Ectopic prostate tissue?

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brainsurgeon
Regular Member


Date Joined Jul 2009
Total Posts : 137
   Posted 2/9/2010 3:46 AM (GMT -6)   
Just thinking out loud. Other of the body's organs can have tissues outside of the organ itself. Thyroid, liver, and spleen come to mind. Sometimes, these "ectopic" cell groups can become malignant and give a diagnostician fits with trying to find what is going on. Prostate tissue can do this also, but it might remain benign. The bladder and the Processus Vaginalis (a remanent of the pathway where the testicles exits the abdomen into the scrotum in a male embryo) are common sites for these ectopic prostate collections. These could well be a source of PSA, but I expect this would be rare. Don't know what radiation, as received for SRT would do to this "normal" prostate tissue. Going to ask my URO.
70 years old (1939) USA citizen
Prostatic carcinoma dxed June 2009 by PSA (7.0) and then Bx
PSAs yearly since 2001 ranged 1.52 to 7.0. Doubled from 3.5 to 7.0 in one year.
Neg. CT and Bone Scan
4 of 8 biopsies positive (all right side) Gleason Score 3+4=7
Robotic assisted total prostatectomy and node excision July 2009 in Luzern, Switzerland by Dr. A. Mattei in the Kantonsspital. New Gleason was 4+4=8
pT2c G3 pN0 (0/14 nodes +, Margins, etc. clear
Catheter out in 5 days (home in 3 days). No incontinence
Positional neurpraxia in hip and knee resolved 90+% in 5 months.
Potency: beginning tumescence??? at 3 weeks post-op. Still happens at 3 months PO. Nearly usable one month later. At 5 mo. with 100 mg Vitamin V, pretty good. Now beginning 5 mg Cialis daily.
3month PSA less than 0.01, 6 month PSA less than 0.01


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 2/9/2010 8:46 AM (GMT -6)   
This helps others understand why the notion of "zero" PSA is a misnomer for any living, breathing male.

No such thing as "zero" PSA...but there is such thing as having PSA so low as to be below the test detection limits.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/9/2010 8:55 AM (GMT -6)   
I always thought this was a given. No one would test accurately to an exact .00 or .000. Our emphathis on the "Zero Club" has always been understood to be any reading below .10. Anything beneath .10 would constitute a "zero".

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 2/9/2010 9:03 AM (GMT -6)   
David, you can see (read) in some of the writings of some guys that this can cause/has caused some angst. Clearly, from their comments, this has not been explained clearly to them by their doctors. For those who understand it, the "zero club" is a nice tongue-in-cheek notion; for those who don't, it may be a source of additional anxiety.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/9/2010 9:24 AM (GMT -6)   
I only got to enjoy being in it for my original 3-month post surgery PSA, and that was it. I still want a refund for my membership fees.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 2/9/2010 10:02 AM (GMT -6)   
Sorry, but your fees have been drunk and pissed away...or whatever the correct term is for when one wears a catheter.
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