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Hi. I just found out my dad has prostate cancer. I'm pretty scared

about it because I have a fair amount of anxiety issues, so I tend to

always think the worst of every uncertain situation. I know a little

bit about his test results...I guess his PSA was like 5.6? when they

did a biopsy for the cancer. All 12 biopsy samples were positive, and

the doctor gave him a gleason score of 3-4...so 7. I guess all of his

DREs were " unsuspicious, " at least that's how my dad phrased it. The

doctor is confident that it hasn't spread, but they didn't really do

any further testing for that yet. I understand this kind of cancer is

generally slow growing and very treatable...yet it is CANCER....so I'm

pretty freaked out about it. Can anyone give me a little better idea

what the outlook is? It seems that by reading the " statistics " on

prostate cancer, I just get more confused and don't know whether to be

very worried, a little worried, or not at all. Thanks!

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First this is unlikely to be immediately devastating.

Dad sounds to be about where I was 11 and a half years ago. I'm still batting!

In fact dad seems to have a better prognosis than me in that I had a positive DRE.

With all 12 biopsy samples +ive, if it were me I would be thinking of treatment in about 3 months.

How old is dad, is he generally fit?

The major treatment choices are said to have about 75% non progression rate after 5 years. There are a number of newer treatments that are used and some of the group report good experiences, but the long term progression rates are not yet set in stone.

Dad will need support in choosing which treatment to have, which pros of chances of cure he wants verses which cons he can live with.

We are here to listen and give our experiences.

Please don't panic, though my daughter had a baby soon after my diagnosis, so I could be a grandad. We now have a lovely 9 year old grandaughter and a one year old active grandson! I'm not saying you should get pregnant, but this is just the kind of thing loving daughters do!

Enough for now!

Let us know how we can support you further

Hambleton

Selby

Yorkshire

England

Just wanting some info...

Hi. I just found out my dad has prostate cancer. I'm pretty scared about it because I have a fair amount of anxiety issues, so I tend to always think the worst of every uncertain situation. I know a little bit about his test results...I guess his PSA was like 5.6? when they did a biopsy for the cancer. All 12 biopsy samples were positive, and the doctor gave him a gleason score of 3-4...so 7. I guess all of his DREs were "unsuspicious," at least that's how my dad phrased it. The doctor is confident that it hasn't spread, but they didn't really do any further testing for that yet. I understand this kind of cancer is generally slow growing and very treatable...yet it is CANCER....so I'm pretty freaked out about it. Can anyone give me a little better idea what the outlook is? It seems that by reading the "statistics" on prostate cancer, I just get more confused and don't know whether to be very worried, a little worried, or not at all. Thanks!

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> Hi. I just found out my dad has prostate cancer. I'm pretty scared

> about it because I have a fair amount of anxiety issues, so I tend to

> always think the worst of every uncertain situation. I know a little

> bit about his test results...I guess his PSA was like 5.6? when they

> did a biopsy for the cancer.

Dad should be doing his own research. Yes, I understand that many men

have no idea how to do it and moreover don't want to confront the issue

anyhow. But it won't go away if ignored.

Having said that, I will say this: (?) is a good and dutiful

daughter, and should be commended for trying to help Dad.

> All 12 biopsy samples were positive, and the doctor gave him a gleason score

of 3-4...so 7.

That sounds like a rather bulky tumor. I recommend (as do medics far

better qualified than I) that the biopsy specimens, with the paraffin

block, be sent to a specialist lab for verification. Reason: Everything

that is done from this point forward depends utterly upon the accuracy

of the Gleason score.

The labs are:

Bostwick Laboratories [800] 214-6628

Dianon Laboratories [800] 328-2666 (select 5 for client services)

Jon Epstein (Hopkins) [410] 955-5043 or [410] 955-2162

Grignon (Michigan) [313] 745-2520

Jon Oppenheimer (Tennessee) [888] 868-7522

UroCor, Inc. [800] 411-1839

The cost (about $350) is covered by insurance as a " second opinion. "

Sometimes the local lab resists. No matter, those specimens (in

enlightened jurisdictions) belong to the *patient* not the lab, not the

medic.

> The doctor is confident that it hasn't spread, but they didn't really do

> any further testing for that yet.

There is no way the " doctor " (a urologist?) can know that. Microscopic

cancer cells are just that: microscopic.

> I understand this kind of cancer is

> generally slow growing and very treatable...

If discovered early.

> yet it is CANCER....so I'm

> pretty freaked out about it. Can anyone give me a little better idea

> what the outlook is? It seems that by reading the " statistics " on

> prostate cancer, I just get more confused and don't know whether to be

> very worried, a little worried, or not at all. Thanks!

I recommend that Dad (and ) explore the objective, encyclopedic and

reliable information available on the website of the Prostate Cancer

Research Institute (PCRI) at: http://prostate-cancer.org/index.html

A good beginning would be the section, " Newly Diagnosed. "

Also, _A Primer on Prostate Cancer_ 2nd ed., subtitled " The Empowered

Patient's Guide " by medical oncologist and PCa specialist B.

Strum, MD and PCa warrior Donna Pogliano. It is available from the PCRI

website and the like, as well as Amazon (30+ five-star reviews),

& Noble, and bookstores. A lifesaver. I know.

" Freaking out " is not helpful. Reminds me of the old saying, " When

you're troubled and in doubt, run in circles, scream and shout. "

Suppress the fear and put the intellect to work.

Regards,

Steve J

" I must not fear. Fear is the mind-killer. Fear is the little-death that

brings total obliteration. I will face my fear. I will permit it to pass

over me and through me. And when it has gone past I will turn the inner

eye to see its path. Where the fear has gone there will be nothing. Only

I will remain. "

--The Bene Gesserit ny Against Fear

From _Dune_ by Herbert

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