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Medical Forum / Diseases and Disorders / Prostate Cancer / August 2006

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is there an ultrasound probe to check if cancer is near the nears?

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gary.miller12@comcast.net - 27 Aug 2006 01:40 GMT
the ultrasound ablathermic (hifu) tratment uses an ultrasound probe
inserted through the rectum to image the pca.  that is included in
their $23K surgery.  they will not do it seperately at a more
reasonable cost.  is there a way to get it done at a more reeasonable
cost?  what ablut the color doppler ultrasound?  will it do the same?
it would be advantages to know before considering the hifu treatment.
gary
gary.miller12@comcast.net - 27 Aug 2006 06:30 GMT
> the ultrasound ablathermic (hifu) tratment uses an ultrasound probe
> inserted through the rectum to image the pca.  that is included in
[quoted text clipped - 3 lines]
> it would be advantages to know before considering the hifu treatment.
> gary
Alan Meyer - 27 Aug 2006 18:42 GMT
> the ultrasound ablathermic (hifu) tratment uses an ultrasound probe
> inserted through the rectum to image the pca.  that is included in
[quoted text clipped - 3 lines]
> it would be advantages to know before considering the hifu treatment.
> gary

I don't know the answer to your question, but I can tell
you a tiny bit about other imaging techniques I've seen.

These are _not_ expert answers - just personal experience.

The urologist who biopsied my prostate used a black and
white ultrasound device that showed an image of the prostate
on a TV monitor.  I couldn't tell anything from it.  I don't
think that the doctor could see the cancer on the monitor,
it was just useful in positioning the needles to be sure he
was getting good samples from the right places in the prostate.

I also had MRI's done with a rectal antenna, i.e., an antenna
shoved into the rectum (by a 240 pound technician who
must have warmed up for this by twisting the heads off
screws :)).  The antenna was on the end of a device with
a balloon at the tip that was inflated to press it against the
prostate.

The doctor (a radiation oncologist at NCI) showed me the
computer generated images from the MRI.  A big ugly
tumor showed up very clearly in the images.  She also
showed me the seminal vesicles and other structures
around the prostate - which had no visible (on the MRI)
evidence of tumor growth.

If what you are trying to find out is whether the tumor
has penetrated the prostate capsule or is in the structures
around the prostate, you might ask about MRIs.  I don't
know if their use is standard or even that helpful.  You'd
have to ask an expert.  But my doctors used it.

   Alan
 
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