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Prostate Cancer

newbie question re genomic/biomarker testing
I had a recent MRI which showed two lesions, one with a PI-RAD score of 5, the other with score of 3. So, highly likely to be cancerous. I've been dealing with another, rare form of cancer (GIST) for two and a half years; it's incurable but treatable, for an unknown length of time. For that cancer, mutational/biomarker…
Surgery vs Radiation: another question
I am 67, Gleason 7, unfavorable, and PSA 4.2. Both surgeon and oncologist say I am on the borderline age-wise and that either treatment would give good results. I am more concerned about long-term continence than longevity. I am changing my mind ten times a day. Any input appreciated.
Newbie here and meeting Urologist tomorrow for next steps
Have had BPH issues for years and PSA fluctuating from 4-8. Had a few CT scans over the years and with PSA rising I talked Doc into MRI and have one lesion roughly 1cm x 1cm and PiRads 4. Meeting with my Urologist tomorrow to discuss next steps. Prostate is 130cc. Appreciate any advice or questions I should ask.
After surgery diet
Everyone knows my story five weeks out of salvage surgery waiting anxiously for the first PSA test and hoping i will be NED. i’ve always been a doubting Thomas, but them saying i had cribform and the pathology report saying cribiform not seen , yes it all looked good except the perinual invasion part ..so that being said i…
PSA velocity, what am I looking at here?
PSA last year was 2.0, and this past December was 5.78. The urologist ordered a 4k test: score 59, 10% free PSA, and my PSA was almost 12. That is a vast PSA increase in just 3 months. Going to Johns Hopkins now. MRI on 4/12 and biopsy to follow. I did have an abdominal/ pelvis CT done for possible diverticulitis a month…
Missing items from RALP Discharge Summary
I thought I would offer these notes and tips that seemed to be missing from my discharge instructions, to those that come after me: + Days 1-3 + + Waking up in the recovery room ……. I awoke without fanfare, flashing lights or sirens. For this I thanked my lucky stars without complaint. Everything else, come what may. + +…
MRI with or without contrast
Hi, I am already one year in active surveillance but I have decide to treat this year with focal therapy. Before starting the treatment, I had an MRI done yesterday but it was without contrast. Should I request another one with contrast before starting a treatment? Thanks, Fred
Anyone have experience with urologist in Colorado Springs?
trying to confirm my surgeon’s experience.
15 Years Post RP Detectable PSA
Submitted to a radical prostectomy in June 2009 after an initial PSA of 16.9 and a confirming biopsy. Total time lapse from detection to removal was less than 120 days. My PSA screening occurred regularly for several years post surgery and each result was undetectable - until now. I'm an older veteran and have recently…
Post RARP cath removal incontinence
Good evening to all. I had my DaVinci RARP at Advent Celebration and had a great experience. Stage pT3b involved 11 - 20% of gland. Negative surgical margins. 3 lymph nodes negative for malignancy. Cath removed yesterday, and now I have very little control - very incontinent, especially with 6 - 8 8ounce glasses a day. I…
New to hear and have alt of concerns
ADENOCARCINOMA; Gleason Score 7(4 + 3); Grade Grcup 3: 15% of the needle core tissue involved by tumor: 1/ of 1 core involved. (Confirmed by PIN4 IHC-G) | Benign seminal vesicle/ejaculatory duct tissue. ADENOCARCINOMA: Gleason Score 9(4 + 5); Grade Grcup 5: 90% of the needle core tissue involved by tumor; 1 of 1 core…
Starting PT pre Prostate Surgery - not what I expected
My Dr suggested that I do some pre-surgery PT to help shorten the incontinence period after surgery, and then continue with therapy aftwwards. Going into PT I thought I was going to get tips on how to do Kegel excersises properly. But instead the focus was on strengenthing the Pelvic Floor. The therapist first checked my…
biochemical recurrence
I just joined and was wondering Is there already a discussion of this? My husband had stage 4 prostate cancer but radiation and Hormone T has resulted in a five year remission with undetectable PSA. In the last six months PSA is up several times and is going for PSMA-Pet in three weeks and I'm wondering what all this…
Radiation therapy
Now have PC and plan to take radiation therapy, but have heard of incontinense with radiation when I thought it was more of an issue with removal. Anyone have experience or comments
How long to worry about clots and strictures
