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39 and going to urologist for abnormal prostate

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Prostate Cancer
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Big Ed 68
New Member
Joined : Jun 2007
Posts : 8
Posted 6/24/2007 6:05 PM (GMT -8)

Hello all,

I'm 39, just went in for my annual physical with the company doctor. I had my first prostrate exam and he said he felt a soft mass on top of my left gland. He told me to get it checked out with my family Doctor and he confirmed it. My family doctor refered me to a Urologist and said he would most likely give me a PSA teat and maybe a biopsy. My appointment is on 7/12/07 and I'm pretty scared. My family doctor told me I'm pretty young for prostate cancer but what I've been reading it seems more and more people are getting it detected early.

I'm married and have 3 kids (I've alreay had an vasectomy (spelling??)) so that's not an issue.

I don't have any of the other warning signs. I was hoping to hear from others in my age group and their stories about getting tested.

Keeping my fingers crossed,

Ed

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bluebird
Veteran Member
Joined : May 2006
Posts : 2543
Posted 6/24/2007 6:29 PM (GMT -8)
Hi ~ Ed & Loved One,                   W elcome to…                                       H ealing W ell                                                                                              and                     A    “ Special ”    W arm W elcome   to   You !         We are looking forward to walking with you as you step onto the next stepping-stone in your path.   You truly have come to the right place.   Thank you so much for reaching out to all of us.     This forum is so special… which you will soon find out!   The sharing shows we care and you realize You Are Not Alone.   We accept your fears ~ because we’ve been there…   We feel your tears ~ because we’ve shed them.   So ~ continue to post and let us travel this path with you!     We have no problem sending you on your way if the biopsy comes back negative!!!   But ~ something to remember….   KNOWLEDGE     IS     POWER   ...   and   POWER conquers   fear   Keeping you close in thoughts and prayers as you move forward…   In Friendship ~ Lee & Buddy     We hope this link helps you!! Scroll down to the 3rd posting when you get there for some quick links.. (Direct Link ~ just click on the title below and a new window will open!   Reminder … click on the REFRESH icon once you get there) Helpful Hints ~ & ~ Direct Links to Important Topic Threads ~ Hope this helps you!! :)
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kw
Veteran Member
Joined : Nov 2006
Posts : 883
Posted 6/24/2007 6:39 PM (GMT -8)
Hey Big Ed, I was 43 at Diagnosis and open RRP. I too went for annual physical from my GP. He just ran a PSA and it was elivated. Not sure what that reading was? He sent me to my urologist. He did DRE and Free PSA. Dr. felt some firming on left side. Free PSA came back at 5.7. 12 core biopsy was next. 3 of 12 were positive.

My whole story is on KW's Journey. Probably a few pages back now?

Good Luck...
KW
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Big Ed 68
New Member
Joined : Jun 2007
Posts : 8
Posted 6/24/2007 7:02 PM (GMT -8)

Thanks KW,

I read your journey. WOW! You have been through a lot and I wish you the best.

I'll let you know my findings when I go get tested.

Ed

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Dutch
Regular Member
Joined : Feb 2007
Posts : 400
Posted 6/24/2007 7:10 PM (GMT -8)

BigEd:

You will note in KW's post he mentioned the "free" PSA - good tool in case there is a question as to whether you should go for a biopsy or not if your PSA is elevated.

Hoping all is OK and you can just use this PSA as a starting point to track future testing.

Dutch

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AEG
Regular Member
Joined : Nov 2005
Posts : 154
Posted 6/24/2007 7:13 PM (GMT -8)
Hi Big Ed,

Welcome! Please try not to worry unless you find out something for certain. I personally know of someone that have a positive DRE and had a negative biopsy - so it's very possible that it's nothing. Make sure you ask your doc to run a free-psa as well as a regular psa and have it done at a very reliable lab. My opinion is that you shouldn't rush into a biopsy unless your psa / free-psa are out of range or there's a family history. Go for another opinion if necessary.

