Posted 9/3/2013 2:09 AM (GMT -7)
Hi worried mom,
Have you told us yet how old your sons are? Generally speaking, it is VERY rare for a man to develop prostate cancer much before the age of 50.
With that said, I'll tell you what my local urologist told me in 2009 -- which was 2 years before I was Dx'd with PC. I had a PSA that was a bit higher than normal, but I also had a significant case of BPH, a benign condition of prostate enlargement.
BPH can account for a higher PSA reading. But the uro also cautioned me that this meant it could also be masking the presence of PC. He told me this in 2009 and, when I finally agreed to let him do a biopsy in 2011, PC was found.
Anyway, he asked in 2009 if I had any family history of PC. I advised him that my Father had PC in his early 70s. The doctor replied that this made me TWICE as likely than normal to get it also.
When I further told him that one of my Dad's brothers also had PC, the doctor said I was then THREE times more likely to get it. He urged me to do the biopsy, but I chickened out.
But when my PSA spiked by almost 2 points from 2009 to 2011, I finally agreed to the biopsy and, soon after, I was diagnosed.
So your sons DO have a significantly greater risk of eventually developing PC as the get older. If any other close family members had PC, their chances go up even higher.
So, as they enter their 40s (assuming they are younger than this now), they should have the doctor include a PSA check in their standard, annual physical bloodwork. Then they can begin a tracking history of their PSA and be able to watch it from year to year.
As others have noted, by the time they might develop the disease, medical science may have a much easier cure. The trick, of course, is to stay on top of it and not let it get away by not monitoring.
Good luck to them -- and to your dad!
Resident of Highland, Indiana just outside of Chicago, IL.
July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7.
Local urologist DRE revealed significant BPH, but no lumps.
PCa Dx Aug. 2011 at age of 61.
Biopsy revealed adenocarcinoma in 3 of 20 cores (one 5%, two 20%). T2C.
Gleason score 3+3=6.
CT of abdomen, bone scan both negative.
DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
My surgeon was Dr. Matthew Tollefson, who I highly recommend.
Final pathology shows tumor confined to prostate.
5 lymph nodes, seminal vesicles, extraprostatic soft tissue all negative.
1.0 x 0.6 x 0.6 cm mass involving right posterior inferior,
right posterior apex & left mid posterior prostate.
Right posterior apex margin involved by tumor over a 0.2 cm length, doctor says this is insignificant.
Prostate 98.3 grams, tumor 2 grams. Prostate size 5.0 x 4.7 x 4.5 cm.
Abdominal drain removed the morning after surgery.
Catheter out in 7 days. No incontinence, occasional minor dripping.
Post-op exams 2/13/12, 9/10/12, PSA <0.1. PSA tests now annual.
Semi-firm erections now happening 14 months post-op & VERY slowly getting a bit stronger.
PSA '09 4.1, 7/11 5.7
Biopsy 8/11 adeno 3/20 cores (5%, two 20%) T2C G6
CT abdomen, bone scan neg
daVinci 11/1/11 Mayo, nerves spared, age 62
Dr. Matthew Tollefson-great!
Final path: confined to prostate, 5 lymph, s. ves, xprostatic tissue neg
Rt post apex margin + with 0.2 cm length
Prostate 98.3 gr, tumor 2 gr. Prostate 5x4.7x4.5 cm
Cath out 7 days, 0 incont, minor drip
Feb/Sept '12, PSA <0.1