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Medical Forum / Diseases and Disorders / Prostate Cancer / January 2008

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Question re: Prostate Volume

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Sy - 05 Jan 2008 23:38 GMT
Was wondering what amount (in cc) is considered large or small
"prostate volume"?

Thanks,

Sy
ron - 06 Jan 2008 00:12 GMT
> Was wondering what amount (in cc) is considered large or small
> "prostate volume"?
>
> Thanks,
>
> Sy

Sy...In one study comparing RP specimens, the mean prostate weight was
found to be 53 gm (range: 16-132 gm).  The density of human tissue
(mostly water) is generally assumed to be 1.0, hence 53 gm = 53 cc.
Other studies estimating prostate volume based on TRUS biopsy findings
are inherently less accurate...ron
ronju99 - 06 Jan 2008 00:39 GMT
The average prostate size of a young man is approximately 20gram and can be
as large as approximately 150grams. The numbers would be similar if you
want it in CCs. Estimated based upon density of water.

Ron S.

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Sy - 06 Jan 2008 13:02 GMT
I
Ron,

I'm a bit unclear re: the measurement

My biopsy report shows my prostate volume as being 28 cc.

Not sure what to make of that.

Sy

n article
<a16a042d-f6ee-4088-a24a-d5df5239c7d0@c23g2000hsa.googlegroups.com>,

> > Was wondering what amount (in cc) is considered large or small
> > "prostate volume"?
[quoted text clipped - 8 lines]
> Other studies estimating prostate volume based on TRUS biopsy findings
> are inherently less accurate...ron
ron - 06 Jan 2008 13:46 GMT
> I
> Ron,
[quoted text clipped - 6 lines]
>
> Sy

Sy...The measurement was made by weighing whole prostates after
removal by RP.  28 cc sounds like it would be somewhat on the small
side.  I would guess that smaller is better in this case.  Both
surgeons and radiation oncologists prefer smaller prostates for
several reasons, also urinary problems are minimized...ron
rosbif - 06 Jan 2008 14:16 GMT
>> I
>> Ron,
[quoted text clipped - 12 lines]
>surgeons and radiation oncologists prefer smaller prostates for
>several reasons, also urinary problems are minimized...ron

Though not forgetting the implications for PSA density, ron, which for
a given PSA value is higher for a smaller prostate.
ronju99 - 06 Jan 2008 14:17 GMT
Your right rosbif,

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ronju99 - 06 Jan 2008 14:33 GMT
Your right rosbif,
Because Sy has chosen active surveillance the larger the prostate the
more room a cancer tumor has to float around before it is forced out of
the prostate so to speak. PSA Density is determined by dividing the volume
into the psa. Epsteins model prefers a density of under 0.1. Royal Marsden
of London 's model uses 0.15 and Dr. Roemeling of the European Urology
study used 0.2ng/ml/cc as criteria for active surveillance. However what
one has to look at is the median age of the participants and more
importantly is the survival time. Most seem to suggest that if one only
expects to live approximately 10 years then a more liberal approach is
sufficent, however if one expects to live much longer assuming the roof
doesn't fall on your head the more conservative approach such as Epsteins
criteria would be more appropriate.

Ron S.

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ronju99 - 06 Jan 2008 17:36 GMT
Sorry about all the repeat post. I find for what ever reason when I hit the
TAB key, the (Submit Message) link is highlighted and then of course when I
hit the return button while typing the post is sent. Just realized this is
happening and will watch it in the future. Maybe safire can explain why
the Tab key highlights the submit button.
There are plenty of areas that I'm not as versed in as safire is.

Ron S.

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Sy - 06 Jan 2008 21:07 GMT
[[ This message was both posted and mailed: see
  the "To," "Cc," and "Newsgroups" headers for details. ]]

Ron,

Where you say "larger the prostate the
> more room a cancer tumor has to float around before it is forced out of
> the prostate so to speak"

So if I understand you correctly are you saying that a smaller prostate
volume would allow for less room to "float around" hence it is more
likely to be "squeezed" out of the prostate, so to speak?

