He went on to say that this will require more close care but did not indicate cancer.
I guess I have to be scared again!!! UUUgggghhhh........
Jim, Look, I know you wanted some clean line........cancer, no cancer.........but for most men, from age 40 to 90 the status of the prostate is really a continuum. At 40 very few will have PCa and by 90 a fairly high percentage will have PCa although it may not diagnosed in all of them.
People find it odd when I say I just assume I have micro, or more, PCa currently even though I have not been biopsied, and still have a fairly low PSA result most of the time. Now or 10 years from now, if you took out my prostate and sliced it and diced it I'm sure you'd find some PIN as well as some micro Gleason 6 spots.
I'm still hoping I never have to have that done but I don't make believe some micro, or more, spots are not there.
So, your prior elation need not turn back to fear. You just have to keep a steady eye on it and do all you can to create the environment where any potential transformation or growth "might" be slowed or halted.
Even if you get really into doing that with all the steps possible, you have no way of knowing if your efforts will be of any value at all. You do what you can and remain vigilant with your urologist.
You are kind of in a "watchful waiting"-----or early era "active surveillance" ...... but prior to any diagnosis.
BTW, I don't think there is any study showing that all PIN eventuates in a diagnosis of PCa. You might read up on the data about
So you're back to keeping an eye on the old prostate and, if motivated, doing all the changes that "may" have some effect on the future course of your particular situation.
At least you aren't needing to think about
treatment at this point. Think about
that positive aspect.
Again you have helped me slow down my panic...
When I got the all clear from the oncologist I thought it was just that. He never even mentioned PIN to me. My Urologist called and said that PIN was on the biopsy report and we should be sure to schedule an appointment. This was a voice mesage so I had no chance to ask any questions. He DID say that this is NOT cancer but is information that we need to use for on-going care.
Since I've had a lot a cancer nightmares in my life with father and sister I am emotionally shell shocked. Just about anything would set me off about now. I really don't want to have to face this as I've seen it ravage people very close to me. The relief I felt at the all clear was palpable. Now it is greatly diminished to be sure.
I'll do what I did when this whole journey started. In about 2 weeks I'll know more about PIN than most and will be sharing what I find. At least the information will keep me feeling more in control.
I am age 47 - Father, Paternal Uncle and Maternal Grandfather had/have Prostate Cancer.
Father 74 years old, PSA = 10.6 Gleason = 5 + 5 = 10 (very aggressive) and high involvement in all cores. Seed therapy is the only option. Father died cancer free.
06/04/08 - At physical DRE normal, PSA test returns 4.4
06/20/08 - First Urologist visit. DRE and ultrasound finds nothing conclusive. Doctor says biopsy is the only safe way to go. Prostate volume is 40 grams.
07/11/08 - PSA test returns 4.1. Scheduled the Stereotactic Transperineal Prostate Biopsy for 7/21
07/21/08 - Had the biopsy. Not so bad but sore on day 2. Back to work tomorrow
See my blog http://www.imfightingcancer.com
07/23/08 - Pathology comes back NO CANCER DETECTED!
08/01/08 - Urologist calls and says Prostatic Intraepithelial Neoplasia ("PIN") was found in my biopsy