By Kathryn Doyle (Reuters Health) - Though many men diagnosed with prostate cancer seek a second opinion before beginning treatment, second opinions are unlikely to change their treatment decisions, according to a U.S. study. The formalization of contradictory expert medical opinion and data interpretation into highly visible clinical practice guidelines opens the door for medical malpractice claims alleging negligent prostate cancer screening practices. It's really that simple! Get a Second Opinion Call us with any questions: 410-955-2405, ext. A Johns Hopkins researcher and the University of Pittsburgh committed more than five years of research fraud, a Redmond, Wash., company said Wednesday in a lawsuit filed in federal court. In this case, the goal of the surgery is to remove all of the cancer. "We were surprised by the relatively large percentage of men who obtain second opinions for their prostate cancer. Health insurers generally pay for second opinions, and some even require them before certain procedures. Search term . Numerous publications show the clinical and economic benefits of obtaining a second opinion for Pathology. The purpose of an MRI is just to identity suspicious areas so that the biopsy can be targeted in those areas. Request an Appointment 410-955-6100 . The free special report 7 Keys to Treating Prostate Cancer explains the process of screening and detection, and discusses the treatment options available should the diagnosis prove to be prostate cancer. You want a second opinion on your treatment recommendations. Johns Hopkins Prostate Cancer Second Opinion A large prostate affects the way the bladder empties. Archana Radhakrishnan, MD, MHS, of Johns Hopkins University, in Baltimore, and her colleagues sought to assess the frequency of and reasons for second opinions for localized prostate cancer, and . Little is known about men with localized prostate cancer who seek second opinions, the reasons why, and the association with treatment and quality of care. John Hopkins pathology findings were that only the one SteveRoyer 8 Comments - Posted Aug 26 Seeking second opinion for recurrent prostate cancer My husband had RP surgery 5 years ago. In craps, 3+3 is called a "hard six." It's hard because you can only win if you repeat with a combination of 3+3. Second opinions have little impact on prostate cancer patients' treatment decisions, new research suggests. To address the above deficiencies, a new 5 Grade Group system has been developed based on a study of >20,000 prostate cancer cases treated with radical prostatectomy and >5,000 cases treated by radiation therapy (see composite photograph for different patterns). 3 Dr. Jonathan Epstein explains the benefits of getting a pathology second opinion It is also called radiotherapy. of Johns Hopkins University in Baltimore, . But there is GOOD NEWS: for most men . Urologists at the Johns Hopkins Brady Urological Institute can make the difficult process of deciding on a treatment plan easier. Decrease intake of omega-6 fatty acids. The out-of-pocket cost may be in the $300 range (insurance may not cover it), and it is a simple matter to call your urologist to forward the slides . CT. When a man is diagnosed with prostate cancer, it's normal for him to feel scared, angry, or depressed. The respected urology and pathology departments at Johns Hopkins have established many of today's diagnostic and treatment criteria for PCa. Research Home; Advancements in Research; Research Topics; Research Centers; Core Facilities; About Our Faculty; Resources; Events Calendar . "Numerous publications show the clinical and economic benefits of obtaining a second opinion for Pathology specimens. However, it comes down to individuals and not . The following are some other possible resources for finding an oncologist: Local hospital, medical clinics or cancer centers. Onconome, a privately owned biotechnology company, said it spent millions of dollars funding prostate-cancer research based on a patent held Outside of Maryland (toll free) 410-464-6713 Request an Appointment Medical Concierge Services For a second opinion on the results of your prostate biopsy, there is no place better to get one than from the well known prostate pathologist, Dr. Jonathan Epstein at Johns Hopkins. Veteran Member. MD finished his residency in Internal Medicine from Johns Hopkins University/Sinai Hospital Program in Internal Medicine. . Prostate cancer may be treated with radiation therapy. In 2010 only about 9% of men with confirmed early-stage prostate cancer opted for . Expert review of your case by a Cleveland Clinic specialist. It is often prudent to submit the biopsy material for a second opinion to a center managing large numbers of patients with prostate cancer, to confirm the accuracy of the initial Gleason score. The American Cancer Society estimated there were 220,800 new cases of prostate cancer in 2015, with 27,540 deaths. Search term. About 1 man in 9 will be diagnosed with prostate cancer during his lifetime, but only 1 man in 39 will die of this disease. Archana Radhakrishnan, MD, MHS, of Johns Hopkins University, lead a research team in evaluating how frequently, and why, patients sought second opinions for localized prostate cancer, and in assessing whether second opinions had any relation to treatment choices or perceived