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Seeking 2nd opinion

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User
Posted 02 Sep 2019 at 14:46

I am currently living abroad. I have had 3 biopsies in 3 years (50 yo). Latest MRI biopsy shows high PSA +8, Gleason score 3+3=6, Gleason Group 1. Dr. here has advised active screening for next 3-6 months. He advocates getting 2nd opinion. Am traveling to Europe & UK end of October. Need recommendation for where to get this 2nd opinion either in Glasgow or anywhere in Uk? Thanks.

User
Posted 02 Sep 2019 at 19:03

There are quite a few specialist cancer centres in the UK where you could get excellent advice on a private basis, Alan (I'm assuming it'll be private treatment you're looking at as a non-resident?). I had my treatment at the Clatterbridge Cancer Centre on the Wirral, which has an associated private clinic. I'm sure other people will be able to recommend similar facilities in other parts of the country. With G3+3, though, there's no rush. It's the least aggressive possible grade of prostate cancer.

Edited by member 02 Sep 2019 at 19:04  | Reason: Not specified

User
Posted 02 Sep 2019 at 23:44

Hi,    I can't advise on where to go for a 2nd opinion although there are a lot of people who often come on here who have sought out what they believe is the best treatment both privately and in the NHS.    My own opinion is the NHS hospitals have big facilities with a lot of back up and in general, if it is private and they allow private treatment, are cheaper than Private Hospitals.   

There are places in each region that are classed as major cancer centres.  In the North West of England where I live the Christie in Manchester is considered the prime centre.  Although there are probably 8 hospitals that do treatment in the region.   In Scotland I don't know but you would think Glasgow could have a major centre.   I noticed a place on line at BMI Prostate Centre Glasgow although it only mentioned 2 Consultants and they didn't seem to be surgeons and I know nothing about it.

You might also ask what is a 2nd opinion as it could mean another psa test, biopsy and an MRI.  If you've just had one set they might be reluctant and it might not happen in a day and take longer for results.  Although if it's just a consultation using existing information it might be easier and less time consuming.  I assume you have confidence in the doctors you saw and wondered why they suggested a 2nd opinion.

If you reply it keeps your post nearer the top as they slip down which can mean they get less looks.

User
Posted 03 Sep 2019 at 04:54
By the time men turn 50 something like half of then will have an insignificant tumour or more and many consultants don't even consider a 3+3 Gleason as cancer. What would be helpful to know is were any of the biopsies you had a template one with numerous cores and where in the Prostate was the 3+3 identified? Unless you can provide the scans you had and a full report on the biopsies, it is likely that these will have to be done once again in order that a second opinion may be given and even then some consultants like to do there own scans/tests regardless of what is provided. In fact this latter situation happened to me. It is quite possible that a second opinion may also suggest adopting a similar active surveillance approach to what what your present Consultant has suggested.

Major towns and teaching hospitals have top people, Birmingham has the Queen Elizabeth and a specialist private Prostate Cancer Centre to add to your list, Then as you would expect, the Royal Marsden, UCLH and Guys among others in London are top hospitals. Sorry, don't know about Scotland.

Barry
User
Posted 03 Sep 2019 at 14:45

There are large cancer centres in Edinburgh (Western General hospital) and Glasgow at the Beatson centre. Both have urologists and oncologists who work for the NHS but privately too.

 

Ido4

User
Posted 03 Sep 2019 at 16:46
My friend who is in his seventies - Gleason 3+4=7 - has been on active surveillance for five years, under the care of his excellent urologist, Professor Whocannotbenamedhere.

The Professor carried out a very successful prostatectomy on me, and he also has a private clinic as well as an NHS consultancy at The Royal Surrey County Hospital.

His clinic is called ‘Santis’ - look it up.

Best of luck,

Cheers, John.

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User
Posted 02 Sep 2019 at 19:03

There are quite a few specialist cancer centres in the UK where you could get excellent advice on a private basis, Alan (I'm assuming it'll be private treatment you're looking at as a non-resident?). I had my treatment at the Clatterbridge Cancer Centre on the Wirral, which has an associated private clinic. I'm sure other people will be able to recommend similar facilities in other parts of the country. With G3+3, though, there's no rush. It's the least aggressive possible grade of prostate cancer.

Edited by member 02 Sep 2019 at 19:04  | Reason: Not specified

User
Posted 02 Sep 2019 at 23:44

Hi,    I can't advise on where to go for a 2nd opinion although there are a lot of people who often come on here who have sought out what they believe is the best treatment both privately and in the NHS.    My own opinion is the NHS hospitals have big facilities with a lot of back up and in general, if it is private and they allow private treatment, are cheaper than Private Hospitals.   

There are places in each region that are classed as major cancer centres.  In the North West of England where I live the Christie in Manchester is considered the prime centre.  Although there are probably 8 hospitals that do treatment in the region.   In Scotland I don't know but you would think Glasgow could have a major centre.   I noticed a place on line at BMI Prostate Centre Glasgow although it only mentioned 2 Consultants and they didn't seem to be surgeons and I know nothing about it.

You might also ask what is a 2nd opinion as it could mean another psa test, biopsy and an MRI.  If you've just had one set they might be reluctant and it might not happen in a day and take longer for results.  Although if it's just a consultation using existing information it might be easier and less time consuming.  I assume you have confidence in the doctors you saw and wondered why they suggested a 2nd opinion.

If you reply it keeps your post nearer the top as they slip down which can mean they get less looks.

User
Posted 03 Sep 2019 at 04:54
By the time men turn 50 something like half of then will have an insignificant tumour or more and many consultants don't even consider a 3+3 Gleason as cancer. What would be helpful to know is were any of the biopsies you had a template one with numerous cores and where in the Prostate was the 3+3 identified? Unless you can provide the scans you had and a full report on the biopsies, it is likely that these will have to be done once again in order that a second opinion may be given and even then some consultants like to do there own scans/tests regardless of what is provided. In fact this latter situation happened to me. It is quite possible that a second opinion may also suggest adopting a similar active surveillance approach to what what your present Consultant has suggested.

Major towns and teaching hospitals have top people, Birmingham has the Queen Elizabeth and a specialist private Prostate Cancer Centre to add to your list, Then as you would expect, the Royal Marsden, UCLH and Guys among others in London are top hospitals. Sorry, don't know about Scotland.

Barry
User
Posted 03 Sep 2019 at 14:45

There are large cancer centres in Edinburgh (Western General hospital) and Glasgow at the Beatson centre. Both have urologists and oncologists who work for the NHS but privately too.

 

Ido4

User
Posted 03 Sep 2019 at 16:46
My friend who is in his seventies - Gleason 3+4=7 - has been on active surveillance for five years, under the care of his excellent urologist, Professor Whocannotbenamedhere.

The Professor carried out a very successful prostatectomy on me, and he also has a private clinic as well as an NHS consultancy at The Royal Surrey County Hospital.

His clinic is called ‘Santis’ - look it up.

Best of luck,

Cheers, John.

 
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