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@hansenca

CarlH
Hello. I have been following the Mayo Clinic forum for awhile and found many comments very helpful so I will share my journey so far. I was diagnosed late in 2024 with gleason 7 (4+3) prostate cancer. PI-RADS = 5/5, cancer extent: 11/12 cores; 29% of all core tissue; 60% pattern 4. So with that info and previous history of years of Chronic Prostatitis and related prostate pain, removal was the only choice for me. CT scan and bone scans were done and showed cancer had likely not spread so surgery was done April 22, 2025. First PSA done at 6 week period and PSA now at < .1. Down to 1 light pad per day at 6 weeks and 1st visit with urologist/surgeon tomorrow to discuss pathology of removed prostate, lympth nodes and seminal vesicle and path forward. Lots of walking, positive attitude, reading positive info and discussions on the Mayo Clinic Forum have helped me a lot and hopefully my info will be helpful to others.

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Replies to "CarlH Hello. I have been following the Mayo Clinic forum for awhile and found many comments..."

Just an update to my previous post. I forgot to mention that I was 67 when diagnosed and 68 now. Pathology showed prostate full of cancer with cribriform in some of the Gleason 4 areas. Cancer tried to leave the prostate on one corner and the surgeon said he burned the surrounding area and said it should be good. Also lymph nodes came back clear but seminal vesicle had cancer in it but and was contained within. Going forward he is doing PSA tests every 3 months for the next 2 years and he said he was cautiously optimistic that cancer would not reappear. The cribriform finding and the cautiously optimistic comment was hard to swallow but hopefully it will not or has not spread elsewhere.
I read on a cancer site that some prolonged use of antibiotics have a possibility of causing cells to deform and may cause them to grow possibly causing cancer. No definitive proof but something they are looking at. In my case, with my chronic prostatitis for over 20 years, I have been prescribed with different antibiotics many times with my last instance just before I was diagnosed, I was on 3 different antibiotics, 3 months each so almost 9 months continuously to try to control a persistent infection. So there might be some relevance.