Two RPLNDS?

[TheTippingPoint]

As Greg approaches the end of chemo in which he appears to be responding well despite advanced metastasis of disease, I am curious about post-op surgeries. Greg went out of order by having an L-RPLND first, then chemo.

My main question is should we ask about and/or advocate for a second, full open bi-lateral RPLND? Greg wants to treat this disease aggressively, and if the chemo's worked well, we wondered if the mammoth of RPLND would be a good idea or overkill...

Greg's doc has already discussed the possibility of surgically removing any remaining masses (at this point, we hope/think they will be just dead tissue since his markers are almost back to a normal range), which looking at the NCCN guidelines, appears to be the protocol if there are residual masses, but is there any value in another RPLND after the resectioning of leftover stuff?

Thanks

[dadmo]

If Greg should needs to have more node removed it will be done with an open RPLND. I'm not aware of any facilities using the LRPLND post chemo.

[Scott]

I think you'll need to wait to see how things look after chemotherapy to know whether there's reason for more surgery. Hang in there.