Originally Posted by Tamm501
My Dad has been diagnosed with small cell carinoma in the prostate. Six of the 12 biopsies had Gleason scores of 9: 5 - (5,4) and (4,5). It has spread to 2 right ribs, thorasic spine, liver, and lungs. My Dad is in good spirits but we are all devestated and we are trying to have hope. He had his first round of chemo yesterday -- Cisplatin. It went well and his urine output was good. ...Has anyone out there had dealings with this?? There is little on small cell in the prostate as it is rare. Has anyone out there had dealings with this?
My heart goes out to you and your family.
As I'm sure you already know, small cell carcinoma is one of the rare, very dangerous types of prostate cancer. My impression is that physicians and researchers are still trying to find good ways of coping with it. I wish I could be reassuring. (I'm an eight year survivor who has had to learn a lot about the disease, but I have had no enrolled medical education.)
All that said, some patients survive markedly longer than others. If you and your dad can find out why, that could help. There is a wonderful essay by the late (but surprisingly long-lived, considering) scientist Stephen Jay Gould that pertains entitled "The Median is Not the Message." He makes a powerful argument for the value of finding out how those at very high risk found a way to survive, as he did (not prostate cancer, another disease). You can probably find it on the web.
Also, small cell prostate carcinoma is getting research attention, and there could be a breakthrough in the next year or two. Nothing certain, but there is so much progress being made in cancer research and specifically in prostate cancer research that there is a foundation for hope.
Here are some bases to touch to see what information has been published on small cell PC. Try an internet search for a string like: " "Small Cell Carcinoma" Prostate ". Search the free Government website [url]www.pubmed.gov[/url] for a string like: " Small Cell Carcinoma AND Prostate AND 2007 [dp] ". I just did that and got 15 hits, even with limiting the search to 2007 to see what was most recent.
You state that your dad is in good spirits. That is good! A positive outlook helps in decision making, and, if things take a rough turn, it's better to enjoy each moment possible instead of ruining those moments by worrying and moaning. Challenging cancer can really help us appreciate life. It's not the kind of help we would ever choose, but it does have a profound way of putting life in perspective.
I hope your dad and your family find something that works for the cancer and also find spiritual strength. This is the time when the investments we make in our spiritual life pay big dividends.
Take care and good luck to your dad, you , and your family,