If I have surgery, how long are blood clots and possible contractures a thing to look out for? Do people still have to pass daily thin catheters through to keep things open for a period of time? I'm wondering if it is advisable to travel overseas within three months of surgery, if all goes well. I know it depends on how…
Advanced Cancer and waiting...
I've been watching my score go up this year (surgery early 2010 and salvage late 2015). My PSA is now .310 up from a .207 in March and .210 in July...I continue with a good and mostly plant base diet, which I believe has helped me over the years (outcome could have been aggressive but it hasn’t to date). Some days I hate…
scientific American Article
Just had MRI
Hello everyone, just had MRI because my PSA was 14. I have 3 lesions: 1.6 × 0.8 x 1.4 cm lesion left anterior transition zone at the mid gland (ROI #1). PI-RADS 5: Very high (clinically significant cancer is highly likely to be present) 1.9 x 0.9 x 2.5 cm lesion right posterolateral peripheral zone at the gland base and…
Tumor Size Question
My MRI results from last October (below) mention lesion in right mid gland with a measurement of 1.9 x 1.0 x .09 cm. I'm assuming this is the size of my tumor? Is this a length / width / and height measurement of the tumor? If so, is that considered a smaller or larger tumor? Can anyone help me understand this better?…
Delay times between MRI and Biopsy?
67 y/o male, PSA 6.7ng/ml, recently discovered on blood test. I'm getting healthcare thru VA, who also outsources to local hospital because they have the latest and greatest in MRI/Biopsy abilities. I just had my MRI on 4/21/24 which indicated 19mm lesion and a smaller area of abnormality as well. A targeted biopsy was…
Horseback riding
I have been trail riding for over 25 years. are there any other riders out there who can tell me if I will be able to ride again?
Biopsy is done. 26 cores extracted. All benign. What is the next step?
I posted earlier with my data below: "I am 68. I live in Southern California. I have Medicare and medigap insurance. In early 2022, my PSA was 3.9. By November 2023 it went up to 5.3. My PCP gave me referral for a urologist who asked me to do a 3 Tesla MRI, and a urine test. My MRI shows my prostate size: 47cc PSA density:…
Focal Cryo Therapy for initial treatment
After months of indecision, I just sent a note to my doctor at Fox Chase to ask him to schedule me for focal cryotherapy procedure. So far, it seems for primary treatments of Pca, focal treatments are typically only applicable to some men who qualify with in-gland non metastasized low to intermediate grade cancer. The…
off Orgovyx
I took my last Orgovyx pill last Saturday the 20th. As of last night the 25th I am already feeling a little regaining of energy and some strength. I did 60 pushups in a row and 2 weeks ago barely did 30. I have not been doing them daily just as a test. Also, only 12 hot flashes since yesterday morning. It appears once you…
Help with mri report
Hi, I was diagnosed in January with Gleason 3+3 (no MRI prior to biopsy). PSA was 4.5 last week. I had an MRI today and just received the results below. Multiple prostate lesions as above. PI-Rads v2.1 score: Pirads 5 - Very high (clinically significant cancer is highly likely to be present) Narrative MRI of prostate with…
4 weeks post RALP and total incontinence during the day
Ok, so I know we are lucky, my husband is back to light golfing (not using the driver until this week) active, and feels great except for the constant incontinence during the daytime hours. Unless he is lying down sleeping or lying on the couch he is leaking continuously all day going through maybe 10 pads. Is this…
Catheter removal
so anyway, I went to my general practitioner to have the catheter removed. He pulled out all the saline in the balloon, and then literally grabbed it and yanked it out. I have to admit it really hurt about the last inch at the tip of my penis and now it has been two weeks and the tip of my penis inside still hurts about an…
EBRT after prostate removal
Searching for Treatment Feedback / Supplements
Hello I am age 51 (in great shape aside from this) recently diagnosed PCA and biopsy showed combination of 3+4 and 4+3 Gleason so definitely intermediate risk. PET scan on 4/19/24 showed cancer is on left side of prostate only has not spread. No symptons aside from PSA level 4.3 and get up pee 1 or twice at night. I am…
wondering about finasteride
Hi all! I'm new to the board as I have been recently diagnosed with a gleason score of 3+3=6. I feel very blessed that it is such a low grade, and at this point have decided on active surveillance. My doctor also put me on Finasteride. I didn't think much of it at the time, but after doing some research, I'm questioning if…

Prostate Cancer

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