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Detection and treatment of microscopic cancer cells

Prostate Cancer | Last Active: Oct 31, 2022 | Replies (23)
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@spryguy

What have you learned about "intraductal carcinoma " . My biopsy pathologist commented that "intraductal carcinoma could not be ruled out". I am not sure what that means biologicaly and how it affects my prognosis. Oncologist response was " just means your cancer is more aggressive ". I am Gleason 7 (4+3).
Thanks

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Replies to "What have you learned about "intraductal carcinoma " . My biopsy pathologist commented that "intraductal carcinoma..."
biih | @biih | Oct 20, 2022

I had treatment (EBRT) in 2004-5.
Last year i had a BCR (recurrence).
The biopsy reports which were confirmed by John Hopkins (Dr. Epstein) stated that i have intraductal carcinoma with a gleason of 7.
The conclusions that i have read are that it is more aggressive as you say!
My only treatment so far is having 6 months of ADT (firmagon).
This is different then your situation since intraductal was not (for me) diagnosed initially.
I suppose there are a number of different options. In my case, i don’t want further radiation. I am not sure what i would be thinking in your shoes. Someone said that i could remove the prostate. However, after radiation removal could cause a lot of complications. However, it might be good to do in your case…

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