In a last-minute addition, Johns Hopkins uropathologist Jonathan Epstein will answer questions on active surveillance, biopsies and second opinions at the meeting of Active Surveillance Patients International (ASPI) on April 29.
When "my" urologist at UCSF finally found a biopsy core he liked, he got a 3+4=7 change from pathology and triggered an automatic ADT/EBRT treatment order.
Unable to contact him, I amazingly did get a long conversation with the pathologist. Nothing in that discussion gave me any confidence that it was accurate.
I gleefully left the "care" at UCSF only to find that no other urologist or oncologist would consider countermanding them and an offering alternative plan.
"Patient no longer a text-book candidate for active surveillance."
Three years later, I did get a totally negative bone scan and CT scan and was handed a Rx for beginning ADT!
When "my" urologist at UCSF finally found a biopsy core he liked, he got a 3+4=7 change from pathology and triggered an automatic ADT/EBRT treatment order.
Unable to contact him, I amazingly did get a long conversation with the pathologist. Nothing in that discussion gave me any confidence that it was accurate.
I gleefully left the "care" at UCSF only to find that no other urologist or oncologist would consider countermanding them and an offering alternative plan.
"Patient no longer a text-book candidate for active surveillance."
Three years later, I did get a totally negative bone scan and CT scan and was handed a Rx for beginning ADT!