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pittsburgh bud
New Member
Joined : Dec 2008
Posts : 12
Posted 12/29/2008 12:21 PM (GMT -8)
Hi everyone.Iam new to your sight. doctor did a 5 core biopsy on me and one came back positive.

I have a small nodule that i was told 4 years ago that it felt normal and he would keep an eye

on it each year.my psa last year was 3.3 this year 4.1 dotor decided on biopsy and these are the

results.

one of 5 positive.

right base-atypical gland suspicious but no cancer

right mid-prostatic adenocarcinoma-3+4=7 50%

right apex-neg.

left apex-neg

left mid-neg

Iam worried about spread to bones as once in awhile i get small little pain right below ribs. i do have some

arthritis but not big time. dotor ordered bone and ct scan as he says he does with everyone diagnosed.

what are the chances of progression of this if anyone knows?

thank you so much

budrey

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Todd1963
Veteran Member
Joined : Oct 2008
Posts : 3565
Posted 12/29/2008 12:30 PM (GMT -8)
I'm no expert on the subject but with low P.S.A. and your doctor keeping a close eye on things, and having just one core positive, I would say the chances that it has spread are minimal. Welcome to the sight. This is a club that no one wants to be a member of but there are a ton of great people here. Take a deep breath and try to relax. Todd
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Tony Crispino
Veteran Member
Joined : Dec 2006
Posts : 8160
Posted 12/29/2008 12:42 PM (GMT -8)
Hi Bud,
Very slim chances that it has spread to bones. You PSA is a low number. Your doctor is doing right by ordering additional scans. If you don't mind, what is your age?

Tony
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pittsburgh bud
New Member
Joined : Dec 2008
Posts : 12
Posted 12/29/2008 12:45 PM (GMT -8)

thank you for your quick reply. I am worried because of the small pain i get once in a while under my ribs.

i do notget it real often and never at the same time. I AM ALSO WORRIED BECAUSE OF THE SMALL NO. OF

CORES HE TOOK 5

BUDREY

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pittsburgh bud
New Member
Joined : Dec 2008
Posts : 12
Posted 12/29/2008 12:51 PM (GMT -8)

hI tONY

Iam 63yo. Thank you for your response and i sure hope your right. Iam ingood shape and am not worried to much about surgery as i have decided to go that way as long as the cancer has not spread. I am just scared because of the small pain i have.

thank you so much for your reply

budrey

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aus
Regular Member
Joined : Sep 2006
Posts : 211
Posted 12/29/2008 1:03 PM (GMT -8)

pittsburgh bud said...

thank you for your quick reply. I am worried because of the small pain i get once in a while under my ribs.

i do notget it real often and never at the same time. I AM ALSO WORRIED BECAUSE OF THE SMALL NO. OF

CORES HE TOOK 5

BUDREY

When PSA is under 20, it's unusual for a bone scans to indicate anything. Generally they are not routinely done when PSA is well below that figure.

Recently it is more usual for at least 12 biopsy samples to be taken: when your  next biopsy is done, it should include a larger number of samples, with the slides sent to an expert pathologist for a 2nd reading.

Biopsy readings are subjective, and what looks like cancer to one person can sometimes look more normal or a different grade to an expert pathologist.


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Purgatory
Elite Member
Joined : Oct 2008
Posts : 25448
Posted 12/29/2008 1:06 PM (GMT -8)
Hello and welcome Budrey, to the club no one really wants to belong to, but if you qualify, best on the next. I would agree with the others, unlikely from your specs so far that it has spread to bones, etc. I had that same fear due to all the lower back pain and hip pain I was having around the time of my PC dx. The bone scan and cat's showed clear, like it does in most early cases, hope the same for you.

David in SC
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divo
Veteran Member
Joined : Jul 2008
Posts : 637
Posted 12/29/2008 1:30 PM (GMT -8)
Hi Bud, The pain in your rib could be a pulled muscle or just a bruise....Everyone over a certain age has odd pains here and there. I would almost bet anything that the pain has nothing to do with cancer. Di
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zufus
Veteran Member
Joined : Dec 2008
Posts : 3149
Posted 12/29/2008 1:34 PM (GMT -8)
Odds are high that you are good for localized disease. I am qualified to know (hell no), but from alot of other cases out there and my own.

Clear scans (CT and bone) with these riduculous stats: bPsa46.7 12 pos. bio./75-95% in all of them, gleasons found 7,8,9's, gland size close to normal. I even have the actual Xrays I got a copy with is useful when you seek many second opinions, especially radiologists/onco docs would like to see them also.

Advice to all NEWBIES: get a copy of the pathology report in your hand, the actual copy, settle to nothing less, you may need it for discussions, review, and docs for second opinions also. Plus you with learn what it actually says after a while, the lingo and terminology etc.

Bob P. (aka-neutrondbob & zufus)
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pittsburgh bud
New Member
Joined : Dec 2008
Posts : 12
Posted 12/29/2008 1:41 PM (GMT -8)

Thank you all for such fast responses.This is a great sight. does anyone know if you take arthritis meds. mobic that if the pain goes away if that would mask the mets or would it still be there ? The pain below my ribs goes away with the mobic.

thank you again

budrey

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BillyMac
Veteran Member
Joined : Feb 2008
Posts : 1858
Posted 12/29/2008 1:46 PM (GMT -8)
Got to agree with the other members. Although nothing is set in stone with this disease with such a relatively low PSA you are very unlikely to have any thing in the bones other than the "rumatiz". Take note of what Zufus said.........make sure you get a hard copy of all reports etc and maintain your own set of records and take them with you to any consultations.
Bill
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Tim G
Veteran Member
Joined : Jul 2006
Posts : 3054
Posted 12/29/2008 1:47 PM (GMT -8)

Welcome Bud from Pittsburgh!  Glad to have you join us on the forum.  The chances that your cancer has escaped the prostate and migrated to the bones is virtually nil...Tim


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alex1
Regular Member
Joined : May 2008
Posts : 29
Posted 12/31/2008 6:19 AM (GMT -8)
Bud:

First, I agree with some of the earlier replies that with your situation it is highly unlikely that the PC has spread. However, I'll give you my story with a recommendation that you be maybe a little more aggressive with getting the right evaluation of your situation. Going in, my doc felt nothing on a DRE, so we watched PSA numbers for about a year before we did anything. Noting a "gentle rise" in PSA, my urologist recommended a precautionary biopsy. He took 13 cores and only found PC in one of them, with path at 4+3 Gleason with an estimated 5% involvement. Since my wife and I are very aggressive about wanting to be rid of it, after exploration and inquiry, we went with a robotic removal by a well qualified, high volume surgeon.. Now, the important point: though all margins, etc were clear, post op path showed 15% PC involvement. In short, nobody can really tell you what's going on until they look at it, and its not in a real good place to get a view.

On the brighter side, for me the surgery went well, I've had three "zeroes" on PSAs since, and very little incontinence issues. After almost a year, ED seems to be slowly working itself out as well. I certainly don't want to push you into anything, but do remember there is a reason they call what doctors do "practice"-even with the very best minds and science, it is still very much a guessing game.

Best of luck to you as you work your way through the many pathways available.
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livinadream
Veteran Member
Joined : Apr 2008
Posts : 1382
Posted 1/2/2009 6:29 PM (GMT -8)
Welcome to HW Bud sorry you have to be here but since you are join in. Looks as though you have already gotten so great responses. You will find some wonderful people here ready and willing to share their knowledge. Feel free to join in.

peace and love
Dale
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