Dear Sirs:
As a result of a recent biopsy (June 7, 2005) and prostate ultrasound
(TRUSS), the final diagnosis by the pathologist was as follows:
"Eight core sector needle biopsy of prostate: benign prostatic glands and
stroma, all fragments, with areas of chronic active prostatitis and
inflammatory related acinar atrophy/atypia. Previous biopsy reviewed."
The previous biopsy (January 25, 2005) revealed that adenocarcinoma was
present in the right apex (of the prostate gland). Clinical Stage: T2a;
Gleason Score: 3+3 = 6. This previous biopsy was reviewed by both the
urologist and two independent pathologists, all of whom were in agreement
that, despite the results of the June 7th biopsy, carcinoma was present in
the right apex. However, because all core samples taken in the June 7th
biopsy were benign, there was no Gleason Score assigned by the pathologist.
When I asked the urologist whether or not any form of treatment (antibiotics
and/or anti-inflammatory drugs) was necessary for prostatitis, his answer
was "No". The reason being that it is not uncommon to find incidences of
chronic prostatitis. I said to the urologist that I had experienced none of
the apparent symptoms associated with chronis prostatitis, which did not
come as a surprise to him.
The urologist says we should continue with "Active Surveillance (Watchful
Waiting)" (in respect to prostate cancer), for which he has scheduled a
further PSA test and digital rectal exam in six months time. He did say that
trying to find carcinoma in the right apex as a result of this last biopsy
was, in his words, like"trying to find a needle in a haystack".
I would appreciate any conclusive comments that you may be able to provide
to me based on the foregoing.
Thanks.
John Davies
Vancouver, Canada
mrpubmed@hotmail.com - 26 Jun 2005 02:33 GMT
No symptoms + inflammation on a biopsy = category IV prostatitis. There
is not 1 shred of evidence that any therapy is required for category IV
prostatitis. Your Urologist is 100% correct. Regarding the prostate
cancer, I suggest seeking comment in a cancer group.
> Dear Sirs:
>
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>
> Vancouver, Canada
BO L. - 26 Jun 2005 09:43 GMT
Can't help with the prostate cancer. I suggest you visit a news group that
deals with prostate cancer for that subject.
For prostatitis, you only need anti-biotics if you have the bacterial form.
Since you indicated that you do not have any of the typical symptoms, like
pain, urinary problems, etc., I suspect that you have Catagory IV
prostatitis, as another poster sugested.
> Dear Sirs:
>
[quoted text clipped - 35 lines]
>
> Vancouver, Canada
c palmer - 27 Jun 2005 21:06 GMT
hi john - stage T2a means than less than 50% of the lobe is involved but
the doctor could feel hard nodes in the prostate from a DRE exam.
bottom line - you have prostate cancer and that is the number one
priority on the list of thing to do. this type of cancer never gives
up. what it takes today - it keeps. each day, it takes more.
a gleason of 6 is a mildly aggressive cancer and is curable if you seek
to get treatment before it can get out of the prostate capsule. once it
gets into the lymph system, then hormone therapy is pretty well the only
treatment option left.
canada has some very good treatment centers including HDR treatments
too.
treating the prostate cancer will pretty well get rid of the prostatitis
too. it did mine. i had both chronic and acute.
~ curtis
knowledge is power - growing old is mandatory - growing wise is optional
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc