Prostrate cancer.

Posted , 10 users are following.

I've been told I have possible T3b NO disease and NO cancer of my bones after

MRI SCAN. I AM WAITING ON A BIOPSY ON THE 17TH OF THIS MONTH. I AM WORRIED INCASE BY THE TIME IHAVE MY BIOPSY AND WAIT ON RESULTS THAT IT SPREADS. ANYONE GIVE ADVICE ABOUT THIS. THANK YOU.

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  • Posted

    Hi William, If the cancer is just within the prosate gland and it sounds like yours is, they will determine how aggressive it is from the biopsy.  For instance, I have prostate cancer but it is just being monitored every 3 months with blood tests and an mri scan every couple of years, so not considered aggressive.  This could  be the case for you.  But, there are many different options to choose if its considered aggressive, radio therapy, brachy therapy, (which would be my choiice should I choose to have something done) or of course they can remove the prostate.  They are coming up with new and less invasive treatments all the time.  So get the biopsy done, then look at the options.

    Best of luck William and I hope I have helped in some way.

     

    • Posted

      THANK you for your reply. Puts my mind at ease a little.good luck for the future. God bless.
    • Posted

      Hi.

      Sorry for poking my nose in.

      I too was on active watching. But researched into a treatment called HIFU.

      Which is a lot less evasive. I managed to get my local hospital to refer me to the University hospital of london where i have successfully had my cancer treated as a day patient.

      Worth considering on your journey at the moment.

      Good luck

      brian

    • Posted

      glad your HIFU ablation turned out well for you. High Intensity Focused Ultrasound and Focused Laser Ablation i believe were both approved by the US FDA but so far, Medicare won't reimburse either. They look pretty good for smaller lesions but not so sure about side effects. unless MRI-guided, i'd be wary of choosing this for myself. not sure what my final decision will be, since i still don't know if my cancer is still encapsulated within my gland. the tests that determine that are astoundingly limited to men whose radiation txs and/or chemo txs have failed!!! mind boggling, isn't it? anyway, good luck, fellow warrior.

  • Posted

    Even a fast spreading cancer would not become dangerous in a matter of days or weeks. It’s easy to say  ‘don’t worry’ but you really shouldn’t!
    • Posted

      THANK you for your reply.worried sick in case it spreads before I get treatment.
  • Posted

    William,

    No prostate Ca diagnosis without biopsy. MRI can not diagnose Ca. It just gives a suspicion.

    Friend of mine just 2 months ago had mp 3T MRI which was read as PIRAD 4 and 5 with high suspicion of prostate Ca at 3 location.

    Targeted biopsy did not find Ca.

    How high is your PSA and what was the velocity of PSA?

    MK

    • Posted

      Thanks for your reply. Psa started at 34 went down to 29 then 23 up again to 26 and last one recorded was44.
    • Posted

      Your PSA is on the high side. It would be useful to know time frame and your age.

      This type of fluctuation like yours it is more likely associated with BPH going up and down and all over the place.

      On the other side, Prostate Ca has steady increase over the time and what is important to look for,  is dabbling time; the faster dabbling time, more aggressive Ca is.

      Your PSA spike is most like caused by prostatitis and BPH.

      Take it easy while waiting for biopsy.

      MK

    • Posted

      I am 63 .

      I had mri scan on 16.07.18. It said it has shown possible T3b NO disease.There is NO obvious bony metastases within the limits of the scan. My PSA fluctuated started at 34 went down as far as 23 now at 44 last Tuesday. I have my biopsy on 17.08.18.

    • Posted

      i had PSA 12, urologist said that is too high for harmless BPH - here's the scale:

      PSA 4 - 10 = 25% chance of cancer

      PSA 10 - 20 = 50% chance

      over 20 and you got it, amigo

      without a biopsy, you can't get a gleason score, nor further treatment. get an MRI-guided biopsy, if possible. Gleason 3+3 is hardly anything but requires watchfulness. above that, you need to take some action. good luck. 

    • Posted

      Thanks for your reply. I've read the chart but also been told that your psa is only an indicator something is amiss. It can't distinguise between slow moving cancer and aggressive cancer. So much info out there and so many conflicting answers .I guess I'll know answer for sure later this month. Once again thank you for replying to my question. Good luck for the future . God bless you.

    • Posted

      you may want to get a 4K Score test - estimates how aggressive your cancer is, if you have it. good luck.
  • Posted

    I was in exactly your situation about 5 months ago, diagnosed as T3bmo The Mo means no distant metastasis and the T3 means that the tumor extends beyond the capsule.A PET CT Ga 68 scan showed that the cancer had spread to the seminal vesicles. Anyway I was sent off to do a biopsy got a Gleason score of 8 and this was followed by 28 sessions of radiation therapy. Next step will be my first monitoring session after the radiation treatment. What have I learned so far, mainly to take it one step at a time and realise that you are your own best doctor. Check out everything you are told and ask plenty of questions, Remember that there are no stupid questions, but sometimes along the way there are stupid answers. I wish you all the very best in your journey, stay calm but very determined.
  • Posted

    William, don't jump the gun and worry before your biopsy. The biopsy will determine if you do in fact have prostate cancer, and if so how aggressive it is and also give you a Gleason score. The biopsy is no picnic, but a necessary procedure. If there are cancer cells present, you still have some time to research your treatment options depending on the findings of the biopsy. 2 years ago,I was diagnosed with adenocarcinoma, a none aggressive cancer. PSA was at 5.6, Gleason score of 6.5.  I opted for the Brachytherapy - the low dose radiation seed implants. I chose that treatment based on my numbers and type of cancer cells found. There are many treatments, and even the active surveillance - wait and see. In my situation, I could have treatment and be done with it. I just didn't want to go through the wait and worry every 3 months. The Brachytherapy is a one time treatment done as an outpatient. That treatment has it's side effects, but they are tolerable.  I am now at 2 years after, and all is well and good. I get a PSA and DRE check every 6 months. The doctor told me at my last check that this next 6 month check I can probably start going annually from then on. Good luck, and wait for the biopsy. It may turn out to be BPH and/or prostatitis. You have options if it does turn out to be cancer - do your research before making any decision. Good luck to you.

    • Posted

      Thanks for your reply. So much to take in. Wish you all the luck in the world for the future. GOD BLESS YOU AND KEEP YOU SAFE.

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