I recently asked a similar question and here is the link:

https://www.healingwell.com/community/default.aspx?f=35&m=833712

Hi ~ AEG,

I hope this helps! ~ Lee


Excerpt from: “Dr. Peter Scardino's Prostate Book” 2006
Peter T. Scardino, M.D.
Chairman of the Department of Urology ant Memorial Sloan-Kettering Cancer Center and
Judith Kelman
Chapter 9 Page 150

The results of a digital rectal exam (DRE) are highly subjective. The same thing one doctor finds suspicious might be entirely overlooked or deemed insignificant by a different examiner. Tiny lumps or bulges may represent meaningless calcifications or benign enlargement of the glad. Only one in five abnormal DRE’s turns out to be cancer.3

3 Catalona WJ, Richie JP, Ahmann FR, Hudson MA, et al: Comparison of digital rectal examination and serum prostate specific antigen in the early detection of prostate cancer: results of a multicenter clinical trial of 6,630 men. J Urol 1994; 1283-1290.

I found this link …but the percentage shows 1 in 4

http://www.prostatecancer.realage.com/content.aspx/topic/34

Excerpt from “Dr. Patrick Walsh’s Guide to Surviving Prostate Cancer”…(Give Yourself a Second Opinion) 2001

Patrick C. Walsh, M.D.
Professor of Urology, The Johns Hopkins Medical Institutions and
Janet Farrar Worthington
Chapter 5 Page 111

PSA is prostate-specific, not cancer-specific. This is why a blood test alone isn’t enough, why a digital rectal exam is also a must. You can have prostate cancer and still have a low PSA level. And, just because you have a high PSA does not necessarily mean you have prostate cancer—many men with high PSA levels don’t. about a quarter of men who turn out to have prostate cancer have a low PSA level, less than 4 nanograms per milliliter. about 25 percent of men with a PSA between 4 and 10 turn out to have cancer.


Best of luck to you and keep us posted.

AEG
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Rick Roma
Regular Member
Joined : Jun 2007
Posts : 37
Posted 6/27/2007 9:13 AM (GMT -8)
ED..... you are so very young to be going through this. I am older and in the same situation. It certainly is scary. Still waiting for my results.... my PSA was normal, but felt something abnormal on my prostate.... but nothing comparable to what others on this site have been going through..... I wish you all the very best.

Richard
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Big Ed 68
New Member
Joined : Jun 2007
Posts : 8
Posted 7/2/2007 1:58 PM (GMT -8)

Rick,

Thanks for your concern! The waiting is starting to get to me. Everyone tells me I'm too young but the more I read, the more I discover young men getting this too. I go in for my appointment on the 12th of July. Not too long from now but long enough. I'm not sure what the Urologist will want to do but I suspect a PSA test first and go from there.

Good luck with your results, I hope it is all normal.

Thanks friend,

Ed

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Tony Crispino
Veteran Member
Joined : Dec 2006
Posts : 8160
Posted 7/2/2007 3:14 PM (GMT -8)
Hi Ed,
I am 45 and was diagnosed last year. While I find it unusual that your family Dr. did not run a PSA test right then and right there, he is giving you good advice on seeing the urologist. Stay the course and don't let the waiting get you too down. PCa can be a very slow disease and this time is probably only anguish rather than danger. AND you don't even know that this is for sure what you have. Stay healthy and stay positive.

Good Luck, and if you do find yourself dealing with this stupid disease, we'll be here...

Tony
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Big Ed 68
New Member
Joined : Jun 2007
Posts : 8
Posted 7/2/2007 4:58 PM (GMT -8)

Tony,

Thanks for the advice. I too wish he would have given me the test and if I knew then what I know now I would have asked for it.

Did you find out from a Prostate exam or just through the blood test first. How did they treat it, did you have surgery?

