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Prostate cancer treatment

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User
Posted 07 Jan 2020 at 13:25

Hi Lyn

I did and sorry to hear that.

Its the less common prostate cancers like neuroendocrine (small cell) and such like that made me shy away from AS and just bite the bullet with surgery. My ex works as a researcher and it’s something we chatted about plus I read quite a few papers on the subject. 

Hopefully new tests coming will increase detection efficiency plus also provide data on rarer types.

TG

 

User
Posted 07 Jan 2020 at 19:27
Except that usually it would be picked up in the biopsy, and men with a mix of adeno and another one would have some PSA rise to show for it. The main problem is if normal treatment is successful for the adeno but leaves the way clear for the small cell / mucinour or whatever. In Stan's case, the jury is out on whether there was an element of SCC or similar but definitely, as the cancer in situ progressed it stopped producing PSA - an extremely rare situation.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 07 Jan 2020 at 19:51

Yes, so many variables that’s for sure. In my case the prof said the 3T mpMRI (very new system) has missed some tumour and TPM also missed some it would appear. Targeted  biopsy but some random samples were also taken. Smallest core was 0.5mm 3+3 and largest 9mm. I guess until histology can be done on the whole organ you never know 100%

 
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