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    Old 07-14-2020, 09:11 AM   #16
    Oakguy
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    Re: Just Beginning My Journey

    MRI Results. Scored at a 3. No other information but get a biopsy. I called the MRI clinic and they are sending me a copy of the final report which I can then post. Is it important to get copy of the actual scans? Don’t think so. I am in process of changing to what I hope to be a better clinic with good reviews.
    M Health Fairview Clinics and Surgery Center Maple Grove MN. Looking to see a Doctor Bryan Hinck. I live well north of the Twin Cities and always travel to Minneapolis for better doctors.

    Thanks again for your helpful knowledge!
    __________________
    Raising PSA; BPH
    Born: 1953; 67years 5’11 167lbs, Hemoglobin A1C=5.5, Glucose=100, Good health.
    No current or known deceased relatives with PCa
    PSA Results: 2/18/13 - 4.39: 9/9/2013 - 3.62: 11/8/2017 - 6.32: 8/1/18 - 5.59:
    1/16/20 - 11.62: 6/25/20 - 14
    MRI Results: Score=3, Biopsy next!

     
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    Old 07-14-2020, 10:52 PM   #17
    HighlanderCFH
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    Re: Just Beginning My Journey

    Quote:
    Originally Posted by Oakguy View Post
    Hi, I’m just beginning my journey At 67. My PCA is 14 and my MRI is scheduled for this Thursday. It went from 6.32 in Nov/2017 to 14 today. I can’t thank you enough for the lessons and wisdom in your posts. I will continue to read and try to understand all the abbreviations. I will learn From those who have gone before me down this same path. I will post my results and look for your thoughts.

    Oakguy

    Hi Oak, wishing you the best as you go down this road. In the meantime, here are some prostate cancer abbreviations that might be helpful.
    Take care,
    Chuck

