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Difficult diagnosis

User
Posted 17 Jan 2020 at 17:26

I posted about this already but just wanted to make my question clearer. Has anyone in the forum had such a low PSA that a cancer was not suspected. Resulting in a late diagnosis and the cancer having metastasised to the bones.  

User
Posted 18 Jan 2020 at 15:47

Ann many thanks for your response  I have decided to have an MRI scan of the prostate and if that comes out negative to call an end to it. I’ve worn myself out with it. Looking back the sensible thing would have been to have the MRI of the prostate before the MRI of the spine which just showed degenerative conditions commensurate with my age. Thanks again. 

User
Posted 20 Jan 2020 at 01:53

I think it is easy for us to read and interpret these things as we are using the language all the time. We shouldn't assume that someone that has never had dealings with prostate cancer will easily understand the difference between prostate cancer and prostatitis, particularly when they are in pain, scared or anxious.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

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User
Posted 17 Jan 2020 at 19:53

I don't see why any answer will help you, and I do not have a reply that will exactly fit your question, but.  A friend of mine had always had PSA of 1.7, even at age 66.  That is loooow for his age group.  Nonetheless he was diagnosed with PCa.

What  are you looking for, or what do you hope to learn?  

atb

dave 

All we can do - is do all that we can.

So, do all you can to help yourself, then make the best of your time. :-)

I am the statistic.

User
Posted 17 Jan 2020 at 20:17

I have replied on your other thread; yes it is possible but very rare and since your consultant (who you have said is one of the leaders in this field) has ruled out any need for further tests I think you need to trust his judgment. He does not believe that you have any mets; your aches and pains may be due to aging or simply because you are so anxious. 

Edited by member 17 Jan 2020 at 20:21  | Reason: Not specified

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 18 Jan 2020 at 08:01

Thanks for this-but I have now developed swollen lymph nodes in the chest and groin. Am perplexed 

User
Posted 18 Jan 2020 at 09:01

I don’t understand your observation - why is it not possible for the lymph nodes in the chest next to the armpit to be sore and enlarged as a result of the prostate? 

User
Posted 18 Jan 2020 at 11:33
Well firstly because mets in lymph nodes tends not to make them painful or swollen until the patient is in late stages of the disease (which your specialist has ruled out) and secondly, there are other lymph nodes the cancer would be more likely to go to, such as in the pelvis.

Swollen lymphs in the armpits and chest are often indicators of infection.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 18 Jan 2020 at 11:46

Hi Rennie. 

I do feel for you and your health anxiety. Although you have seen an expert , had  tests etc but still believe you have cancer perhaps it would not be a waste of money to get another expert opinion and undergo further testing with an MRI etc.  You certainly cannot go on like this indefinitely.

However if you are given the same opinion again how will you feel? Will you still not believe them however many professionals you see?

Case in point, my younger sister suffers from health anxiety ( some would say Hypochondria) and she wasted several years thinking she had cancer despite all the tests etc. 15 years has passed and she is still cancer free. It was only after about five years that she accepted she did not have it but what a waste of time worrying and not getting on with her life.

So maybe thinking about getting your 2nd opinions and tests done sooner than later, perhaps setting yourself a timescale and once you get the ok accept it and move forward in your life putting this time of worry behind you.

 

Best wishes

Ann

User
Posted 18 Jan 2020 at 15:47

Ann many thanks for your response  I have decided to have an MRI scan of the prostate and if that comes out negative to call an end to it. I’ve worn myself out with it. Looking back the sensible thing would have been to have the MRI of the prostate before the MRI of the spine which just showed degenerative conditions commensurate with my age. Thanks again. 

User
Posted 18 Jan 2020 at 20:04

I have had these symptoms with the exception of the chest lymph nodes which are recent for over three and a half months now. 

Is that a realistic time for advanced aggressive prostate cancer to spread? 

User
Posted 18 Jan 2020 at 20:18
Only if you have advanced prostate cancer, which you haven't. Lymphoma can cause lymph nodes to be enlarged anywhere in the body but particularly in the neck or armpit but they aren't usually painful.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 18 Jan 2020 at 21:13

Let me go over the progression of my symptoms: four months ago I had sharp pains in the anus, griping pains. They lasted a week. I googled them and a suggestion was problems with the prostate. At about the same time I had pain in the left buttock, leg, groin and a burning sensation in the spine. I put those together and went to see a urologist who specialises in prostate cancer. 

On no other evidence that my low PSA he assured me that it was not cancer. But suggested a CT scan to look at the internal organs. The CT scan was clear. I then had a MRI scan of the spine which indicated that there was mild degeneration of the spine in accordance with my age. Then jumping to the present I still have these symptoms intermittently, but have the addition of the painful lymph nodes. As there was no evidence of the main internal organs being affected it seemed to me on balance that the origin of my symptoms was the prostate- which is the only organ not fully investigated. It seems clear to me and consequently I will have an MRI of the prostate. I think that reason is clear to me now. That is what I should have done in the first place but I was more than anxious when I made those decisions. Well just have to wait and see, but the whole episode has been one of obsession as you rightly observed. I guess U came online to see if anyone else had had a similar experience. 

