Thanks for your feedback / I have young kids and this is scary

Anonymous wrote:Op here typo
I am only 50

You'll be ok, truly. One of the most treatable cancers out there. The sh&tty part is whether you pick surgery or radiation most likely you'll have significant side effects (e.g. ED). But there have been advancements in treatment, take your doctor's advice.

I don’t know what that report means but my stepdad’s best friend has been living well with terminal prostate cancer for nearly 20 years. He’s had periods of more intensive treatment and (long) periods of what seem like remission. Overall very high quality of life. He’s in his late 70s now.

Op here typo
I am only 50

I am only 59

Anonymous wrote:Thank you - hoping for doctor to call back

I was just wondering does extraprostatic tumor extension mean it went to other organs??

No. Metastatic means other organs.

Prostate cancer is metastatic to the lymph nodes and then bones. You'd know if it's in the bones because it's crazy painful.

Anonymous wrote:Just trying to understand what this means..

Overlying
capsular bulge, suspicious for
extraprostatic tumor extension.

You'll need a clinician to give you the run down of this. As a researcher that has a 75 year old Dad with prostate cancer I'm not worried at all. Heck, my Dad has already outlived his Dad. The median survival length is 10 years. That's crazy long for cancer. Breathe OP.

P.S. I'm sorry you are going through this and wish you the best.

I googled "extraprostatic tumor extension" and got this from NIH:

Extraprostatic extension (EPE) on histopathological examination refers to the identification of tumor cells beyond the borders of the prostate, most often recognized as tumor intermingling with periprostatic adipose tissue.

Clinical Findings and Treatment Outcomes in Patients ... - NCBI

Sorry, not a doctor but the AI's are great for explaining medical stuff.

Extraprostatic tumor extension refers to the spread of prostate cancer beyond the prostate gland into the surrounding tissues, such as the periprostatic fat1. It is an established adverse prognostic factor and of importance for prostate cancer staging and therapy1. However, it does not necessarily mean that the cancer has spread to other organs1.

(like PP said, lots of men get prostate cancer. My dad had it and he was told a few years, lived 16 years and died of something else. The cancer was able to be controlled).

Just trying to understand what this means..

Overlying
capsular bulge, suspicious for
extraprostatic tumor extension.

How old are you? Statistically, results from incidental biopsies (aka died in a car wreck and testing was done at autopsy), show that past a certain age pretty much every man has prostate cancer. -prostate cancer researcher

Thank you - hoping for doctor to call back

I was just wondering does extraprostatic tumor extension mean it went to other organs??

Bing says:

Based on the information you provided, it seems like you have received a medical report that indicates the presence of a focal lesion in the left mid posterior peripheral zones of your prostate gland. The report also mentions that this lesion is highly suspicious for a clinically significant tumor (PI-RADS 5) and there is an overlying capsular bulge, suspicious for extraprostatic tumor extension. Additionally, the report mentions the presence of a 1.0 cm midline prostate cyst, which is most likely a utricle cyst 1.
It is important to note that I am an AI language model and not a medical professional. Therefore, I cannot provide medical advice or diagnosis. However, I can provide you with some general information about prostate cancer diagnosis and treatment.
Prostate cancer is a type of cancer that develops in the prostate gland, which is a part of the male reproductive system. The diagnosis of prostate cancer usually involves laboratory tests and imaging tests such as digital rectal examination, blood test, ultrasound, and biopsy 2. The treatment options for prostate cancer include chemotherapy, medications to stop hormone activity, radiation therapy, and surgery. These can be used alone or in combinations to treat cancer 2.
I would recommend that you consult with a qualified medical professional who can provide you with more information about your specific case and guide you through the next steps.
1: The information

I had a small lesion 3 years ago - one doctor recommended biopsy the other recommended PSA tests- PSA tests have been normal since then but then got an mri - I am taking to doctor Monday but he posted results and this looks serious and I can’t wait all weekend

Any radiologists out there?!!
1. Focal lesion in the left mid
posterior peripheral zones, highly
suspicious for a clinically significant
tumor (PI-RADS 5). Overlying
capsular bulge, suspicious for
extraprostatic tumor extension.
2. No significant adenopathy or
suspicious marrow lesion in the
pelvis.
3. 1.0 cm midline prostate cyst as
noted above, most likely a utricle
cyst.

Really upset that we didn’t biopsy 3 years ago