There are a lot of false biopsies; if you have a Gleason 6 and a very low core there is a good chance that tt will be indolant PC. They still use the term "vanishing cancer" to account for no cancer being found in the pathology after radical surgery. Also 3D mapping biopsies after an initial bopsies found no cancer in 27% of patients that had only 1 positive core.
This really doen't mean that there is no cancer, because the chance of having PC cells in your body after 50 years old matches your age. These are small pinpoints of cancer cells that may be pcked up in a biopsy but will never grow into anythng that would hurt you. Unfortunately many people undergo radcal treatments wth permenant side affects for something as inoccuoius as a freckle.
The fact that having bladder cancer will have no affect on having prostate cancer or having a positive biopsy; they are completely dfferent cancers that are not related. If he has had a postive bopsy he must not gnore it and should contact his doctor and reveiw his Gleason score and psa levels and get a good stagng of his PC. Ignorng it is not a good option.
64 years old.
PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.
2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.
Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.
Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.
25 treatments of IMRT 6 weeks after seed implants. No side affects at all.
PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.