Prostate cancer is a widely prevalent type of cancer, which usually does not produce severe symptoms in the initial stages. Problems in urination, blood in urine and semen, sudden loss of weight, erectile dysfunction, pain in the bone, and decreased force in the urine stream are the signs of prostate cancer. Age, obesity, and family history increases the risk. It can be prevented by a healthy diet, regular exercise, and maintaining an ideal body weight.
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Had a prostate biopsy as the PSA level was high. What does the report say?
Query: Hi doctor, The patient is a 59-year-old male with whose weight is 52.3 kg and height is 166 cm. His PSA was 247.5. He had a TRUS guided biopsy, and the report is as follows. 1. Moderately differentiated adenocarcinoma. 2. Gleason grade 4+4.3. Perineural invasion present. What does the biopsy report ... Read Full »
Answer: Hi, Welcome to icliniq.com. I am sorry to know about the problem. The biopsy report says that prostate has a cancer disease. Since PSA (prostate specific antigen) is very high, it means that there is a chance that it has spread outside the prostate. The next step will be PSMA PET (prostate-specific ... Read Full »
I am a 30-year-old male, with no family history of prostate cancer. However, according to my PSA scores what are the chances of prostate cancer risk?
Query: Hi doctor, I am a 30-year-old male, with no family history of prostate cancer. I am positive for HSV (herpes) but asymptomatic. I also have bumps on my penis that do not seem to go away. I also frequently have the urge to urinate all of a sudden on one day. Sometimes a small volume of urine is excre... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. The increase in PSA (prostate-specific antigen) can be due to many causes of infection of the prostate such as prostatitis. It is one of the common causes. As you have mentioned regarding symptoms increasing after ejaculation, it is one of th... Read Full »
How to differentiate between prostate cancer and rectal cancer?
Query: Hello doctor, My uncle has been diagnosed with cancer. I am looking for treatment options and advice from an oncologist. The current doctor who has been treating him has suggested we stop all treatment as he may not have much time left. I am looking for other options or opinions this is what one o... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the reports. (attachment removed to protect patient identity). It is quite sad that your uncle has advanced stage of cancer. As you asked me how to differentiate between prostate and rectal cancer. There are three possible ways. 1. Serum PSA (noninvasive).... Read Full »
I recently had an MRI of my prostate gland due to variations in PSA scores. What does the report suggest about my prostate gland?
Query: Hello doctor,I just recently had MRI. I wanted to get your opinion on it. I am a 52-year-old with a genetic father who died of prostate cancer. My PSA scores have ranged from as high as 3 to as low as 2 in the past couple of years. My most recent PSA test was about a month ago and showed a reading o... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. I will get back to you. I am unable to open the files you attached. I have asked for technical support. In the meanwhile, if you could resend the files or re-attach them, as well as contact support, it would be a great help. Sorry for the incon... Read Full »
Is surgery needed for my prostate cancer?
Query: Hi doctor, I am on active surveillance for the last 2 years. My initial prostate biopsy was 2 years ago and showed 1 out of 10 needles cancerous, Gleason 6, slow growing and Prolaris test showing a medium growth rate. I had second biopsy 6 months ago. Before the second biopsy, my PSA was 5 and four ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your details. My main concern is the rise of PSA (prostate-specific antigen) from 5 to 16.Though it might be due to infection, since three months you are taking treatment of infections. So, your PSA should have reduced if the rise was due to infection.... Read Full »
Please provide a second opinion on my father's scan reports.
Query: Hello doctor, I need a second opinion on the results that came back from the doctor's report. Can you explain the report and the steps that we need to take further on this matter? Read Full »
Answer: Hi, Welcome to icliniq.com. Relax and do not worry. I have gone through the reports (attachment removed to protect patient identity) and I will explain you in detail. This is a gallium PSMA (prostate-specific membrane antigen) scan done for the whole body.The patient in the scan had undergone radica... Read Full »
My father is under treatment for prostate cancer. Can you suggest a more conservative way to improve his condition?
Query: Hello doctor,My dad is a prostate cancer patient and underwent IGRT last year with a Gleason of 3+4. I have three questions:1) He has already taken seven Zoladex injections and his PSA over the last two years has been less than 0.20 ng/mL, his last being 0.03 ng/mL. How many more doses does he need ... Read Full »
Answer: Hello, Welcome to icliniq.com. According to your query: 1. Eight to twelve injections is the standard. For your dad, I suggest giving the same for three years (12 injections) of treatment. 2. As testosterone levels drop, weakness sets in. This is a side effect of treatment If he is unable to tol... Read Full »
My dad has prostate cancer; a catheter was inserted for urination, and he has diarrhea and hiccups. Please advise.
Query: Hi doctor, My dad is a cancer patient. He has prostate cancer, which has migrated to the spine and lungs. He was having severe pain in the back and spine region and could not excrete or urinate. A catheter was used for urination, and an enema was given. A Tramadol injection and a few painkillers wer... Read Full »
Answer: Hi, Welcome to icliniq.com. I thoroughly read your query and understand your concern. The pain is often difficult to control if cancer has spread to the spine. The patient may need radiotherapy for the spine for pain control. When an enema is given for constipation, it often causes loose motion a... Read Full »
Can BPE lead to prostate cancer?
Query: Hi doctor, I am a 74-year-old male with BPE. I am in good health for my age. I take blood pressure and cholesterol medicines along with Tamsulosin (Flomax) for my BPE. Is it true that sexual activity (ejaculation) is good for the prostate? Can it help prevent prostate cancer? Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Thanks for consulting with us. BPE (Benign prostate enlargement) is a problem of people after the age of 50 years. Obstruction depends on the prostate shape rather than size; that is, which part of the prostate is enlarging rather than the prostate's total size. Some ... Read Full »
What does calcification in DRE and TRUS indicate?
Query: Hello doctor, Prostate biopsy was prompted by rising PSA over several years (20%-25% per year) reaching over 4 this past year (spiked at 7.3 which I think really is why they wanted the biopsy but I expect it to come down since then). 12 core came back benign, but I do not understand the implicatio... Read Full »
Answer: Hi, Welcome to icliniq.com. I have studied your reports and consulted with my pathologist. (attachment removed to protect patient identity). As per her advice and mine too, your reports are normal, the biopsy changes are age related. In the biopsy no carcinoma is identified. Doing DRE (digital r... Read Full »