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Medical Forum / Diseases and Disorders / Prostate Cancer / November 2005

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trying to help my Father in Russia diagnosed with PC

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apdxyk@gmail.com - 25 Nov 2005 07:26 GMT
Hi All,

My Dad is a muscovite, I settled in Portland, OR. I just learned he was
diagnosed with PC and I am trying to scope out if I could help him with
anything from the States. Firstly: if I get any MRI/X-ray/Ultrasound
and biopsy from there where could I go to have those looked over by an
American doctor please? Iw as told he could upload those over Internet
and then what? Sorry for incoherent questions, but I don't simply know
at this point which is the right direction..

TIA, Y
Leonard Evens - 25 Nov 2005 13:57 GMT
> Hi All,
>
[quoted text clipped - 7 lines]
>
> TIA, Y

I don't really know the answer to your question, but you would do better
posting in alt.support.cancer.prostate.

XRAY data is seldom of any use in early prostate cancer.  The same is
true of most MRIs but there are some newer advanced MRI techniques that
show some promise.  A biopsy report might be more useful.  Also,
analysis of the tissue samples is to some extent subjective, so
independent analysis by a different pathologist is often useful, if that
is possible.

For metastatic, advanced prostate cancer, Xrays or MRIs can sometimes
help locate metastases, but I don't know if that will affect the overall
treatment, which is most often hormone suppressing drugs.  Sometimes
radiation is used as a spot treatment of a local hot spot in bone to
relieve symptoms.
Yurko - 27 Nov 2005 15:36 GMT
thank you for answering

I am wondering where to get help if any, so I post it here as well;

My dad lives in Moscow, Russia. 75 y.o. otherwise healthy white male.
Avid tourist and hiker. Workaholic.
tells me not to worry - he got the best docs and technology available
there, but from my experience they do not always know how to use the
latest... I was wondering if I could get this reviewed by an
American/Western doc, is it ever possible, how do I go about that,
etc.? perhaps, there are may organisations that fascilitate some kind
of coordination? He tells me he is being treated by some pills:
Casodex, Triptorelin, and may be something else... he tells me he is
considering brachytherapy, but he has not made his mind on all options
offered to him including radical surgery.. I am worried about the
surgery since it's not customary over there to give the patients
doctors' stats and there is no certainty that the supplies and
medicines are genuine - there is a lot copycats and knock-offs of
anything there..

his transcript, my translation may very well be lame at best:

Increase in his PSA was noticed first time in 08/2002: up to 5 ng/ml.
In 03/2003 his PSA was 15 ng/ml.
On 04/13/2003 he had a biopsy done which came out negative on cancer;
general chronic prostatitis.
On 03/25/2004 PSA was 10.3 ng/ml, % free 14%
On 08/09/2004 another biopsy (10-point) came back negative in regards
to cancer with fibrous hyperplasia and chronic prostatitis [my
translation might way off the wall].
09/09/2004 PSA 7.1 ng/ml %free 14%
03/30/2005 PSA 8.0 %free 18%

10/06/2005 PSA 10.1 %free 14%; TRUS (?) [trans-rectal ultrasound] shows

signs of adenoma, volume 74.6 cubic cm; traditional rectal exam by his
doc shows enlarged prostate, elasticity is consistant, no lumps [again,

translation may be off] (the previous TRUS in Sep-Oct 2003 showed 67
cubic cm volume). 10-point biopsy, stuff sent out to Bostwick
Laboratories: Right Lateral Base

Adenocarcinoma (Gleason 3+4=7) involving 30% of the specimen. Gleason
pattern 4 comprises 20% of the cancer. Cancer volume: 0.000785CC (in 1
of 1 core). treatment alteration score: 0 of 6 (nuclear changes: 0 of
3; architectural changes: 0 of 3) Immunostains for basal cell specific
high molecular weight keratin (34BE12), p63 and Racemase support this
diagnosis.

Let me know if I need to collect any other info and thank you in
advance.

( I can upload his transcripts if necessary)

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