Almost 49 in June . Having symptoms for over 15 years now,urinating frequently ,pressures in my bladder etc ,prostate ultrasound,flomax,antibiotics (that was done in 2010 though) Psa 2006,2007 0.8 Psa 2011,2012 1.0 Psa 2014 1.1 Psa 2016. 1.3 Psa just now. 1.9 ,free 0.26,% free psa 13.7 Dre ,doctor felt a nodule Cystoscopy normal , except bilobar prostate hypertrophy Psa done a week after dre Dr says cancer,scheduled me for a biopsy Please advise,thanks !!!
Post Edited (Novi68) : 5/5/2017 3:03:05 PM (GMT-6)
Taking some "natural supplements over the years ,like: togkat ali,5000 mg vit d,vit k2,zinc,boron,creatine ,working out supplements etc,just to boost my testosterone that's in the 400! Some of those supp are for dht also!
Post Edited (Novi68) : 5/5/2017 3:11:59 PM (GMT-6)
Hello Novi and welcome. Most of us who are diagnosed with prostate cancer do not have symptoms of the disease. The symptoms you describe sound more like an infection or BPH. Obviously your total PSA is still low and without the nodule it is questionable whether or not a good doc would recommend a biopsy. The free PSA % is generally only applicable for PSA levels over 4 anyway.
Are you seeing an experienced urologist rather than your PCP? One man's nodule is another man's normal. The other thing is that if a doctor told you it was "cancer" from your numbers and one DRE I think I would look for another urologist. A cancer cannot be diagnosed from a PSA test OR a DRE; only a biopsy can tell that.
Maybe you should get a second opinion before submitting to biopsy. That is a medical procedure that is usually routine but not totally without risk.
Jim
P.S. I just saw your questions about supplements. Perhaps one of our members who is knowledgeable in that area will chime in.Forum Moderator-Prostate Cancer. Age 62 (71 now), G 3 + 4 = 7, T1C, PSA 4.2, 2/16 cancerous, 27cc. Brachytherapy 12/9/08. 73 Iodine-125 seeds. Everything continues to function normally. PSA: 6 mo: 1.4, 1 yr: 1.0, 2 yr: .8, 3 yr: .5, 4/5 yr: .2, 6-9 yr: 1. My docs are "delighted"! My journey: http://www.healingwell.com/community/default.aspx?f=35&m=1305643&g=1305643#m1
Post Edited (Tudpock18) : 5/5/2017 2:37:29 PM (GMT-6)
Thank you for your reply ,it's comforting ... I'm lucky enough ,I guess ,to live in Southern California ,and actually scheduled an appnt with doctor Duke Bahn in Ventura ,that's next week,just by reading some post here on this website . What do you think?!
Post Edited (Novi68) : 5/5/2017 4:08:07 PM (GMT-6)
Actually he told me ,most likely cancer right after the dre ,without the psa result on hand ,that was done after a week . Just bluntly in my face . Couldn't sleep for 2 days ....
There are worse things than a biopsy. That he felt something is worrisome. He was a bit blunt. A more measured reply would have been, "possible cancers." Nodes can form for other reasons.
Still, the biopsy seems like a reasonable response.
Likely your sleepless nights was because of your fear of the "C" word - cancer. I get that, but PC isn't like other cancers. It's slow growing and has tons of treatments. Even if the worst is true, you have every reason to expect a positive outcome. It won't be easy or fun, but you've got a ton hope that in 10 years this will just be a horror story you tell.
Hang in there, AndrewI'll be in the shop. Age 57, 52 at DX PSA: 4.2 10/11, 1.9 6/12, 1.2 12/12, 1.0 5/13, .6 11/13, .7 5/14, .5 10/14, .5 4/15, .3 10/15, .3 4/16, .4 10/16, .4 5/17 G 3+4 Stage T1C 2 out of 14 cores positive Treatment IGRT - 2/2012 My latest blog post
Nobody can tell you that you have cancer, without a biopsy and tissue looked at under a microscope and identified as cancerous.
And even if you do have cancer, with a slowly rising PSA of 1.9, its highly likely to be at a very curable stage. As IntheShop said, its more often than not, different than other cancers.Dx Age 64 Nov 2014, 4.3 BX 3 of 12 cores positive original pathologyG6, G6, G8 (3+5) downgraded to 3+3=6 by Dr Epstein, JH RALP with Dr Ash Tewari Jan 6, 2015 Post surgical pathology – G7 (3+4), ECE, Margivns, LN, SV all negative PSA @ 6 weeks 2/15, .<02, remained <0.02 until January 2017, .02, repeat in Feb 2017, still .02 My Story: tinyurl.com/oo9x4aq
Have recurrent Prostate cancer from 2000. What is acceptable PSA before Lupron is indicated? Thanks. Also. Urologist has done nothing more than suggest Lupron without any information provided on cause of blockage requiring inserted Cath. Shouldn't this be part of information before suggesting removal?
