Request an Appointment 410-955-6100 4.5 year journey (18 months post proton beam), 4.5 Year Update (18 month post Proton Beam). PSA had increased to 5.4. Comments appreciated, Similarly, among those who received definitive treatment, second opinions were not associated with receiving surgery. Second opinions offer different things in different circumstances, Dr. Matasar says. My Oncotype rating was GPS 54, with a 26% chance of metastisis within 10 years. - High grade prostatic intraepithelial neoplasia (HGPIN) Bring All Labs/Notes to Each Appointment. 2: Prostate, right lateral base Which Patients Report That Their Urologists Advised Them to Forgo Initial Treatment for Prostate Cancer? lesion. After extensive discussion of his management options with his local urologist, primary care physician, and radiation oncologist, he also sought a second opinion at the Johns Hopkins Prostate Cancer Multidisciplinary Clinic at Sibley Memorial Hospital.The patient expressed an overwhelming desire to avoid surgery and any other invasive treatments. -------------------------------------------------------- About 80 percent of prostate cancers are diagnosed at a localized stage, which means that the cancer hasnt spread outside of the prostate. So, I believe I made the right choice. Reasons for obtaining a second opinion from urologists. 3. Jonathan Epstein, M.D. Its in your best interest to ask for another look at a cancer diagnosisIf youve recently been diagnosed with cancer, its wise to ask for a second opinion on your pathology specimen.Johns Hopkins researchers with the Urological Pathology Consult Division, led by Jonathan Epstein, M.D., first reported on biopsy errors a decade ago, when they found a margin of error in prostate cancer diagnoses large enough to give them pause. Urologists at the Johns Hopkins Brady Urological Institute can make the difficult process of deciding on a treatment plan easier. Is there such a thing as having a team that isnt equipped with the best equipment nor the most experienced radiologists? Many health insurance companies will pay for a second opinion, especially if it is for a medically necessary treatment. DIAGNOSIS: In other words, can I have a team here in Wisconsin yet travel elsewhere to get my MRI? Their MRI was more sensitive and found there were actually 2 lesions close together that looked like one on the prior MRIs. 4. Intensity: min 148 / Max 459 I was disappointed that only TRUS was being used, but I did find out that this was for screening only and IF you pass screeningthey use MRI guided biopsy for post-ablation follow up. To learn your stage of prostate cancer, take the staging quiz on keytopc.com. After much discussion we both agreed that surgery was my best option and that he would do it at the end of July. Proton Therapy Case Study - Prostate Cancer - Johns Hopkins Medicine We specialize in minimally invasive treatments for prostate cancer such as: We place a high priority on sparing the nerves and tissue around the prostate whenever possible.

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