help, nodule on prostate is this cancer ???

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wilf1980
New Member


Date Joined Dec 2008
Total Posts : 12
   Posted 12/7/2008 8:26 PM (GMT -6)   
i had a prostate ultrasound done and the results say my prostate size and contour is normal but says
 
" few calcifications seen within prostate. there appears to be a possible nodule like structure seen measuring 7.6 x 7.6mm in size " 
 
 i have no idea what a nodule is ? does anyone know if this is cancer or  can nodules be something else? i had a full body mri scan done 2 years ago and nothing was said about detecting anything on my prostate then can anyone give me any info on this subject or refer me to someone who can,  i live in sanbernadino county california  i am 49 years old with no other known health problems. any replies or help will be appreciated thanks
 

Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 845
   Posted 12/7/2008 10:30 PM (GMT -6)   
A nodule is a hard lumpy thing that could be cancer. The only way to know for sure is to have it biopsied -- if that is what your doctor is now suggesting.

An MRI scan will not pick up early stage prostate cancer, and the fact that the MRI showed clear 2 years ago doesn't mean anything.

I suggest at this stage, be guided by your doctor. He has your medical history and will know much that we don't.
Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week and 7-month PSAs: 0
Bimix injections working well 


wilf1980
New Member


Date Joined Dec 2008
Total Posts : 12
   Posted 12/7/2008 10:48 PM (GMT -6)   
thanks for the reply i haven't seen a doctor yet  not sure if i should see a doctor or a urologist ? i just moved to the area and dont have a doctor yet ,thanks again for the reply

BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1821
   Posted 12/7/2008 10:51 PM (GMT -6)   
wilf1980.
A nodule is a "lumpy" protuberance as Piano has said. If it is felt on the prostate it usually requires further investigation as this can be an indication that the prostate may contain cancer. Your PSA level is another important piece of information that your doctor should have as it helps in diagnosis. At this stage be guided by your doctor who will in all probability be carrying out further investigation. Ensure it is investigated but until you have a definite finding try to relax.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)


wilf1980
New Member


Date Joined Dec 2008
Total Posts : 12
   Posted 12/7/2008 11:14 PM (GMT -6)   
thanks bill its a real worry as you will know, i will get some more advice from a doctor thanks again

wilf1980
New Member


Date Joined Dec 2008
Total Posts : 12
   Posted 12/7/2008 11:17 PM (GMT -6)   
hi  billy mac and piano how did you guys find out you had prostate cancer did it start with a nobule or some thing else?

wilf1980
New Member


Date Joined Dec 2008
Total Posts : 12
   Posted 12/7/2008 11:50 PM (GMT -6)   
there was a company doing ultrasound and body scans in the area i live so i thought i would have it checked because i was approaching 50, i also sent off a blood sample to a company last year that came back normal ?

BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1821
   Posted 12/8/2008 12:10 AM (GMT -6)   
A wise approach to health is to have your PSA checked annually from age 50 at the latest (much more sensible to do it from age 40) accompanied by the renowned DRE (finger inserted in the rear end where the prostate can be felt. Elevated PSA can be a symptom of prostate cancer as are nodules on the prostate. Either of these things should prompt further investigation. In my case slightly elevated PSA (3.9) but with a negative DRE (i.e. no nodules felt) triggered the sequence of events that led to diagnosis.
So therefore I repeat "make sure you get it investigated". If it comes to pass that you have a problem then early discovery gives you the advantage.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)


wilf1980
New Member


Date Joined Dec 2008
Total Posts : 12
   Posted 12/8/2008 10:59 AM (GMT -6)   
when i got the psa test it was 0.06 dont know how good that is ??

wilf1980
New Member


Date Joined Dec 2008
Total Posts : 12
   Posted 12/8/2008 11:26 AM (GMT -6)   
sorry the psa test was 0.6 not 0.06

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4450
   Posted 12/8/2008 2:12 PM (GMT -6)   

wilf1980, I think you have given enough info for us get a feel for your history.  If I understand, you had a scan and blood test, but have nothing definitive, beyond what they told you.  You have recently moved and no longer have a GP doctor, or a Urologist?  If so, then now is the time to be proactive and get both lined up.  A GP for normal health issues and a Urologist to examine you closely for possible PCa or other prostate issues, because of your age and the confusing scan and blood results.  Don't put any faith in those paid results, eihter positive or negative.  Now is the time to settle in, get yourself a couple of docs who can help you determine your present stage of health, but especially get that Urologist, to get a baseline made for your health and so he can evaluate your future changes. 

In answer to your question, cancer (PCa) is usually determined by either an elevated PSA reading during a normal PSA blood test screening, or a graduated increase of PSA blood tests over time, or by a abnormality found during a DRE (digital rectal exam).  If any of these is suspicious, the usual next step is a transrectal biopsy of the prostate.  From the point that any abnornality in any of tests (PSA OR DRE) are suspected, the medical testing and care should be referred to an Urologist for the remaining care.  Consider a GP as a tripwire for detecting problems such as the first elevated PSA test result.  In some cases, PSA will be elevated for BPE (benign prostate enlargement) or prostatitis (prostate infections), or even from sex a couple days before testing, or a DRE done before the blood draw, even. 


James C.
Co-Moderator- Prostate Cancer Forum
Age 61
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
Present- 1 year: ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.


wilf1980
New Member


Date Joined Dec 2008
Total Posts : 12
   Posted 12/8/2008 7:27 PM (GMT -6)   
thanks for the info I am seeing a gp tommorow and see if he can refer me to a urologist in the area, thanks again

wilf1980
New Member


Date Joined Dec 2008
Total Posts : 12
   Posted 12/8/2008 7:34 PM (GMT -6)   
hi selmer, they gave me the pics of the scan they took so i can take them to a doctor, the nodule is marked on it with a measurement but it doesn't look like anything to me ? but then again i couldn't see my son on my wifes ultrasound either, i will let you know what the doctor says tommorow ,  i dont know if a gp will do a DRE or if i need to have it done by a urologist ?

lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 579
   Posted 12/8/2008 9:17 PM (GMT -6)   
My cancer was found when a "nodule" was discovered during a regular dre exam.  My biopsy showed that the cancer found on the nodule was biopsied at a Gleason 8 (very agressive).  The rest of the prostate showed a lower grade cancer.  That means (they tell me) that the agressive cancer was mostly isolated to the nodule and a quick removal was the best answer.  So far so good.

PSA up to 4.7 July 2006 , bump noted during DRE
Biopsy 10/16/06
stage T2A  -  Psa 4.7
Gleason  4+4=8  right side
DaVinci Surgery  January 2007
Post op confirms gleason 4+4=8
No extension or invasion found
No continence problems
PSA 90 day (-.01)  , (6 month -.01) , (9 month +.02) , (1 year +.02) ( 18 months +.02)
ED still a problem, minor succces with bi-mix
plaque buildup due to injections 
 
 
 

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