I'm admittedly at the cautious end of the spectrum, so I'd go for biopsy and then discuss the results with your Uro. One step at a time, don't ump to any conclusions - the mind (and all the "what if" worrying) is definitely not your best friend at times like this.Age 49 at DX Jan-14 - PSA 2.2 (priors 1.5, 0.9, 1.1, 0.7). Biopsy 2 of 12 +ve (3+3). Clear bone scan, MRI, CT scan May-14 - Nerve sparing RALP. Prostate size 25cc. GS 3+3, <5% involved. -ve margins. Oct-14 - Post incisional hernia repair (caused by RALP) PSA Jun14 <0.1, Nov14 <0.1, May15 0.01, Nov15 0.02 Feb16 0.04 May16 0.01 May17 <0.002
I'm impressed that you got your biopsy early. Keeping you in the light for your results.
Suspicion of cancer is reason enough to see a psychiatrist, counselor, GP or nurse practitioner to be treated for anxiety. If you don't like drugs, you can do guided visualization, self-hypnosis, group therapy, meditation or whatever works for you. Maybe you reside in your happy place while awaiting your results. I climbed the walls (and took my family with me) until I got help.
Best of luck to you. === 55 at Dx, married w/son. Good overall health. PCa Dx. 3/17: 12/12 cores positive, G 4+3 avg 75%, left mid perineurial invasion Imaging shows no bone mets, infiltration of one lymph node; stage T3c PSA 12/16: 4.7; 2/17: 8.0; 3/17: 13.7 5/17: Start Eligard + EBRT; perm seed brachytherapy to follow
Stop worrying. You're on top of it so you'll catch it early if you have it. When caught early it's quite curable. Problem occurs when you're a dummy like me and don't go to doctor for 20 years.PSA=38 62 years old Biopsy on 2/20/15 - Gleason 7 6 cores (a thru f) show clear (all left side) g) 3+4=7 98% h) 3+4=7 90% i) 4+3=7 90% j) 3+4=7 95% k) 3+4=7 85% l) 4+3=7 95% Bone scan and MRI on 3/13/15 both clean MRI showed tumor confined to prostate Started Lupron April 2, 2015 IGRT started 6/24/15 PSA=4 on 6/30/15 Had HDR brachytherpay on 8/6/15 3rd Lupron shot Sept 30, 2015 4th shot 12/28/15
goatts, I was read this thread and read your post, WOW can I get an amen here. Your so right. I guess Iam dummy number 2. I did not know what a psa test was, when someone said psa I remember in LA that was an airline. I tell every guy over 40 to get a psa test since I was told "hey Iam going to hit you with a ton of bricks and tell you that you have cancer." Then after the scans my uro told me "Hey Iam going to hit you with another ton of bricks, you have stage four." I hope your new scans when you get them show what the scans said in 3/15 both clean. And your right again, stop worrying it will do nothing for you except give you stress and anxiety, both of which beat the heck out of me, physically, so I try not to worry anymoreage 65 diagnosed 10/2013 psa 14 been on lupron since 2/2014 started xtandi 1/2016 now started zytiga 2/2017 gleason 8, mets through lymph nodes into t5,t6.t7.t8.t9.t10, pelvis, ribs, sternum, occipital, femur. tumor attached to prostate, prostate 210 grams. provenge therapy 6/2016.
Biopsy results in: The nodule turned out to be chronic inflammation ,but the other dark spot that dr bahn found on the right apex is cancer and I'm quoting him: adenocarcinoma Gleason score 3+3 =6 grade group 1 Numbers of cores positive/total number of cores:1/1 Tumor length and volum: 1.5 mm of 9 mm core length :17% Perineural invasion :not identified Periprosthetic fat invasion :not identified Blue inked area: very faint blue ink,spared by 6mm Prostate 26 cc Psa 2014 1.1 2016 1.3 May 2017 1.9 , free 0.26, % free psa 13.7 Ultrasound stage of T2a,clinical T1c malignancy
That's not much and a low risk cancer. Likely it doesn't need to be treated at the moment.
Likely you'd do fine on an AS (active surveillance) program.
AndrewI'll be in the shop. Age 57, 52 at DX PSA: 4.2 10/11, 1.9 6/12, 1.2 12/12, 1.0 5/13, .6 11/13, .7 5/14, .5 10/14, .5 4/15, .3 10/15, .3 4/16, .4 10/16, .4 5/17 G 3+4 Stage T1C 2 out of 14 cores positive Treatment IGRT - 2/2012 My latest blog post
no. The doc had identifiable targets to hit. He got those and you have a DX.
Don't go looking for extra bad. Doubt it's there.
AndrewI'll be in the shop. Age 57, 52 at DX PSA: 4.2 10/11, 1.9 6/12, 1.2 12/12, 1.0 5/13, .6 11/13, .7 5/14, .5 10/14, .5 4/15, .3 10/15, .3 4/16, .4 10/16, .4 5/17 G 3+4 Stage T1C 2 out of 14 cores positive Treatment IGRT - 2/2012 My latest blog post