    Prostate Cancer Abbreviations

    Updated: 01/21/2012

    AAT - androgen ablation therapy (same as ADT and HT)
    AAWR – anti-androgen withdrawal response
    ABDCTSCAN - abdominal CAT scan
    ACTH - adrenal corticotropic hormone, also known as corticotropin
    ADT - androgen deprivation therapy (same as AAT and HT) ADT2 - androgen deprivation therapy using two agents (typically the same as just ADT) ADT3 - triple androgen deprivation therapy (same as ADT but with the addition of finasteride/Proscar or dutasteride/Avodart)
    AG - aminoglutethemide
    ALK PHOS - alkaline phosphatase
    ALT - alanine aminotransferase ANEUP – aneuploid
    AS – active surveillance
    AST - aspartate aminotransferase
    AT - aneuploid/tetraploid
    AUS - artificial urinary sphincter BCR - biochemical recurrance BILI - bilirubin
    BMD - bone mineral density
    BMI - Body Mass Index
    BP - Bluestein prediction
    BPH - benign prostatic hyperplasia (also hypertrophy) BPSA - baseline PSA (used to mean an initial PSA value taken long before any risk of prostate cancer is suspected or a PSA value at the time of diagnosis) BRACHY - brachytherapy
    BS - bone scan
    BTW - by the way
    BUN - blood urea nitrogen
    B/P - blood pressure
    BX - biopsy
    CAB - complete androgen blockade (the combination of either surgical or medical castration with an antiandrogen like bicalutamide/Casodex) CADT - continuous androgen deprivation therapy
    CaP - cancer of the prostate CATH - catheter
    CAT SCAN - computerized axial tomography (same as CT scan) CBC - complete blood count CDUS - color-flow Doppler ultrasound
    CEA - carcinoembryonic antigen CGA - chromogranin A
    CHB - combined hormone blockade (see also CAB, CHT, CHB2, CHT2)
    CHB2 - CHB with 2 medications (e.g., Lupron + Casodex)
    CHB3 - CHB with 3 medications (e.g. CHB2 + Proscar)
    CHBNDT - CHB non-detectable [PSA] time
    CHEMO - chemotherapy
    CHT - combined hormonal therapy or treatment (see also CAB, CHB)
    CHTx3 or CHT3 - see CHB3
    CIS - cancer information service (of the National Cancer Institute) CPA - cyproterone acetate
    CP - capsular penetration
    CRPC – castration-resistant prostate cancer
    CREAT - creatinine
    CRYO - cryotherapy, cryoablation, cryosurgery
    CS - clinical stage
    CT SCAN - computerized tomography (also known as CAT scan or CT scan)
    D - diploid
    DES – diethylstilbestrol (an estrogen)
    DHEA - dihydroepiandrosterone DHEA-S - DHEA-sulfate
    DHT - dihydrotestosterone
    DI - diploid index
    DIP - diploid DNA - deoxyribonucleic acid
    DRE - digital rectal examination DX - diagnosis
    DXM - dexamethasone (Decadron)
    EBR - external beam radiation EBRT - external beam radiation therapy
    ED – erectile dysfunction
    EKG - electrocardiogram
    ELISA - enzyme-linked immunosorbent assay
    EPE - extra prostatic extension EPO - erythropoeitin (Procrit, Epogen)
    EXBT - external beam therapy EXRT - external radiation therapy
    FDA - Food and Drug Administration (USA)
    FP – family practitioner
    FYA - for your amusement
    FYI - for your information
    G - Gleason's score
    GG - Gleason's grade
    GNRH - gonadotropin-releasing hormone (see also LHRH)
    GP - general practitioner
    Gray - GY - an amount of radiation absorbed (One Gy = 100 rad)
    GS - Gleason score
    GY - Gray - an amount of radiation absorbed (One Gy = 100 rad)
    HA - hormone ablation
    HB - hormone blockade
    HC - hydrocortisone
    HCT - hemotocrit
    HDK - high dose ketoconazole (Nizoral)
    HDR – high dose rate (usually pertains to brachytherapy
    HEM/ONC – hematologic oncologist
    HGB - hemoglobin
    HIFU- high intensity focused ultrasound
    HMO - health maintenance organization
    HPF - high powered field (under a microscope)
    HRPC – hormone-refractory (or hormone-resistant) prostate cancer
    HT - hormone therapy (same as AAT and ADT)
    HX – medical history
    IADT – intermittent androgen deprivation therapy
    IAS - intermittent androgen suppression
    IHT – intermittent hormone therapy
    ICHT - intermittent combined hormone therapy
    IGRT – image guided radiation therapy
    IHT - intermittent hormone therapy
    IMHO - in my humble opinion IMNSHO- in my not so humble opinio
    IMPT - intensity modulated proton therapy
    IMRT – intensity modulated radiation therapy
    IVP - intravenous pyelogram
