why chemio before surgery

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Stefano M. - 31 Jul 2004 10:24 GMT

Da: "Heather" <janesmith60@hotmail.com>
Oggetto: Re: tranplant of sural nerve
Data: sabato 31 luglio 2004 3.01

"Danny McCarty" <roachable@aol.comneat> wrote in message
news:20040730182405.26011.00000720@mb-m28.aol.com...

> >Subject: tranplant of sural nerve
> >From: "Stefano Munari" miciuss@libero.it
> >Date: 7/29/2004 3:24 PM Central Daylight Time
> >Message-id: <k2dOc.20071$1V3.456403@twister2.libero.it>
> >
> >I am 41 years old, I was diagnosed vith prostate cancer.I'm married

without

> >children
> > PSA 11,15
> >Gleason score 8
> >T2b
> >Biopsy 6/6
> >After 4 cycles of chemio with taxolo, and estramustina pills to riduce my
> >prostate I'll be surged in 2 weeks.
> >At this moment the PSA is 0.18 and my prostate is just a little bit

larger

> >than normal.
> >I'll be surged and during the radical prostactomy there will be a

cavernous

> >nerve graft reconstruction using sural nerve grafts.
> >I'm italian and I'd like knowing if there is anybody that is surged in

this

> >way.
> >Sorry for my english and thanks.
> >
> >Stefano M.
> >
> You are the first I have heard of that had chemo before RRP. I had a

couple

> months of casodex tablets before radiation, but nothing before the RRP. I

have

> always heard that radiation and chemo turn much of the prostate into scar
> tissue and make surgery difficult. Your stats sound much like mine when I

was

> diagnosed, but I have no idea what "surged" means.

Operated on?? He mentions being "surged and RP" in the same sentence.

Sorry, I mean I'm going under the surgery 16th august and during the RP they
'll make the transplant of nerve.
About the chemio before the RP, I know that is not usual because the gold
standard is ,first surgery and than the chemio. According with the
Dr Urologist, Dr Oncologist and Dr Surgeon we done this. First of all try to
decreasing the area of PCa because the it was at the border of prostate
and
than the surgery hoping to save at least one nerve. I have spoked with other
Doctors and the answer always the same:" RP and nerves away".
For them the important is: Saving lives, for me is important saving my life
but also try to "saving my quality of life". So doing this, in the future,
I'll dont have
any doubt about my choice.

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Leonard Evens - 31 Jul 2004 12:32 GMT

> Da: "Heather" <janesmith60@hotmail.com>
> Oggetto: Re: tranplant of sural nerve
[quoted text clipped - 65 lines]
> I'll dont have
> any doubt about my choice.

Patric Walsh, in his Guide to Surviving Prostate Cancer, frowns on using
hormone therapy to reduce the size of the prostate before surgery. He
thinks it could mislead the surgeon about the extent of the cancer. But
I am not a physician and I'm only telling you what I read in a book.
Your case may have some special features, which oly your doctors may
know about. Also, they may disagree with Walsh or they may think in
your case they can avoid being misled about the extent of the cancer.
Perhaps you should ask them about it.

Reply to this Message

Steve Kramer - 31 Jul 2004 17:39 GMT

> Patric Walsh, in his Guide to Surviving Prostate Cancer, frowns on using
> hormone therapy to reduce the size of the prostate before surgery. He
[quoted text clipped - 4 lines]
> your case they can avoid being misled about the extent of the cancer.
> Perhaps you should ask them about it.

It may also be that Walsh is of a different mind now. It's been 5 years
since he put the pen down on that book (or stowed the keyboard). I wonder
what his thinking is now about things after so many findings in the last
half-decade.

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