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razorbackfonda
New Member


Date Joined Apr 2007
Total Posts : 16
   Posted 4/21/2007 12:25 PM (GMT -7)   
My father-in just found out that he has prostate cancer.my mother in- law keeps talking about adenocarcinoma carcer,what is that? And she keep's talking about a 8 and I know there is 4 stages in cancer what is this 8 she keeps talking about.Cause everytime my husband ask his mother what stage the cancer is in, she just says his dad is real sick. and the dr. said it is a 8.And we know they found a toumor in the colon, so is the cancer spreading?

kziz
Regular Member


Date Joined Feb 2007
Total Posts : 242
   Posted 4/21/2007 1:31 PM (GMT -7)   
hi razorback, sorry about your father-in-law, but you came to the right place to find answers to your questions. First of all, I believe that adenocarcinoma is "cancer", just the medical term. "8" is probably the Gleason score. It consists of 2 numbers added together to give you the total score. They take the oddest looking cancer cells and give that a number and then take the second oddest looking cells and give that a number. Like my husband, was a 3 + 3 = 6, but on both sides. That but him into the T2c stage. If it had been on only one side, his stage would have been a T1. Gleasons of 6 and below are believed to be beginning tumors. At 7, from what we were told, the cancer is more aggressive.

To get the most information possible from this great group of people, it would be helpful for you to post some other info. His PSA level and age are important. His overall health is also good info. If you live close, it is also important to go with him to doctor appointments. You you are getting this kind of information, an extra set of ears is important.

Keep posting your questions, and answers will come. Right now, this is a very scary time for you and your family. PCa is very beatable.

Again, sorry you all had to join this group. Courtney
Kurt & Courtney
47 year old
Great Health prior to dx
Dx on 1/29/07
PSA 4.1
Gleason 3+3=6, both lobes
Stage T2c, I believe
Tumor involves 20% of cores, both lobes
Live in OK
Da Vinci scheduled 3-14-07 in Austin
Post-Op  Gleason 6, Stage t2c nx mx  YAAAAA HOOOOOO! 


GreenAcres
Regular Member


Date Joined Jul 2006
Total Posts : 474
   Posted 4/21/2007 2:33 PM (GMT -7)   
Hi, RBfonda. I know this is very scary for you. While I would certainly defer to more medically knowledgeable folks in this group, the colon tumor is probably not related to prostate cancer. Spots that prostate cancer spreads to first usually involve bones and lymph nodes.

A Gleason score of 8 is on the higher side, but most likely well within many treatment options. Next, the doctor will order a biopsy (I imagine). Then, a cat scan and lower X-rays will come next. Then, you can start planning the attack and a chance for a cure based on those reports. It's important to gain as much information as you can about your dad's condition.

Others will be along shortly with more help.
Husband age 66
PSA on 5/1/06: 4.2 (had doubled in 13 mos. and rising monthly)
DaVinci Surgery 8/2/06 - Austin, TX w/Dr. Randy F.A.G.I.N.
T2a (at biopsy)
At pathology - cancer cell leakage into fatty tissue
Post-Surgical PSA on 10/3/06 - undetectable!
Update: 11/1/06 - perhaps bladder neck involvement; 30%-50% chance of recurrence
Future: PSA tests twice-yearly for now - Next one: 4/17/07
 


Tamu
Veteran Member


Date Joined Oct 2006
Total Posts : 626
   Posted 4/21/2007 6:31 PM (GMT -7)   

Razorback,

I am truly sorry to hear about your father.  I will try and help with your questions.

Here is the meaning of adenocarcinoma.

ADENOCARCINOMA : The word generally used to describe epithelial tissue in a gland that has become malignant. It is identified in a pathology laboratory and given the name of the tissue affected. eg the prostate gland tumour gets the name 'prostate adenocarcinoma', because its cells resemble the cells of the prostate.

As to the staging of prostate cancer here is the definition.