    IV - intravenous, into a vein Keto - ketoconazole (Nizoral)
    LAFB - Left Anterior Fascicular Block
    LARP – laproscopic robotic prostatectomy
    LF - laser fulguration (also: left side or flank)
    LHRH - luteinizing hormone releasing hormone
    LNCaP - cell line of human prostate cancer used in laboratory studies
    LRP - laparoscopic radical prostatectomy
    M0-1 – Status of cancer metastasis, subset of staging MAB - maximal androgen blockade (same as CAB)
    MAD - maximal androgen deprivation (same as CAB)
    MCP - modified citrus pectin
    MD - moderately differentiated, medical doctor
    MED/ONC – medical oncologist MIP - Molecular Imaging Program
    MIRs - micro RNA's
    MRI - magnetic resonance imaging
    N0-N3 - status of cancer in the lymph nodes (subset of staging) NDPSA - non-detectable PSA NDX - new diagnosis
    NEG - negative
    NHB - neoadjuvant hormone blockage
    NHT - neoadjuvant hormone therapy
    NIH - National Institutes of Health (USA)
    NL - nil (non-detectable response)
    NP - Narayan prediction
    NSAID - Non-Seroidal Anti-Inflamatory Drug (Ibuprophen, Aspirin)
    NSE - neuron-specific enolase ONC - oncologist
    ORCH - orchiectomy
    P53 - p53 gene
    PAACT - Patient Advocates for Advancement in Cancer Therapy PAP - prostatic acid phosphatase
    PARP - poly(adenosine diphosphate [ADP]-ribose) polymerase
    PBRT - proton beam radiation therapy, or also, prostate bed radiation therapy
    PBT - proton beam therapy
    PC - prostate cancer
    PCa - prostate cancer
    PCA3 - prostate cancer gene 3 (a genetic marker for prostate cancer), also used to mean a urine test designed to indentify the presence or absence of this genetic marker (properly “PCA3 test”)
    PCD - prostate cancer [personal] digest
    PET Scan - Positron emission tomography scan
    PD - poorly differentiated
    PDQ - Physician's Data Query ( a service of the National Cancer Institute)
    PIN - prostatic intraepithelial (or intraductal) neoplasia
    PNI - perineural invasion
    POS - positive
    PP - Partin prediction
    PPI - post prostatectomy incontinence
    PPO - preferred provider organization
    PRL – prolactin
    *** – see RPP
    PSA - prostate specific antigen PSA II - prostate-specific antigen type II assay
    PSA RT-PCR - PSA reverse transcriptase-polymerase chain reaction
    PSADT - PSA doubling time PSAV - PSA velocity
    PSM - prostate specific membrane
    PSMA - prostate specific membrane antigen
    PV - prostate volume
    QCT - quantitative computerized tomography (bone density scan) QOL – quality of life
    RAD/ONC – radiation oncologist RALP – robot-assisted laparoscopic prostatectomy (similar to LRP but with “robotic” assistance)
    RO – radiation oncologist
    RP - radical prostatectomy
    RPP - radical perineal prostatectomy
    RRP - radical retropubic prostatectomy
    RT - radiation therapy; also: right side
    RT-PCR or RTPCR - reverse transcriptase polymerase chain reaction
    RT PCR PSA - reverse transcriptase-polymerase chain reaction done on PSA
    RT PCR PSM - reverse transcriptase-polymerase chain reaction done on PSM
    RX – prescription
    SE – side effects
    SBRT - stereotactic body radiation therapy
    SI - seed implantation
    SRT - salvage radiation therapy STP - stereotactic transperineal prostate biopsy
    SVI - seminal vesicle invasion (or involvement)
    T - testosterone, also tetraploid T0-T4 - status of cancer in the prostate itself (subset of staging) TAB - total androgen blockade TETRA - tetraploid
    TFT - targeted focal therapy
    TIP - timed intervention periot (time in period)
    TOP - time off period
    TRT - testosterone replacement therapy
    TRUS - transrectal ultrasound TRUS-P or TRUSP - transrectal ultrasound of the prostate
    TTND - time to non-detectable TURP, TUR/P - transurethral resection of the prostate
    TX - treatment
    TZ - transition zone (of prostate) URO - urologist
    US - ultrasound
    UTI - urinary tract infection
    URL - universal resource locator; e.g., an address on the
    UTI - urinary track infection
    VED - vacuum erection device WBC - white blood cell count WBC/HPF - white blood cells counted per high powered field (of a microscope.)
    WD - well differentiated
    WPRT - whole pelvic radiation therapy
    WW - watchful waiting
    XRT - external radiation therapy YO - year(s) old Post Edited By Moderator (142) : 1/21/2012 9:37:53 PM (GMT-7)