Thanks again and my best wishes to you,

Ed

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Tony Crispino
Veteran Member
Joined : Dec 2006
Posts : 8160
Posted 7/2/2007 5:16 PM (GMT -8)
In summary I was diagnosed with a blood test during a physical in October last year. I was a negative DRE at that time. However, I had surgery in February and it was concluded after that surgery that I had advanced disease (late stage III). I am currently undergoing additional adjuvant therapies including radiation and hormone therapy. I feel great and walk 3 miles every morning. My disease is showing signs of remission and with God's helping hand I can get through this just fine.

Thank you for your well wishes and keep the faith that you will be fine. Veteran1 just wrote a great piece on positive attitude and hop over to that link and have a look. In it you see a strong will to live from him. I hope you don't have this disease, but if a DRE is positive and a blood test is still in a safe zone, maybe a biopsy or another PSA is in order. The rule of thumb is >4ng is strongly hinting of PCa but also a 1 that went to a 2.5 is also a point of concern. I don't want to worry you, but this is your life and I'd hate to see you miss an opportunity. You are in control of the next step if it is needed, not your doctors.

Tony
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sterd82
Regular Member
Joined : Sep 2006
Posts : 187
Posted 7/2/2007 5:29 PM (GMT -8)

Big Ed,

I was 45 when first diagnosed.....39 would be one of the youngest I've heard of, but you're on the right track.  Read up on this stuff a bit, BUT DON'T LET YOUR IMAGINATION RUN WILD --- been there, done that and it doesn't help!

Since you're getting this all checked out, just assume you don't have PC...(easier said than done!)....but even if you have a problem, this is a very manageable afflection for the vast majority of sufferers...HANG IN THERE!

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myman
Veteran Member
Joined : Feb 2007
Posts : 1219
Posted 7/2/2007 6:33 PM (GMT -8)
Hi Big Ed,

You've found friends here who understand exactly what you're going through so stay with us.

Let's hope for the best and why not!

Susan
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kdnole
Regular Member
Joined : Jun 2007
Posts : 152
Posted 7/3/2007 9:12 AM (GMT -8)
I am 43 and intially found a high PSA through an annual physical. Then the touchy-feely test and of course that was confirmed through my biopsy in May. I'm going in for pre-op July 10th and in for the DiVinci surgery July 31. Looking forward to getting it out but concerned about recovery, but I'm sure I'll be fine.
Good Luck
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CaliforniaCA
New Member
Joined : Jun 2007
Posts : 5
Posted 7/3/2007 10:15 AM (GMT -8)
BigEd:

I am also 39, and was also sent to the urologist after an elevated PSA reading. They chose to give me a biopsy based on family history (father and gandfather PCa).

I was negative, and am very thankful. Yes it sucks to get this scare at pre-40, but don't dispair. It's seeming to me that they are being much more pro-active about detection and biopsies .. the earlier the better ... and there's a great chance you'll be OK.

If they are going to do the biopsy ... don't worry too much about the procedure. I wouldn't sign up for another one for FUN .. but I've certainly dealt with worse things physically than the biopsy. Let me know if you want to know more about the biopsy, I had mine within the last month so I've got recent expereince with that.
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Big Ed 68
New Member
Joined : Jun 2007
Posts : 8
Posted 7/3/2007 7:51 PM (GMT -8)
Thanks for everyones concern. This is such a great website for support. Although it is in the back of my mind I am trying not to worry about it until I see the Urologist. Like many of you have said, it may be nothing. I am at least getting some better sleep now, I guess that is a good sign my nerves are better( or my body got so tired it took over!).
Thanks agian and I will post my results as soon as I know them.
Thanks,
Ed
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wamba2000
Regular Member
Joined : Jul 2007
Posts : 25
Posted 7/4/2007 7:16 AM (GMT -8)

Big Ed, since I had surgery, I've heard of more younger guys that have elevated PSA's or had a mass that was biopsied to be sure.  I know the waiting is excrutiating, but hang in there.  Finding this out early, if the test comes back positive, is truly a blessing.  It gives you the chance to watch or remove the cancer while you are best able to recover.  Visualize if it had not been found, and could have much more serious consequences.

My prayers are with you, keep us posted on the results after your tests.