care. 2-Get a Second (and Third or Fourth) Opinion. Whether you're crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins. Dr. Armine Smith discusses advances in prostate cancer surgery and her use of the latest, least invasive, surgical options for appropriate patients. Associated fees may be incurred up to $1,800 in a minority of more complicated cases requiring special studies. After applying exclusion criteria, the final analytic cohort included 2365 respondents. Prostate cancer is generally a slow-growing malignancy, which means . "Patients often report getting second opinions for . Johns Hopkins Hospital, Baltimore, Maryland Chief Resident, Dpt of . November 7, 2016 Surabhi Dangi-Garimella, PhD A new study by researchers at the Johns Hopkins University has found that second opinions did not change treatment choice among men diagnosed with. Dr. Jonathan Epstein of Johns Hopkins University Hospital I had been carefully watching as my PSA increased to 3.2 from 3.9 in summer 2010. Request an Appointment 410-955-6100 In addition to cancer, our urologic team provides second opinions regarding urinary stone disease, urinary tract reconstruction, incontinence, male infertility and sexual health, and many other urologic conditions or procedures. Vitamin D also has shown to play a role in prostate cancer. About 80 percent of men who reach age 80 have prostate cancer cells in their prostate. Following his residency in anatomic pathology at The Johns Hopkins Hospital in Baltimore, Maryland, and a fellowship in oncologic pathology at . In "Choosing The Right Treatment For Your Prostate Cancer" Johns Hopkins specialists describe each of these treatments in detail, and explain . Prostate Cancer Benign Prostatic Hyperplasia (BPH/Enlarged Prostate) . And based on the researchers' findings, patients suffering from a localized form of the disease . Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins: ClinicalTrials.gov Identifier: NCT04704505 Other Study ID Numbers: J2116 J2116 ( Other Identifier: Johns Hopkins ) First Posted: January 11, 2021 Key Record Dates: Last Update Posted: May 5, 2022 Last Verified: April 2022 In the account of Hobart Rowen's treatment for prostate cancer (Cover, May 12), the test described as a radioactive-iodine test of the urinary tract is not radioactive. Many NCI-designated cancer centers offer a virtual online second opinion. Call Us 855-5-SECOND | 855-573-2663 . Prostate cancer surgery can be done for different reasons. Pathologist-Johns . . . "We were surprised by the relatively large percentage of men who obtain second opinions for their prostate cancer," said lead author Dr. Archana Radhakrishnan of Johns Hopkins University in Baltimore. The End of Prostate Cancer Support Community connects patients, families, friends and caregivers to enhance the quality of life for all those affected by prostate cancer. Most often, surgery is a treatment for early-stage prostate cancer. Your results need to be sent to a physician. Searching for a Urology second opinion? A new analysis indicates that many men with prostate cancer obtain second opinions from urologists before starting treatment, but surprisingly, second opinions are not associated with changes in treatment choice or improvements in perceived quality of prostate cancer care. . Infections are often very hard or impossible to pin down, and they typically cause a PSA that will bounce around a bit instead of increasing in that tell-tale pattern that . I personally have benefitted from second opinions on my so-called cancer journey. A new Johns Hopkins paper, based on a study of 6700+ men from 2005-2016 who chose immediate prostatectomy after biopsy, suggests men with Gleason 3+4 PCa should think twice. Here's the first paragraph: "All men are at risk for developing prostate cancer. From my savvy layman's perspective, the advice you are getting from your doctors looks right. The study by Sokoll et al. . 3-Choose the Right Treatment Unlike pathology labs in most hospitals, Jonathan Epstein's lab at Johns Hopkins has pathologists who specialize in reading prostate tissue samples. After skin cancer, prostate cancer is the #1 form of cancer in men and. You may be newly-diagnosed and want a second opinion before commencing . Despite recommendations from both the National Cancer Institute and the American Cancer Society for cancer patients to seek second opinions regarding treatment, there is little substantive medical . With world-renowned expertise, multidisciplinary specialists and the latest data, we partner with you to make informed decisions about managing your prostate cancer. Find a doctor at The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center or Johns Hopkins Community Physicians. Second Opinions An accurate diagnosis is essential to ensure that the correct and most effective treatment is given. WellSpan is collaborating with the Johns Hopkins Kimmel Cancer Center, one of the nation's leaders in cancer research and innovation. My family doctor was alarmed because such a steep increase in prostate-specific antigen could be a sign of prostate cancer. Prostate Cancer: Coping with Your Diagnosis Johns Hopkins HealthCare secondopinions.com provides an online Oncology (Cancer) second opinion. I found this information on 2nd opinions:\ Costs The cost of a Johns Hopkins Urology