Thanks,

Sy

In article
<931a89687f5116b1636e623e817081b3@localhost.talkaboutsupport.com>,

> Your right rosbif,
>  Because Sy has chosen active surveillance the larger the prostate the
[quoted text clipped - 16 lines]
> http://www.talkaboutsupport.com/group/alt.support.cancer.prostate/
> More information at http://www.talkaboutsupport.com/faq.html
safire - 06 Jan 2008 22:07 GMT
> [[ This message was both posted and mailed: see
>    the "To," "Cc," and "Newsgroups" headers for details. ]]
[quoted text clipped - 8 lines]
> volume would allow for less room to "float around" hence it is more
> likely to be "squeezed" out of the prostate, so to speak?

I wonder whether any study exists that supports the position that the
risk of metastasis is negatively correlated to prostate size.

> Thanks,
>
[quoted text clipped - 23 lines]
>> http://www.talkaboutsupport.com/group/alt.support.cancer.prostate/
>> More information at http://www.talkaboutsupport.com/faq.html
ronju99 - 06 Jan 2008 22:37 GMT
Sy,
 Lighten up a little. I'm assuming you can figure out from my poor
analogy that a given tumor growing exponentially is more likely to
penetrate the soft fatty tissue of the prostate capsule sooner if it is
confined in a smaller space than a larger one.I only type two fingers and
one is not very functional. It does take a bit for me to type as it is.
If
you really want to know the process of tumor evolution you will have to
Google it. There are a number of studies that has determined that large
tumor volumes (PSA Density)amongst other markers can have a negative
impact on success of any primary treatment. It seems that PSA doubling
probably has the greatest impact on treatment failure.

As far as safires question below, he might want to read this and critique
it for me as I'm sure he will.
http://www.asco.org/portal/site/ASCO/menuitem.34d60f5624ba07fd506fe310ee37a01d/?
vgnextoid=76f8201eb61a7010VgnVCM100000ed730ad1RCRD&vmview=abst_detail_view&confI
D=46&index=y&abstractID=20535


Ron S.  

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safire - 06 Jan 2008 23:29 GMT
> As far as safires question below, he might want to read this and critique
> it for me as I'm sure he will.
> http://www.asco.org/portal/site/ASCO/menuitem.34d60f5624ba07fd506fe310ee37a01d/?

vgnextoid=76f8201eb61a7010VgnVCM100000ed730ad1RCRD&vmview=abst_detail_view&confID=46&index=y&abstractID=20535

Learn how to respond to newsgroups.
Learn the benefits of tinyurl.

Sy's question was about your assertion that the smaller the prostate is,
the greater the risk of metastasis. The study you refer to doesn't
support that at all. It deals with tumor volume. Tumors and prostates
are different things. Do you understand?

> Ron S.  
>
> --
> Message posted using http://www.talkaboutsupport.com/group/alt.support.cancer.prostate/
> More information at http://www.talkaboutsupport.com/faq.html
ronju99 - 06 Jan 2008 22:56 GMT
Sy,
 Lighten up a little. I'm assuming you can figure out from my poor
analogy that a given tumor growing exponentially is more likely to
penetrate the soft fatty tissue of the prostate capsule sooner if it is
confined in a smaller space than a larger one.I only type two fingers and
one is not very functional. It does take a bit for me to type as it is.
If
you really want to know the process of tumor evolution you will have to
Google it. There are a number of studies that has determined that large
tumor volumes (PSA Density)amongst other markers can have a negative
impact on success of any primary treatment. It seems that PSA doubling
probably has the greatest impact on treatment failure.

Ron S.  

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ronju99 - 07 Jan 2008 00:17 GMT
Wrong again safire. If you would learn to read better we wouldn't have all
these unnecessary exchanges. He was asking about my contention that a
smaller prostate volume would provide less room for a cancer tumor to grow
before it eventually penetrated the capsule. We were discussing PSA density
not the size of the prostate alone.

