High PSA big gland

You wrote 'not positive for cancer'. What is the evidence; did he get a biopsy?

Only a biopsy can tell if there is cancer.

Wish you and your partner a good outcome.

Faith,

Welcome to the board. Your comment regarding the size of the gland makes me think that you have been reading about prostate cancer (PCa), and such is in fact your best step, getting educated while waiting for a definite conclusion. However, your anxiousness seem to be blinding you of the reality. You need to come down, even if cancer is diagnosed positive, and confront the situation positively. Every thing should be done coordinately and at its own timing, each step following an educated guess till a final conclusion on the occurrence. We all get affraid in the beginning and many just want to get it out no matter what the consequences can be, regretting it latter.

No doubt that the high PSA of 38 ng/ml is suspicious of cancer, but one can eliminate the bandit in due timing with a proper stealth treatment. In the end, what you need is to get the best diagnosis that would lead to the best choice in treatment and to the best outcome.

I believe that the obstruction problem is caused by inflammation which would correspond to the existing big size gland of 68 cc. Benign hyperplasia is usually the culprit in big size glands. The common cancerous cells just produce more PSA than the normal cells. Both are subjected to inflammation which can cause urination problems. In your partner's case he may have both; hyperplasia and cancer. The first thing to do is to treat the inflammation, which usually is done with a protocol of anti-inflammatory/antibiotics (to rule out UTI). Then one should get another PSA and start all from this last result.

So far his doctor has done what is typical in such blockade situations. Get a PSA test and a picture. After anti-inflamatory therapy and if the PSA persist to continue high or if DRE finds any bumps, then one needs to get a biopsy to identify the type of existing cells. If cancer is found then one needs to locate the extent of the disease. That will provide a guessing clinical stage from which one decides on a treatment. Surely before deciding we should get second opinions and know all the consequences that such a treatment can cause.

For the moment, getting educated on the matter and having a list of question handy for the next consultation is the best. I wonder the age of your partner and of any other health issue he had/has. Surely it is good to get fit and follow proper diets. Many here agree that heart healthy diets are good for PCa.

Here are links to help you in preparing your "List of questions" and understanding PCa issues;

http://www.cancer.net/patient/All+About+Cancer/Newly+Diagnosed/Questions+to+Ask+the+Doctor

http://www.lef.org/Protocols/Cancer/Prostate-Cancer-Prevention/Page-01

http://cancer.ucsf.edu/_docs/crc/nutrition_prostate.pdf

Best wishes and luck.

VGama

Faithlovehope2017 said:

Thank you

First of all thank you VGama and for everyone that commented i was in deep shocked that I forgot to say thank you. My partner i could easily say and mean it the most important person in my life which is why I am in a very panicked and maniac depression behavior. I am going through it step by step one at a time and try my very best to help him. 

 

Best wishes and luck to us all!

Faithlovehope,

I would expand a little on Vasco's commentary, all of which I agree with.  You mention manic-depression, which suggests that you are familiar with the terminology, a serious imparement.  If you are on meds, take them, and call your doc if necessary due to an acute episode.

Diagnosis with prostate cancer (if he has it) is NOT a death sentence, virtually ever.  It is not like most organ cancers, like lung, brain, pancreatic, and some others, which, if they are late-stage, usually ARE death sentences.  Even highly advanced disease is very treatable long term, with many if not most Stage IV patients commonly living a dozen years or more past diagnosis.  And most cases are discovered long before Stage IV, with very high percentages of cure.  The more you learn, the calmer you both will be....

With a PSA of 38 I would demand a biopsy, which any urologist is almost certainly going to insist upon anyway.  It is within the realm of possibility to have a PSA that high and not have PCa, but the liklihood is minute.

max