Medical Second Opinion is $550. Archana Radhakrishnan, MD, MHS, of Johns Hopkins University, in Baltimore, and her colleagues sought to assess the frequency of and reasons for second opinions for localized prostate cancer, and . Call Us 855-5-SECOND | 855-573-2663 . The Institutional Review Boards of the University of Pennsylvania and Johns Hopkins University approved this study. Posted 8/12/2017 12:09 PM (GMT -6) From everything I've ever heard or read, I think both Johns Hopkins and Mayo are excellent. A Chinese patient initially diagnosed with lung cancer traveled to Johns Hopkins for a second opinion. from Johns Hopkins and the University of Pennsylvania, published a paper in Cancer on who and why patients seek second opinions on prostate cancer. In one study, pathologists at Johns Hopkins reviewed biopsy samples of 535 men who had been referred for radical prostatectomy and reclassified 7 (1.3%) as benign. Espaol Portugus Research. His PSA was 6 and Gleason 9. Payment is due at the time of the request. Register. . Study that reviewed biopsy slides of 6,l71 patients referred to Johns Hopkins Medical Insitutions for cancer treatments finds 86 patients had diagnoses that were significantly wrong and would have . At the suggestion of Virginianorthern I had my biopsy slides sent to John Hopkins for a second opinion. You can call and speak with his assistant at: (410) 614-6330. We can help with your case. Little is known about men with localized prostate cancer who seek second opinions, the reasons why, an. - This request cannot come from Johns Hopkins Pathology. Prostate cancer management options range from surgery and radiation to "watchful waiting." Most men with prostate cancer are over age 65 and do not die from the . Results: A total of 2386 men responded to the survey (adjusted response rate, 51.1%). They reanalyzed the stored serum samples using an ultrasensitive PSA assay that could detect values of 0.01 ng/ml or higher. Second opinions are great but truthfully both opinions are likely to be good approaches to treating your disease. Surgery to try to cure the cancer is less likely to be an option if the cancer has spread outside of the prostate. MRI. I don't want my doctor to know that I'm asking for a second opinion. Prostate cancer is the second most common form of cancer in men (after skin cancer). Currently, there are 71 centers located in 36 states with this designation. Gladbags Oct 23, 2019 7:46 AM I have been diagnosed with prostate cancer 3+4 and I think that the next logical step for me is to get a second opinion from Dr Epstein at Johns Hopkins. For more information or to schedule an appointment, call the Cleveland Clinic Prostate Cancer Nutrition Program at 216.692.8900. A diagnosis is usually reached within 3-5 days of your slides' arrival at Johns Hopkins. In one study at Johns Hopkins, pathologists reviewed biopsy samples of 535 men who were awaiting a radical prostatectomy. Our unique remote second opinion service allows patients to access Johns Hopkins urologists without spending time and money traveling here in person. (Published 5/19/92) By . Skip to Article Content; Skip to Article Information; Search within. Any other serious illness or medical condition that would, in the opinion of the investigator, make this protocol unreasonably hazardous, including but not limited to: . MRI's by themselves just aren't sufficient to diagnose prostate cancer in January 2021. Dr. Mohamad Allaf, Director of Minimally Invasive and Robotic Urologic Surgery and his team performed a radical prostatectomy on Mr. Shipp, clearing his prostate of cancer. Get a Second Opinion Today. Make an appointment: 410-955-5222 Coordinating with your Treating Physician At the Breast Cancer Program at the Johns Hopkins Kimmel Cancer Center in Baltimore, MD, a second opinion requires only that you or your doctor send us your pathology slides, key medical records and signed paperwork requesting the opinion. If you're living in the U.S. and would like an in-person visit, call 410-955-6100. The seven keys include: 1-Understand Your Prostate Biopsy. Luyanda, on March 7, 2021 at 12:28 pm . No one at Hopkins has ever died of prostate cancer if he had Gleason 3 + 3 cancer." One Johns Hopkins study showed that out of 14,000 men who had surgery and were found to have Gleason 6 cancer confined to the prostate, "zero of those 14,000 men had lymph node metastases. A report with the diagnosis will be faxed to your doctor. An acute inability to urinate can be a medical emergency and should be treated by a doctor. . Any other sixes you roll -- 4+2 . Opinion / Editorial; Podcasting; Science; Society; . He also received the MORE Fellowship Program Grant in 2008 . Below is the link with instructions and the authorization form for you to use with your doctor. a 2nd opinion for an MRI interpretation is probably a waste of money / time. The all-inclusive cost for a virtual second opinion for patients in the U.S. is $1,850. Do the results of my consult have to be shared with my physician? For men with prostate cancer and who live in the United States, there are some highly regarded pathology labs from which you can obtain your second opinion. Kimmel in DC with Dr. Ben Levy - Advances in Prostate Cancer Care. We had . The American Cancer Society estimates that there will be over 241,000. new cases