 

Edited by member 18 Jan 2020 at 21:16  | Reason: should be I not Ub

User
Posted 18 Jan 2020 at 22:33

Your symptoms sound to me like those associated with sciatica.

Best wishes,

Chris

Edited by member 18 Jan 2020 at 22:34  | Reason: Not specified

User
Posted 19 Jan 2020 at 03:24
We get all sorts here, don’t we?

We can all understand your rational / irrational fear of cancer, and you are not the first person to contact this forum about it and you certainly won’t be the last.

I hope the MRI puts your anxiety to bed, and then you can start worrying about something more important such as the effects of Brexit! πŸ˜‰πŸ˜‚πŸ˜‚πŸ˜‚

Best of luck anyway.

Cheers, John.

User
Posted 19 Jan 2020 at 17:26

 

  • pain, which may be severe, in or around your penis, testicles, anus, lower abdomen or lower back – passing poo can be painful

That’s from the NHS site 
User
Posted 19 Jan 2020 at 17:57

Not sure which NHS website you have been looking at but the NHS website page on my screen says:

Prostate cancer does not usually cause any symptoms until the cancer has grown large enough to put pressure on the tube that carries urine from the bladder out of the penis (urethra).

"Symptoms of prostate cancer can include:

needing to pee more frequently, often during the night
needing to rush to the toilet
difficulty in starting to pee (hesitancy)
straining or taking a long time while peeing
weak flow
feeling that your bladder has not emptied fully
blood in urine or blood in semen
These symptoms do not always mean you have prostate cancer. Many men's prostates get larger as they get older because of a non-cancerous condition called prostate enlargement.

Signs that the cancer may have spread include bone and back pain, a loss of appetite, pain in the testicles and unexplained weight loss."

https://www.nhs.uk/conditions/prostate-cancer/symptoms/ 

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 19 Jan 2020 at 17:59

Ah, I have found the page you are quoting from - it is the NHS information about prostatitis:

"Chronic prostatitis
You may have chronic prostatitis if you have had the following symptoms for at least 3 months:

- pain in and around your penis, testicles, anus, lower abdomen or lower back
- pain when peeing, a frequent or urgent need to pee, particularly at night, or "stop-start" peeing
- an enlarged or tender prostate on rectal examination, although in some cases it may be normal
- sexual problems, such as erectile dysfunction, pain when ejaculating or pelvic pain after sex

These symptoms can have a significant impact on your quality of life.

But in most cases, they'll gradually improve over time and with treatment."

https://www.nhs.uk/conditions/prostatitis/ 

Edited by member 19 Jan 2020 at 18:00  | Reason: to activate the hyperlink

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 19 Jan 2020 at 18:01
PS Prostatitis is an inflammation and not connected to prostate cancer.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 19 Jan 2020 at 18:04

That is the site and when I had the symptoms that was the site I viewed. 

User
Posted 19 Jan 2020 at 18:45

Hope this has put your mind at rest about Pca at least. Nevertheless probable Prostatitis warrants further investigation if it is that. Mayo says https://www.mayoclinic.org/diseases-conditions/prostatitis/diagnosis-treatment/drc-20355771

 

Edited by member 19 Jan 2020 at 18:45  | Reason: to highlight link

Barry
User
Posted 19 Jan 2020 at 23:42

Originally Posted by: Online Community Member

That is the site and when I had the symptoms that was the site I viewed. 

So why on Earth did you think you had prostate cancer when you were reading a page about the symptoms of prostatitis???

Chris

 

User
Posted 20 Jan 2020 at 01:53

I think it is easy for us to read and interpret these things as we are using the language all the time. We shouldn't assume that someone that has never had dealings with prostate cancer will easily understand the difference between prostate cancer and prostatitis, particularly when they are in pain, scared or anxious.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 16 Mar 2020 at 20:17

Oddly enough I am at the same point you describe. Psa of 1 never above 2. Diagnosed with enlarged prostate in 2016.

had issues with back pain ,given a ct as with a Pacemaker an mri is more complicated.

diagbosed with spine degeneration at all levels. I am 65 told normal at my age. Happy with that, however recent suffered excruciating hip and leg pain one night which was so bad I assumed it was nerve related.  These symptoms have subsided but back ache now in centre and too if back, so back on the Pca worry.

have had an mri of lumbar spine  awaiting results but very worried and am have been seeking anyone else who may have been diagnosed with spine mets but normal psa.

sounds like yours turned out to be ok.

al

User
Posted 16 Mar 2020 at 20:59
The backache is more likely to be due to the spine damage than to prostate cancer but it is right that your doctors are checking. It is possible to have to have mets with low PSA but extremely rare.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 16 Mar 2020 at 21:48

Thanks for your reply I hope you are right.

 I had read that interpreting ct scans is not as easy to detect bone mets alongside degeneration. The mri will though so we shall see. 

al

 

 

 
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