  • T1: tumor present, but not dectable clinically or with imaging
    • T1a: tumor was incidentally found in less than 5% of prostate tissue resected (for other reasons)
    • T1b: tumor was incidentally found in greater than 5% of prostate tissue resected
    • T1c: tumor was found in a needle biopsy performed due to an elevated serum PSA
  • T2: the tumor can be felt (palpated) on examination, but has not spread outside the prostate
    • T2a: the tumor is in half or less than half of one of the prostate gland's two lobes
    • T2b: the tumor is in more than half of one lobe, but not both
    • T2c: the tumor is in both lobes
  • T3: the tumor has spread through the prostatic capsule (if it is only part-way through, it is still T2)
    • T3a: the tumor has spread through the capsule on one or both sides
    • T3b: the tumor has invaded one or both seminal vesicles
  • T4: the tumor has invaded other nearby structures
  • The meaning of the Gleason scores is as follows.

    GLEASON SCORES :This refers to the system of judging the aggressiveness of the tumour. It is one of the factors by which the likelihood of the cancer spreading beyond the prostate capsule is judged. A sample of tissue taken from the prostate is examined under a microscope. Two areas where the cells are not normal are selected [these are referred to as foci]. Each is graded on a scale of 1 through 5, where 1 is well differentiated [good] and 5 is poorly differentiated [bad]. The two grades are added together to give a score on a scale of 2 to 10, where 6 is the mid-point. The most common scores are 5 and 6.

     

    Hope this helps some.

    Tamu

     

     


    Diagnosed 7/6/06, 1 of 10 core samples, 40%,Stage T1c, Gleason 3+3
    Da Vinci on 11/01/06, Catheter out on 11/13/06
    56 Years Old
    Post Op Path, Gleason 3+3, Approx. 5% of prostate involved
    Prostate Confined, margins clear
    Undetectable PSA on 12/18/06
    No more pads as of 1/13/07
    Began injections in April '07


    razorbackfonda
    New Member


    Date Joined Apr 2007
    Total Posts : 16
       Posted 4/21/2007 9:57 PM (GMT -7)   
    This is razorbackfonda,My father-inlaw is 63years old, his overall health is not that good,he had 2 massive heart attacks and only half of his heart is working.He had his heart attack's in june of 2006.Dr's have done said they can't do surgery cause of his heart.And I don't know anything about his psa level.I would go to dr.appoinment's but my health is not that good and the long rides will be hard on me.And my husband's job it is very hard for him to get away.

    Izzyblizzy
    Regular Member


    Date Joined Oct 2006
    Total Posts : 411
       Posted 4/21/2007 10:21 PM (GMT -7)   
    hi razorbackflorida,

    Don't give up hope. Fortunately there are lots of treatments available for prostate cancer.

    Even if he is not a candidate for surgery, there is always various forms of radiation treatment. Options on that vary from proton beam, to IMRT/IGRT, or brachytherapy.

    I would enourage you to encourage your mother and/or father-in-law to get copies of his PSA (blood test) and biopsy report. You can also "gently coach" her and him on what to ask even if you are not able to go to appointments.

    Best wishes :) You sound like a caring daughter-in-law.

    Tanya
    Age: 63
    Diagnosed: 10/30/06
    PSA: 3.7 (up from 3.4 previous year)
    Biopsy: 1/10 cancerous, 5% of one core, right apex.
    Gleason: 3+3=6
    Da Vinci: April 10, 2007
    Path results: 1% of prostate involved. Very small tumors on both right and left apex. Negative margins. Gleason 3+4=7.


    kziz
    Regular Member


    Date Joined Feb 2007
    Total Posts : 242
       Posted 4/22/2007 10:17 AM (GMT -7)   
    Razorbackfonda, like Tanya said, there are a lot of treatment options out there. There are many threads on here where others share their different treatments. Some have had seeds, others proton radiation, etc. My dad caught his PCa in the last stage. It had spread to the lymph nodes throughout his body. He was given six months to live. He treated it with hormone therapy and radiation, open beam, and later with chemo. He lived for over 4 years and that was over 10 years ago. They have come even further with treatments since then. The american cancer society web site has quite a bit of information on it regarding the different treatments. You can help your mother and father in law by learning about the options and discussing it with them. THe more knowledge they have going into doctors appts, the more able they will be to ask the questions they have. Good luck to all of you. Courtney
    Kurt & Courtney
    47 year old
    Great Health prior to dx
    Dx on 1/29/07
    PSA 4.1
    Gleason 3+3=6, both lobes
    Stage T2c, I believe
    Tumor involves 20% of cores, both lobes
    Live in OK
    Da Vinci scheduled 3-14-07 in Austin
    Post-Op  Gleason 6, Stage t2c nx mx  YAAAAA HOOOOOO! 

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