• Slider-Image-prostate-cancer
    Prostate Cancer
    Read the story of ASCP Patient Champion Travis and learn about the role
    of laboratory testing in the diagnosis and treatment of prostate cancer.

What is Prostate cancer?

Prostate cancer is cancer that originates in the prostate. The prostate is a small gland that produces fluids and hormones related to male reproduction and is only present in men. Prostate cancer is most common in people over 60 years of age.

prostate-cancer

Cells from the prostate gland in a typical case of prostate cancer.

Travis’ Story

Travis first noticed something was different through the lab tests conducted as part of his annual physical. His PSA, which stands for prostate specific antigen and is measured in peripheral blood, were higher than normal. PSA tests can be used to indicate higher levels of protein in the prostate, however they do not indicate a specific diagnosis. When his levels continued to rise at his next annual physical exam, his doctor suggested a biopsy to try to find the cause of these elevated levels. Travis’ biopsy did not reveal anything, but since his PSA levels continued to rise, his urologist recommended an MRI-guided biopsy. First an MRI image is created of the prostate that then indicates the location of a mass (if there is one). Then, a targeted biopsy is performed directly into the mass. This biopsy confirmed Travis had prostate cancer. “Receiving the diagnosis of prostate cancer was quite frightening,” says Travis. In his case, the cancer was located in an area that was difficult to feel by a physician on a rectal examination which is why it was only detected with an MRI. Thanks to continued lab tests, the cancer was found and treated.

The second biopsy showed that Travis’ cancer was incredibly aggressive, so he decided to have a prostatectomy, which removed the prostate gland. The surgery completely removed the tumor, and he also has no long-term side effects. He is closely monitored through follow up treatments, but the expectation is that the cancer will not reoccur. “Because the diagnosis was early enough to do something about it, my future is actually quite good,” says Travis. “I am back at work enjoying my friends and family and look forward to resuming my travel schedule in the months to come.”

travis
Travis and his medical team collaborated to find and treat his prostate cancer.

Questions To Ask Your Doctor

  • How often should I monitor my PSA?
  • My biopsy was negative – but my PSA is still rising? Should I be concerned?
  • Are there different techniques to perform a biopsy (e.g., random sample, MRI guidance)?

  • I have a positive biopsy, what does the Gleason score mean?
  • What are my treatment options if my biopsy is positive?
  • If I’ve been treated, who will follow up to make sure I am doing okay?