    From my HTC Sensation 4G on T-Mobile. The first nationwide 4G network

    PROSTATE CANCER ABBREVIATIONS

    COURTESY OF MICHAEL F
    NOTE: We're not sure what the asterisks mean.

    AAT*- androgen ablation therapy (same as ADT and HT)
    AAWR*– anti-androgen withdrawal response
    ADT*- androgen deprivation therapy (same as AAT and HT)
    ADT2 -*androgen deprivation therapy using two agents (typically the same as just ADT)
    ADT3*- triple androgen deprivation therapy (same as ADT but with the addition of finasteride/Proscar or dutasteride/Avodart)
    AS*– active surveillance
    AUS*- artificial urinary sphincter
    BCR*- biochemical recurrance
    BPH*- benign prostatic hyperplasia (also hypertrophy)
    BPSA*- baseline PSA (used to mean an initial PSA value taken long before any risk of prostate cancer is suspected or a PSA value at the time of diagnosis)
    BRACHY*- brachytherapy
    BS*- bone scan
    BT*- brachytherapy
    BX*- biopsy
    CAB*- complete androgen blockade (the combination of either surgical or medical castration with an antiandrogen like bicalutamide/Casodex)
    CADT*- continuous androgen deprivation therapy
    CaP*- cancer of the prostate
    CATH*- catheter
    CAT SCAN*- computerized axial tomography (same as CT scan)
    CHB*- combined hormone blockade (see also CAB, CHT, CHB2, CHT2)
    CHB2*- CHB with 2 medications (e.g., Lupron + Casodex)
    CHB3*- CHB with 3 medications (e.g. CHB2 + Proscar)
    CHBNDT*- CHB non-detectable [PSA] time
    CHEMO*- chemotherapy
    CHT*- combined hormonal therapy or treatment (see also CAB, CHB)
    CHTx3*or*CHT3*- see CHB3
    CIS*- cancer information service (of the National Cancer Institute)
    CP*- capsular penetration
    CRPC*– castration-resistant prostate cancer
    CRYO*- cryotherapy, cryoablation, cryosurgery
    CS*- clinical stage
    CT SCAN*- computerized tomography (also known as CAT scan or CT scan)*
    DES*– diethylstilbestrol (an estrogen)
    DHEA*- dihydroepiandrosterone
    DHEA-S*- DHEA-sulfate
    DHT*- dihydrotestosterone
    DRE*- digital rectal examination
    DX*- diagnosis
    DXM*- dexamethasone (Decadron)
    EBR*- external beam radiation
    EBRT*- external beam radiation therapy
    ED*– erectile dysfunction
    ELISA*- enzyme-linked immunosorbent assay
    EPE*- extra prostatic extension
    EPO*- erythropoeitin (Procrit, Epogen)
    EXBT*- external beam therapy
    EXRT*- external radiation therapy
    ** = Forum Brother!
    FS = Forum Sister!
    GG*- Gleason's grade
    GNRH*- gonadotropin-releasing hormone (see also LHRH)
    GP*- general practitioner
    Gray*- GY - an amount of radiation absorbed (One Gy = 100 rad)
    GS*- Gleason score
    GY -*Gray - an amount of radiation absorbed (One Gy = 100 rad)
    HA*- hormone ablation
    HB*- hormone blockade
    HDR*– high dose rate (usually pertains to brachytherapy
    HEM/ONC*– hematologic oncologist
    HPF*- high powered field (under a microscope)
    HRPC*– hormone-refractory (or hormone-resistant) prostate cancer
    HT*- hormone therapy (same as AAT and ADT)
    IADT*– intermittent androgen deprivation therapy
    IAS*- intermittent androgen suppression
    IHT*– intermittent hormone therapy
    ICHT*- intermittent combined hormone therapy
