Incidental Cancer found with prostatitis

[Nik]

Having found cancer in a high proportion of prostatitis patients, was there a relationship to duration of symptoms and age, or were the findings random across these two factors? For example, out of men in their 30's with a few years of symptoms, were the findings of cancer lower than men in their 50's with 20 years of prostatitis? I realise there may not be enough men to tell yet, but are their early signs of a pattern forming?

[Arnon Krongrad, MD]

Good question. With no good answer. So far, the prevalence of cancer in the men with severe chronic prostatitis is 60%.

There was one other interesting finding on the last patient. He had cancer but he also had granulomatous prostatitis. Granulomas form in response to all sorts of agents, including tuberculosis and trauma. This man had intra-prostatic injections as part of his prostatitis treatments. The diffuse scattered granulomas are quite possible a reaction to the needles and the trauma they caused.

[Nik]

Very interesting, I'm guessing his immune system did not like the injections. As far as I know in the western world, there are only 3 Doctors that do this treatment. 2 in America & 1 in Italy. I know there are more in China and I have heard some horror stories about additional infections such as hep C contracted over there due to insufficient sterilization practices. I have only heard good reports about significant symptom relief from 1 of these Doctors & he is in America.

Arnon Krongrad, MD said:

Good question. With no good answer. So far, the prevalence of cancer in the men with severe chronic prostatitis is 60%.

There was one other interesting finding on the last patient. He had cancer but he also had granulomatous prostatitis. Granulomas form in response to all sorts of agents, including tuberculosis and trauma. This man had intra-prostatic injections as part of his prostatitis treatments. The diffuse scattered granulomas are quite possible a reaction to the needles and the trauma they caused.

[Nik]

I wonder how many men without prostatitis have a form of early cancer in their prostates without knowing it, that would not be detected by DRE/PSA? I don't think we would get many volunteers for LRP just to find that out...!!!!

[Arnon Krongrad, MD]

LOL NOT likely!