Ron S.

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safire - 07 Jan 2008 07:46 GMT
> He was asking about my contention that a
> smaller prostate volume would provide less room for a cancer tumor to grow
> before it eventually penetrated the capsule. We were discussing PSA density
> not the size of the prostate alone.

The article that you provided a link to doesn't discuss PSA density or
or prostate volume as a predictor of metastasis. It discusses tumor
volume only. Nothing in the article supports your assertion. Let's keep
this newsgroup free of false claims by amateurs.

> Ron S.
>
> --
> Message posted using http://www.talkaboutsupport.com/group/alt.support.cancer.prostate/
> More information at http://www.talkaboutsupport.com/faq.html
ronju99 - 06 Jan 2008 14:11 GMT
Sy,
 Remember, I am not an expert by any means. I'm sure others will testify
to that. But as an example, my urologist estimated my prostate during the
exam to be about 40grams. His Lab Processing unit estimated it to be
59ccs. After my surgery, the path report measured and weighed it with
results of 6X5.5X5cm; weight:65.5 grams. Largest cancer dimension was
1.7cm with multifocal of cancer; more than one. Cancer volume was 1.14cc.
I had one core positive of cancer. However, my urologist took a ten core
sample but only sent 6 cores to Bostwick Lab. Never got an answer as to
what happened to the 4 other cores. Might have had more positive cores had
he sent them all.

I assume your urologist used ultrasound and DRE to estimate your prostate
volume. There is no way to be that accurate unless it's removed and
measured in the lab. Just remember that most of the numbers  they come up
with are best estimates with a lot of variations based upon the patients
physical anatomy and the skill of the medical professional.  So keep that
in mind when using your numbers. Like some say, it's a crap shoot and we
are just playing the odds.

Ron S.

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ronju99 - 06 Jan 2008 14:14 GMT
Sy,
 Remember, I am not an expert by any means. I'm sure others will testify
to that. But as an example, my urologist estimated my prostate during the
exam to be about 40grams. His Lab Processing unit estimated it to be
59ccs. After my surgery, the path report measured and weighed it with
results of 6X5.5X5cm; weight:65.5 grams. Largest cancer dimension was
1.7cm with multifocal of cancer; more than one. Cancer volume was 1.14cc.
I had one core positive of cancer. However, my urologist took a ten core
sample but only sent 6 cores to Bostwick Lab. Never got an answer as to
what happened to the 4 other cores. Might have had more positive cores had
he sent them all.

I assume your urologist used ultrasound and DRE to estimate your prostate
volume. There is no way to be that accurate unless it's removed and
measured in the lab. Just remember that most of the numbers  they come up
with are best estimates with a lot of variations based upon the patients
physical anatomy and the skill of the medical professional.  So keep that
in mind when using your numbers. Like some say, it's a crap shoot and we
are just playing the odds.

Ron S.

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rosbif - 06 Jan 2008 14:16 GMT
>I
>Ron,
[quoted text clipped - 6 lines]
>
>Sy

My understanding - don't quote me!- is that the prostate is at its
smallest just post-puberty and grows in size as we get older, so any
definitive answer would be in the form of an age/size chart.  I
suppose there's also a drought of data since no one is interested in
prostate size for healthy folk and we with our BHP and cancer often
have distorted or swollen ones.  I can tell you that mine was
estimated prior to LRP and after an MRI at 32ccs and I'd been told
before all of this after a dextrous DRE that is was slightly oversize.
So perhaps yours is the model prostate?

>n article
><a16a042d-f6ee-4088-a24a-d5df5239c7d0@c23g2000hsa.googlegroups.com>,
[quoted text clipped - 11 lines]
>> Other studies estimating prostate volume based on TRUS biopsy findings
>> are inherently less accurate...ron
 
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