New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

vs1vs2
Regular Member


Date Joined Dec 2008
Total Posts : 60
   Posted 5/1/2009 11:01 PM (GMT -6)   
Hello all,
 
I have taken a breather for awhile but have been following along for awhile.  I always know I can get the good information here.
 
I recently changed uros because I did not like the way the original one (not surgeon) communicated.  Anyhow, the new uro ordered a 3mo. PSA and cytology.  The PSA was good but they wanted another urine sample.  After the second one, they called and said everything looked good except the cytology had atypical cells.  I asked what that meant and the nurse did not know.  She said I could repeat the test if I wanted.  I asked her why and she said she still did not know.  I do not have an appt until 06/29 with the doctor.  She said they would run it again along with the PSA before my visit and the uro would discuss it then after a second look.  She also said they may want to do a cystoscopy to have a look around.  The cystoscopy does not sound fun at all.
 
A little help here.  Does anyone understand atypical cells from cytology?  They do not seem very concerned but concerned enough to run the test again in 3 mo and may do the cystoscopy.  Any ideas.
 
Thanks,
Tim
Age at Dx:48, currently 49
PSA May 08 2.96
referred to uro
PSA June 08 3.44
biopsy 7/25/08-29 core samples
path 7/31/08-8 of 29 PCa/10% involved L/R base and mid
high grade PIN in apex/seminal vesicles clear stage GS 3/3=6 pT2a
10/7/08 robotic at Cleveland Clinic-Dr. Kaouk
10/10/08 path GS 3/3=6 pT2c
cancer contained/neg margins
PSA Jan/09 .03
      Apr/09 .03


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4848
   Posted 5/2/2009 4:23 AM (GMT -6)   

I had to look em up:

Cytology, more commonly known as cell biology, studies cell structure, cell composition, and the interaction of cells with other cells and the larger environment in which they exist.

Cytopathology has similar aims, but tends to look for cells that should not be present in an organism. Cytopathology is also one of the main diagnostic tools for detecting cancer.  More here->
http://www.wisegeek.com/what-is-cytology.htm


Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
 
10/03/08 - 1st Quarter PSA -> less then .01
01/16/09 - 2nd Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 5/2/2009 8:05 AM (GMT -6)   
I had two cystoscopy performed, one in the dr. office using just numbing jell, if you don't look at what he is doing, it wasn't so bad. Second one was in hospital under GA, for a corrective surgery, never felt a thing on that one and didn't want to know the details of what they did. Just make sure they use a flexible scope, not a rigid scope which is rarely used on men any more.

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 6 month on 5/9
 
 


DS Can
Regular Member


Date Joined May 2009
Total Posts : 195
   Posted 5/2/2009 8:39 AM (GMT -6)   
My wife is a "cytotechnologist" and is helping me with this reply.  Cytology is a part of the pathology laboratory.  They look at specimens and evaluate the cells (not the larger tissue pieces) for cancer, pre-cancer and infection.  Specimens commonly evaluated are urines, body fluids, pap smears, fine needle aspiration biopsies, sputa and bronchial and more.  Cells are evaluated under a microscope (no fancy machines) and determined to be normal or abnormal for that specific body site.  If the specimen is cancer or suspicious for cancer, they say so in the report.  If there are cells that are "not normal" but the reason for the "abnormality" is not known, it is called "atypical".  Reactive and reparative conditions in the body can cause atypical cells as a body's way of responding to a trauma or a procedure.  Pre-cancer or cancer can also cause "atypia" when the cancer cells are not readily identifiable and recognized.  A doctor may repeat the test or order a more conclusive tests if atypical cells are identified.  The doctor can call the pathologist and consult as to what to do next (wait, repeat the test, order another test, such as immunos, FISH...).  Hope this helps. DS

PSA 01/07 was 1.2, PSA 01/08 was 1.9, PSA 01/09 was 2.5.
BIOPSY 02/24/09, adenocarcinoma DX at age 52
  Right: GS 3+3=6, tumor in 3 of 6 cores, 10% involvement,PNI-Yes
  Left: GS 3+3=6, tumor in 1 of 7 cores, <5% involvement,PNI-No
LARP 04/09/09
  Left-side nerve sparing, Right-side partial nerve sparing
  Final pathology: GS 3+4=7, Margins uninvolved, 2 lymph nodes negative
Catheter removed 04/17 - was more painful than I expected.
Incontinence has not been much of an issue, still wear a pad for security.
ED treatment is 25 mg nightly.
First followup PSA results on 05/28/09
 
 


vs1vs2
Regular Member


Date Joined Dec 2008
Total Posts : 60
   Posted 5/2/2009 10:53 AM (GMT -6)   

DS,

As usual, I can get more info through this group of great people then from the medical community.  Thank your wife for the technical stuff and also you for the willingness to respond for me.  This helps alot.  I do not know why the medical community can not understand why when someone has (or has had) cancer and they tell you the results of a test, that you would want to understand those results.

Also, welcome DS, hope you are just passing through and not taking the journey.

Tim

 

 


Age at Dx:48, currently 49
PSA May 08 2.96
referred to uro
PSA June 08 3.44
biopsy 7/25/08-29 core samples
path 7/31/08-8 of 29 PCa/10% involved L/R base and mid
high grade PIN in apex/seminal vesicles clear stage GS 3/3=6 pT2a
10/7/08 robotic at Cleveland Clinic-Dr. Kaouk
10/10/08 path GS 3/3=6 pT2c
cancer contained/neg margins
PSA Jan/09 .03
      Apr/09 .03

New Topic Post Reply Printable Version
Forum Information
Currently it is Wednesday, September 19, 2018 12:07 AM (GMT -6)
There are a total of 3,004,518 posts in 329,151 threads.
View Active Threads


Who's Online
This forum has 161743 registered members. Please welcome our newest member, worldmicroblade.
261 Guest(s), 1 Registered Member(s) are currently online.  Details
noodlesnoodles