    IGRT*– image guided radiation therapy
    IHT*- intermittent hormone therapy
    IMPT*- intensity modulated proton therapy
    IMRT*– intensity modulated radiation therapy
    LF*- laser fulguration (also: left side or flank)
    LHRH*- luteinizing hormone releasing hormone
    LNCaP*- cell line of human prostate cancer used in laboratory studies
    LRP*- laparoscopic radical prostatectomy
    M0-1*– Status of cancer metastasis, subset of staging
    MAB*- maximal androgen blockade (same as CAB)
    MAD*- maximal androgen deprivation (same as CAB)
    MO = MED/ONC*– medical oncologist
    MIP*- Molecular Imaging Program
    MRI*- magnetic resonance imaging
    N0-N3*- status of cancer in the lymph nodes (subset of staging)
    NDPSA*- non-detectable PSA
    NDX*- new diagnosis
    NEG*- negative
    NHB*- neoadjuvant hormone blockage
    NHT*- neoadjuvant hormone therapy
    ONC*- oncologist
    ORCH*- orchiectomy
    PBRT*- proton beam radiation therapy, or also, prostate bed radiation therapy
    PBT*- proton beam therapy
    PC*- prostate cancer
    PCa*- prostate cancer
    PCA3*- prostate cancer gene 3 (a genetic marker for prostate cancer), also used to mean a urine test designed to indentify the presence or absence of this genetic marker (properly “PCA3 test”)
    PET Scan*- Positron emission tomography scan
    PIN*- prostatic intraepithelial (or intraductal) neoplasia
    PNI*- perineural invasion
    POS*- positive
    PP*- Partin prediction
    PPI*- post prostatectomy incontinence
    ****– see RPP
    PSA*- prostate specific antigen
    uPSA - ultrasensitive PSA assay
    PSA II*- prostate-specific antigen type II assay
    PSA RT-PCR*- PSA reverse transcriptase-polymerase chain reaction
    PSADT*- PSA doubling time
    PSAV*- PSA velocity
    PSM*- prostate specific membrane
    PSMA*- prostate specific membrane antigen
    PV*- prostate volume
    QCT*- quantitative computerized tomography (bone density scan)
    QOL*– quality of life
    RO = RAD/ONC*– radiation oncologist
    RALP*– robot-assisted laparoscopic prostatectomy (similar to LRP but with “robotic” assistance)
    RP*- radical prostatectomy
    RRP*- radical retropubic prostatectomy
    RT*- radiation therapy; also: right side
    SBRT*- stereotactic body radiation therapy
    SE*– side effects
    SEEDS*- brachytherapy
    SI*- seed implantation
    SRT*- salvage radiation therapy
    SVI*- seminal vesicle invasion (or involvement)
    T*- testosterone, also tetraploid
    T0-T4*- status of cancer in the prostate itself (subset of staging)
    TAB*- total androgen blockade
    TFT*- targeted focal therapy*
    TRT*- testosterone replacement therapy*
    TRUS*- transrectal ultrasound
    TRUS-P*or*TRUSP*- transrectal ultrasound of the prostate*
    TTND*- time to non-detectable
    TURP,*TUR/P*- transurethral resection of the prostate
    TX*- treatment
    TZ*- transition zone (of prostate)
    URO*- urologist
    US*- ultrasound
    UTI*- urinary tract infection
    UTI*- urinary track infection
    WBC*- white blood cell count
    WBC/HPF*- white blood cells counted per high powered field (of a microscope.)
    WD*- well differentiated
    WPRT*- whole pelvic radiation therapy
    WW*- watchful waiting
    XRT*- external radiation therapy