of prostate cancer in the United States in 2012, with more. More than 30,000 men will die from the disease this year. Grade Group 1 (Gleason score 6) - Only individual discrete well-formed glands Second opinion prostate cancer clinics have begun popping up all over . After being diagnosed with prostate cancer, Bill Shipp, a championship swimmer came to The Johns Hopkins Hospital seeking a second opinion regarding management of his condition. COMMON CONDITIONS REQUIRING SECOND OPINIONS. Most doctors understand the value of a second opinion, and they are not offended when a patient wants one. American Board of Medical Specialties. Posts : 1196. Our expert radiologists are standing by to give you a clear, concise online radiology second opinion for your MRI, CT, PET, X-ray, Ultrasound, or Mammogram read. Pathology Second Opinion-J.Epstein,M.D. The prostate cancer screening debate has implications beyond the clinical exchange between physicians and their patients. The study, led by researchers at Johns Hopkins University, has found that second opinions did not change treatment choice or the person's perception of the quality of care they receive, at least among low-risk men. This morning Archana Radhakrishnan et al. Consult Fees In some cases, additional testing may be required. Of these, 40% obtained second opinions, most commonly because they wanted more information about their cancer (50.8%) and wanted to be seen by the best doctor (46.3%). Other labs for second . Patient Population and Recruitment. Login . Medical record collection from doctors and hospitals. Cancer ABCs recommends: Johns Hopkins Hospital in Baltimore, Maryland, specifically Dr. Jonathan Epstein. Get a Urology Second Opinion We offer two options for urology second opinion - in person visits and remote opinions. Note: If you prefer to make an in-person appointment, please call (888) 689-8273 for help finding a doctor or search our doctors and clinics online. Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins . The second opinion service can be very helpful if: You want a second opinion on your diagnosis. This can kill cancer cells or stop them from growing. . secondopinions.com provides an online Urology second opinion. Aside from analyzing the impact of second opinions, the study, which was led by Johns Hopkins University researcher Dr. Archana Radhakrishnan, looked at the reasons why patients with prostate cancer may want a second opinion from another doctor. I have copies of my MRI report, 4Kscore test report, Biopsy report and Genomic report. They may even be able to recommend another doctor. . It works by sending radiation to the cancer sites. . In prostate cancer, as in life, you roll the dice. When surgery to remove the tumor revealed that the cancer had spread throughout her abdominal cavity and was deemed medically incurable, LeAnn and her husband, Jody, immediately decided to get a second opinion. Noticing inconsistencies in the patient's scans, experts brought her case to the . Foods like hamburgers, hot dogs, french fries and chicken wings are high in omega-6s. Searching for a Oncology (Cancer) second opinion? BACKGROUND Cancer patients are encouraged to obtain second opinions before starting treatment. NCI-designated means that the National Cancer Institute recognizes these institutions as providing cutting-edge cancer care. In prostate cancer, 1-3% of unselected cases harbor MMR deficiency and/or microsatellite instability. Over 80,000 specimen cases are seen at Johns Hopkins each year. Key definitions. MHS, of Johns Hopkins University, in Baltimore, and her colleagues . Archana Radhakrishnan, MD, MHS, of Johns Hopkins University, in Baltimore, and her colleagues sought to assess the frequency of and reasons for second opinions for localized prostate cancer, and . . Goals of surgery for prostate cancer. This collaboration brings additional resources to cancer patients in the area, such as access to expanded clinical trials, second opinions and referrals to Johns Hopkins Kimmel Cancer Center in Baltimore for . the #2 cause of cancer death (after lung cancer). Dr. Ben Levy talks to Dr. Channing Paller, medical oncologist at Sibley Memorial Hospital and an assistant professor of oncology at the Johns Hopkins University School of Medicine, about her research into prostate cancer treatments and care. Advanced Search Citation Search. Obtaining a second opinion in Pathology can in a small percent of cases lead to a complete change in diagnosis in a wide range of conditions including non-cancerous growths, inflammatory disorders, infections, and cancer. Please understand that The "New" Prostate Cancer InfoLink is not associated in any way with Johns Hopkins or their prostate cancer clinic. A request for a second opinion must come from the patient or the patient's treating physician. looked at the records of 754 men treated with surgery at Johns Hopkins between 1993 and 2008 whose first post-surgery PSA, taken at about 3 months, was "undetectable" (<0.1 ng/ml). Jazzman1. His areas of expertise include the interpretation of multiparametric MRI of the prostate, targeted biopsies of the prostate under direct MRI guidance (in-bore biopsies) University Hospital Radiology Clinic Prostate Imaging and Interventions 5959 Harry Hines Blvd., 11th Floor, Suite 300 Dallas, Texas 75390 214-645-0983