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JustJulie
Regular Member
Joined : Mar 2006
Posts : 355
Posted 7/4/2007 10:46 AM (GMT -8)

Big Ed:

My husband was 44 when diagnosed and he chose Brachytherapy (internal seed implant) as his treatment.  I thought he was "too young" to but, unfortunately, cancer knows no age boundaries.  Follow through and have it confirmed either way then do your research and choose the best treatment for you.  My advice is to include your family in your discussions and decisions.  My boys were only 10 and 15 at the time of diagnosis but they're smart boys and they knew from the overall atmosphere in the house "something" was up - include them so they have an opportunity to express their concerns too - it is a family disease.

Good luck to you - be not afraid, early diagnosis is key.

JustJulie

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IlySara
New Member
Joined : Oct 2006
Posts : 18
Posted 7/5/2007 7:22 AM (GMT -8)
I just said a prayer for you, Big Ed. I was 40 when my regular doctor found my elevated PSA with a blood test from a routine physical. No symptoms other than being slightly enlarged. She had decided to start giving the PSA test to all men 40 and older whether they have a family history or not (i don't) instead of the American Cancer Society's recommended 50 and older. She made a good catch and God was looking out for me. I had DaVinci surgery last November and all is back to normal now. The worrying and waiting is extremely hard, but thank God that it was caught while you're young, if you do have it. I wish you the best.
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JCL
Regular Member
Joined : Jul 2007
Posts : 242
Posted 7/5/2007 8:40 AM (GMT -8)

Hang in there, Ed. I'm almost seven weeks out from robotic surgery and am doing fine. As someone posted before, the DRE is highly subjective. The first urologist I went to thought it was a tumor. The second urologist who I ultimately decided to do the surgery said is was nothing more than superficial, probably a calcification. Regardless, my PSA rose to 3.0 (I'm 49) so I had a biopsy. Biopsy came back with 5 core samples with <5% cancer, Gleason 6. Surgery was perfomred on May 21, 2007 and final pathology stated that margins were negative and the cancer was confined, although the Gleason was upgraded to a 7 (3+4). First post op PSA was undectable.

Hang in there. We're all brothers here and are here for your support anytime.


Post Edited (JCL) : 7/5/2007 10:43:19 AM (GMT-6)

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Big Ed 68
New Member
Joined : Jun 2007
Posts : 8
Posted 7/5/2007 4:31 PM (GMT -8)
Once again, thank you all for your support & prayers. I really appreciate it.
One week to go until my appointment. I'm guessing he'll do a PSA Test and go from there.
I'll post how it all goes after my appointment.
Thanks again everyone,
Ed
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bluebird
Veteran Member
Joined : May 2006
Posts : 2543
Posted 7/11/2007 3:50 PM (GMT -8)
 Hi ~ Ed,              Thinking of you                            and wanted you to know!!!!       Stay close….   In Friendship ~ Lee & Buddy  
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Big Ed 68
New Member
Joined : Jun 2007
Posts : 8
Posted 7/12/2007 2:48 PM (GMT -8)

Thank You Lee & Buddy,

I had my appointment today and it went well!

The Urologist didn't "feel" and abnormalalities with my prostrate but he gave me a PSA Test just incase. Should know the results early next week but the Dr. didn't seem to believe it was anything.

I'll let you know the PSA results when I get them,

Thank you so much for your prayers and kind words,

Ed

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bluebird
Veteran Member
Joined : May 2006
Posts : 2543
Posted 7/12/2007 3:02 PM (GMT -8)
J We will be here…. And hopefully we can kick you out of here. If not ~   guess what?   We will still be here…. To walk with you!!! I hope you post here ~ so your information stays together for others to see….   Thank you for sharing! See you soon …..   Special Hugs comin’ atchu!!!!!!   From Lee & Buddy
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mvesr
Veteran Member
Joined : Apr 2007
Posts : 823
Posted 7/12/2007 3:20 PM (GMT -8)
Big Ed. Hope it works out for you. We will be here for you.

Mika mvesr
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