Anonymous wrote:As other PPs have said, you are much more likely to die with prostate cancer than from it. Google watchful waiting. it is possible that even if it is cancer, you don't have to treat it (since side effects can be pretty bad).

Watchful waiting at 53?? I thought that is when older

Anonymous wrote: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.

thank you for this feedback

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:We’ll be thinking of you, OP. Come back and update us. I agree you will be ok.

You have no idea. It's like telling someone with breast cancer that they'll be fine, but without all the tests and data and medical expertise, posters on dcum just don't know.

While a lot of old men die of something else before prostate cancer gets them, the situation for younger men is different.

It's impossible to say they will be fine but lots of men live with prostate cancer. My dad had it. He had surgery and something else - I forget if it was chemo or radiation. He was told a few years to live and lived 15 more, but died of something else. They monitored his PSA and he was able to keep it stable on Lupron. The big issue was the incontinence.

That's one case.

The OP doesn't yet know his Gleason score. He will be undergoing more testing and multiple consultations.

Anonymous wrote:

Anonymous wrote:

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.

When was your Dad diagnosed??

He's had a positive PSA for a very long time (15 years?) only recently did the trajectory of the PSA spike so they recommended treatment. I still warned him that the treatment isn't a walk in the park. He doesn't have metastatic disease, thankfully.

Anonymous wrote:

Anonymous wrote:We’ll be thinking of you, OP. Come back and update us. I agree you will be ok.

You have no idea. It's like telling someone with breast cancer that they'll be fine, but without all the tests and data and medical expertise, posters on dcum just don't know.

While a lot of old men die of something else before prostate cancer gets them, the situation for younger men is different.

It's impossible to say they will be fine but lots of men live with prostate cancer. My dad had it. He had surgery and something else - I forget if it was chemo or radiation. He was told a few years to live and lived 15 more, but died of something else. They monitored his PSA and he was able to keep it stable on Lupron. The big issue was the incontinence.

Anonymous wrote:We’ll be thinking of you, OP. Come back and update us. I agree you will be ok.

You have no idea. It's like telling someone with breast cancer that they'll be fine, but without all the tests and data and medical expertise, posters on dcum just don't know.

While a lot of old men die of something else before prostate cancer gets them, the situation for younger men is different.

Anonymous wrote:

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.

When was your Dad diagnosed??

Anonymous wrote:

Anonymous wrote:Overtreatment is a big issue in prostate cancer treatment, so don't stress about not having a biopsy 3 years ago. Prostate cancer is generally slow-growing, and you're doing the right thing by monitoring PSA and getting an MRI. Most likely the next step is a biopsy if this wasn't part of your MRI. The Prostate Cancer Foundation has good patient resource information. Exercise, eat healthy, and try not to stress too much.

Also I am mad at current doctor because if we biopsies 3 years ago cancer would be gone - he just kept checking psas and finally got mri because I requested and now these results ??!!

That's not usually the treatment approach. Remember any surgery or radiation will most likely result in ED or urinary disfunction. Aggressively treating prostate cancer and lowering your quality of life isn't good.

Anonymous wrote:

Anonymous wrote:Overtreatment is a big issue in prostate cancer treatment, so don't stress about not having a biopsy 3 years ago. Prostate cancer is generally slow-growing, and you're doing the right thing by monitoring PSA and getting an MRI. Most likely the next step is a biopsy if this wasn't part of your MRI. The Prostate Cancer Foundation has good patient resource information. Exercise, eat healthy, and try not to stress too much.

Also I am mad at current doctor because if we biopsies 3 years ago cancer would be gone - he just kept checking psas and finally got mri because I requested and now these results ??!!

That's not necessarily true. My dad had a prostate biopsy 4 years before his diagnosis and it missed the cancer. He had radiation treatment and was fine for 15 years until something else ended his life.

Anonymous wrote:Overtreatment is a big issue in prostate cancer treatment, so don't stress about not having a biopsy 3 years ago. Prostate cancer is generally slow-growing, and you're doing the right thing by monitoring PSA and getting an MRI. Most likely the next step is a biopsy if this wasn't part of your MRI. The Prostate Cancer Foundation has good patient resource information. Exercise, eat healthy, and try not to stress too much.

Also I am mad at current doctor because if we biopsies 3 years ago cancer would be gone - he just kept checking psas and finally got mri because I requested and now these results ??!!

So biopsy was recommended But PI rads is 5 (significant cancer?) also it extended beyond prostate on mri - Overlying
capsular bulge, suspicious for
extraprostatic tumor extension.

Next is biopsy - so scared

Overtreatment is a big issue in prostate cancer treatment, so don't stress about not having a biopsy 3 years ago. Prostate cancer is generally slow-growing, and you're doing the right thing by monitoring PSA and getting an MRI. Most likely the next step is a biopsy if this wasn't part of your MRI. The Prostate Cancer Foundation has good patient resource information. Exercise, eat healthy, and try not to stress too much.

We’ll be thinking of you, OP. Come back and update us. I agree you will be ok.

Anonymous wrote:

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.

Another possibilty is Lupron injections, which come with their own side effects, but which slow the growth of prostate cancer. My friend's 70yo husband is on his 4th shot because he didn't want to go through radiation, etc. My dad had stage 2B prostate cancer and was treated with targeted radiation. He had effects from that (digestive related), but he died 10 years later from ALS.
One more thing, op, we don't know what this is, nor do you, so please try to employ pragmatic optimism. Please keep us posted.

As other PPs have said, you are much more likely to die with prostate cancer than from it. Google watchful waiting. it is possible that even if it is cancer, you don't have to treat it (since side effects can be pretty bad).