosed With Prostate Cancer, Had Radical Prostatectomy. Explain Meaning Of Malignant Neoplasm Of Prostate?

I was diagnosed with prostate cancer in 2006 (Gleason s 10/10). I had a radical prostatectomy and have subsequently been treated at MD Anderson with intermittant lupron and casodex. My present condition is extremely good and has been so since surgery. On my most recent restaging and evaluation (Sept 2012) the term malignant neoplasm of prostate was included as an alert notice. I did not read this note until just recently. I am wondering if this indicates a change in my diagnosis, or has this terminology been relevant from day one?
Wed, 23 Jan 2013
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Oncologist, Radiation,  's  Response
Hi,
Your prostate cancer risk stratification should be mentioned. You should mention your baseline PSA value before treatment and staging based on pathology report. As your gleason's score was 10 most probably your disease was high risk prostate cancer. In this case adjuvant radiation may have some role ( pelvic radiation). Anyway it is not clear whether radiotherapy was given or not. Now you have to check your PSA value at regular interval. As radical prostatectomy has been done then PSA value more than 0.2 ng/ml may indicate biochemical failure. then your treatment can be changed. another issue you have to know whether at any time your PSA value came below 0.03 ng/ml or not. This has got prognostic implication. Prostate cancer and malignant neoplasm of prostate are synonymous. take care.
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Was Diagnosed With Prostate Cancer, Had Radical Prostatectomy. Explain Meaning Of Malignant Neoplasm Of Prostate?

Hi, Your prostate cancer risk stratification should be mentioned. You should mention your baseline PSA value before treatment and staging based on pathology report. As your gleason s score was 10 most probably your disease was high risk prostate cancer. In this case adjuvant radiation may have some role ( pelvic radiation). Anyway it is not clear whether radiotherapy was given or not. Now you have to check your PSA value at regular interval. As radical prostatectomy has been done then PSA value more than 0.2 ng/ml may indicate biochemical failure. then your treatment can be changed. another issue you have to know whether at any time your PSA value came below 0.03 ng/ml or not. This has got prognostic implication. Prostate cancer and malignant neoplasm of prostate are synonymous. take care.