Hi everyone,

Yesterday I saw a oncological radiologist who has done all sorts of
treatments over a fairly long period of time (20 years, at least) The
young MD Anderson trined IMRT doctor who has just moved to town
wandted a second opinin and the necessities of my insurance (or lack
therof) necisitated the second opininion first.

I have perinural invason in both biopsies - the one done in 2000, the
one done befiore sugery had peri-neural invasion. Same with the one
done last Nov at MD Anderson,

This person said two things:

a.) there is only one cancer, a rare salivary gland cancer that
travels in both directions on a nerve. It is the only one that does
this. Has anyone been told differently? If not, why do they take out
the nerve if it invaded?

b.) he said that with a PSA of 1.1 and a gleason of 4+3=7 that a "cure
would be highly likely - and he believed in external beam, not IMRT
although his company would prefer that he used it - to help pay for it
-  it's brand new.

The whole deal I need to decide is if he might be better than the IMRT
doctor, as this guy I saw yesterday is about a mile (5 min) from where
I live. The other guy is 20 minutes away  - an hour away during rush
hour.

So, anyone have comments suggestions, INFO on Ca traveling to the
spine in Cavernous nerve &/or the tissue around it?

Thanks guys ad gals.

Jim (AKA BillyBob, but only to newsgroups!)  
jjoy_DONT_USE_THIS_PART@austin_DONT_USE_THIS_PART.rr.com

Pre-op. PSA: 5.1 11-2000. Age 56 then
Biopsy 1-3-2001: 3+3=6, only 10% diffused cells, left side only. Left Sem. Ves,1-8-04: 4+3=7, 20% difused cells
RRP: 3-12-01, 20%  diffused cells, 20% capsular penetration, neg lymph &
Sem. ves.
Erection - 6 weeks and earlier; 6 wks.; first decent one
PSA's - .5,1.1,.5,.3,.4,.7,.7,.6,.7,.7.,.9,1.1 Nov.4 03, 1.1 Jan. 8, 04
NO ONE, not even my med school Pathology Prof. Step-Sister
EVER said "radiation" - "Wait until it gets to 2.0, i.e. serious."
(Last - Quote of urologist who did RRP!)

Can't beat that deal at ANY price! AND I have a 30 year old car with only
26,000 miles on it that a little old lady only used to drive to church on
Sundays. Want to buy that as well?