     
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    BlueHeron2020 (07-15-2020)
    Old 07-15-2020, 04:55 AM   #18
    ASAdvocate
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    Re: Just Beginning My Journey

    Quote:
    Originally Posted by Oakguy View Post
    MRI Results. Scored at a 3. No other information but get a biopsy. I called the MRI clinic and they are sending me a copy of the final report which I can then post. Is it important to get copy of the actual scans? Don’t think so. I am in process of changing to what I hope to be a better clinic with good reviews.
    M Health Fairview Clinics and Surgery Center Maple Grove MN. Looking to see a Doctor Bryan Hinck. I live well north of the Twin Cities and always travel to Minneapolis for better doctors.

    Thanks again for your helpful knowledge!
    Having a DVD of the MRI scans can be helpful if the new practice does not have online access to that practice. Usually, the staff can run off a DVD if you request to pick it up. Might be too large to email?

     
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    Old 07-20-2020, 07:32 AM   #19
    Oakguy
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    Re: Just Beginning My Journey

    Here is the actual MRI Report. Thanks for the abbreviations! My next appointment is 7/23. Thanks again for your comments.

    Oakguy

    TECHNIQUE: Routine MRI prostate protocol including T 1, diffusion, thin section high resolution T2 and dynamic Tl thin section without followed by with IV contrast. Study was processed using DynaCad multiparametric computer-aided detection system to optimize radiologist interpretation by generating multiplanar and 3D reconstructions and creating subtraction images from the dynamic contrast data. CONTRAST: 10 ml Gadavist

    FINDINGS:
    Prostate gland size: 5.8 cm transverse x 5.2 cm AP x 5.0 cm craniocaudal. Prostate volume: 73 mL.

    Peripheral zone:
    Lesion 1: There is 0.7 x 0.4 cm lesion with focal hypointensity on the ADC map (series 6 image 15), located on the anterior apex midline at 12 0'clock 0 cm from the midline and 3.5 cm inferior to the base of the prostate. There is associated isointensity on the high b value diffusion-weighted sequence. There is associated focal hypointensity on the T2 sequences. Analysis of the dynamic pre- and postgadolinium kinetics demonstrates findings negative for focal, early enhancement. PI-RADS classification: 3 (Intermediate probability: the presence of clinically significant cancer is equivocal).

    Remainder of the peripheral zone shows patchy moderate low T2 signal.

    Transition zone: Signal changes consistent with benign prostatic hypertrophy are noted.

    The prostatic capsule appears intact. The rectoprostatic angle and neurovascular bundles are unremarkable. The seminal vesicles are symmetric and unremarkable. The urinary bladder is unremarkable.

    Remainder of the pelvis: No enlarged lymph nodes are identified in the pelvis. No aggressive appearing lesions in the visualized bony pelvis. Colonic diverticula.

    1. Image

    Lesion 1 (PI-RADS 3): A peripheral zone 0.7 cm lesion located at the anterior apex, 12 0'clock, has a PI-RADS classification 3, intermediate probability for a clinically significant cancer).

    2. There are changes of benign prostatic hypertrophy, with an estimated prostate volume of 73 mL.
    __________________
    Raising PSA; BPH
    Born: 1953; 67years 5’11 167lbs, Hemoglobin A1C=5.5, Glucose=100, Good health.
    No current or known deceased relatives with PCa
    PSA Results: 2/18/13 - 4.39: 9/9/2013 - 3.62: 11/8/2017 - 6.32: 8/1/18 - 5.59:
    1/16/20 - 11.62: 6/25/20 - 14
    MRI Results: Score=3, Biopsy next!

     
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    Old 07-21-2020, 05:12 AM   #20
    Prostatefree
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    Re: Just Beginning My Journey

    You are long overdue for a biopsy as your PSA, MRI, and doctors confirm. Your 4 or 5 year delay in taking action has now become a much more serious matter.

    Besides encouraging you to get a biopsy and moving forward in a real way taking care of yourself what else can we do for you? What's stopping you in taking care of this and moving on with your life? Each delay only gives the cancer more time.

    A biopsy was called for at a PSA of 4. You are now sitting on a 14 or greater. This is serious. Every new doctor has to do their own tests adding to further delays. What's up with this?

    And to be clear in your language, your journey began more than 4 or 5 years ago when you stepped over your first biopsy. Get a biopsy.

     
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    Old 07-21-2020, 09:24 AM   #21
    guitarhillbilly
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    Re: Just Beginning My Journey

    Prostatefree and I don't agree a lot on this forum but he is correct on this one.
    Who is dragging their feet on getting a BIOPSY?
    __________________
    T2a / Gleason Score 8 / PSA at Diagnosis 6.9 /
    1-5 aggressive score : 4
    12 cores= 4 positive
    NBS = Negative
    Pelvic CT= Negative
    Pelvic MRI= Negative
    Age at Diagnosis= 60-65 age group
    Completed 42 IMRT Sessions
    Lupron scheduled for 2 years [Started DEC 2019]

     
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