Dr. Kaushal Bhavsar
Pulmonology (Asthma Doctors)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I am a 72-year-old male diagnosed with follicular non-Hodgkin lymphoma (NHL) about ten months ago. My oncologist has kept me on wait and watch. My blood work has been good, so every three months, I go back for the blood test. Do you agree this is a proper step to take? Also, I have been visiting a urologist for a few years, and a year ago, my PSA reading was 5.0 ng/mL. I was asked to repeat the PSA in six months, and that reading went up to 5.6 ng/mL. My doctor did a 12-core biopsy, and I had one core that showed a high-grade PIN, while others were fine. Now the doctor has sent me to a radiation oncologist for radiation treatment. They say I am barely over the line from high grade PIN to prostate cancer. The treatment seems a little early to me. Kindly suggest.
Hello,
Welcome to icliniq.com.
I can understand your concern. I have gone through the detailed history you have given. PSA (prostate-specific antigen) level of 5 ng/ml and increasing after that is a strong indication of prostate cancer at your age. Do you have your prostate ultrasound report? I want to know about your prostate size and echotexture.
Thank you.
Patient's Query
Hello doctor,
My pathology tumor report involves 20 percent of core biopsy. The report shows just one tumor; the rest are benign with biopsy. Also, the report reveals a very high risk. What does this mean? There is no mention of echotexture in the report. Also, what is your opinion about the radiation treatment, and how long should I take it? Also, please reply about the follicular (non-Hodgkins lymphoma) NHL.
Hello,
Welcome back to icliniq.com.
There are two kinds of radiotherapy used in prostate cancer.
1. Brachytherapy (internal).
2. External beam therapy (EBT).
Brachytherapy is for early low-grade lesions, while combined therapy is given in advanced high-grade lesions. Usually, it is given five days a week. Dose and duration depend on the size of the prostate. Radiotherapy starts reducing the size of the prostate, so immediately, the symptoms are benefitted. This is the reason why I ask you about the size of your prostate. Do you have that printed ultrasound report with you? What are your symptoms? Do you have dribbling, incomplete evacuation, forceful voiding, burning or pain sensation while passing urine, etc.? And I do not think it is associated with follicular (non-Hodgkins lymphoma) NHL. This is independent mostly because of age. Any positive family history of prostate cancer? PET (positron emission tomography) scan can be done to rule out bone metastasis.
Thank you.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Pulmonology (Asthma Doctors)
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
