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Gold Seeker

02/08/10 12:38 PM

#25437 RE: opportunityknocking #25435

Opportunity, the following is what DukeOBass stated: "They found an area of suspicion and decided to do a biopsy under Ultrasound on January 26th. One sample, out of 13, had a few cells questionable for adenocarcinoma. Now they are giving me 4 weeks to heal and will be doing a saturation biopsy under anesthesia. I have had total of 3 or 4 ultrasound guided prostate biopsies and this will make 2 saturation biopsies during which they take 70+ samples. I would like to have had RECAF available to test the most recent biopsy samples and go directly to a Robotic Prostatectomy rather than continue seemingly endless subjugation to biopsies."

He also states he has a family history.

Here are the facts:

1.He did not state if the family history was from anyone dying of prostate cancer or if it was from prostate treatment.

2.One of 13 biopsy samples guided by ultrasound into the suspicious area yeilded on one with a possible slow growing cancer.

3. The doctor is actually looking at the cancer cells. Would a RECAF test help at this point? What if a RECAF test actually found cancer cells in the big toe. Would that be a definitive reason to remove the prostate?


There are three main types of prostate cancer cells. The small cell carcinoma and Squamous cell carcinoma are aggressive and dangerous. The Adenocarcinoma are slow growing.

Adenocarcinoma
The most common site of origin of prostate cancer is in the peripheral zone (the main glandular zone of the prostate). The term adenocarcinoma can be split up to derive its meaning. Adeno means ‘pertaining to a gland’, whilst Carcinoma relates to a cancer that develops in epithelial cells. The term epithelial simply relates to cells that surround body organs or glands. aldara and basal cell carcinoma

Small cell carcinoma
This kind of cancer is made up of small round cells, and typically forms at nerve cells. Small cell carcinoma is very aggressive in nature and as it does not lead to an increase in prostate specific antigens it can be somewhat harder to detect than adenocarcinoma; this usually means that it has reached an advanced form upon detection.

Squamous cell carcinoma
This is a non glandular cancer, like small cell carcinoma there is no increase in prostate specific antigens when this is present. Squamous cell carcinoma is very aggressive in nature.



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DukeOBass

02/08/10 7:11 PM

#25446 RE: opportunityknocking #25435

Thank you Opportunity. I live within 12 miles of Geisinger Medical Center. You can run a search for them on Google and take a look. They have 2 of the DiVinci Robotic systems and a couple of the urologists have good experience with it. I had my 1st saturation biopsy done by Dr. Daniel Rukstalis, the chief of the department. If I turn up positive, I will be discussing the robotic procedure with him. I have pretty much decided that will be the way to go at my young age (53). Brachytherapy can eventually lead to future biopsies if PSA level rise again years down the road. The seed implants would make it difficult to detect a future Prostate Cancer using a DRE. Plus, I'm not so sure that you can have multiple Brachys. I believe it's a one time shot. I realize that I will only be getting older and becoming more of a surgical risk so, now is the time for robotics surgery if I have cancer.