I am 69. Was misdiagnosed to have prostate cancer and given homones -fosfestrol !


Question: I am 69. Was misdiagnosed to have prostate cancer and given homones -fosfestrol and bicalutamide- for 3 weeks.?
The aim was to medically castrate me.What antidote, please? My breasts are swollen and nipples sore! MRI test indicate I had BHP (thank heavens!) and have done prostatetomy in January.

Answers:

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The urologist is of course dependent on a pathologist to read the biopsy slides correctly when the diagnosis of prostate carcinoma is made. This is an unusual case where you are fortunate that the diagnosis was wrong but unfortunate to have side effects from three weeks of hormonal therapy.

It is time for you to see the urologist again. He or she should discuss this with you and any family members you chose to accompany you. The urologist probably started the hormonal therapy for which you now seek an antidote - rather than just stopping the hormonal medications. That urologist will be unhappy that he or she was given an incorrect diagnosis ( as you state), but the urologist will also be happy that you apparently do not have prostate adenocarcinoma.
A mixed blessing ?

Yet there are still confusing aspects of your case. Only an examination of cells under a microscope can make the histopathological diagnosis of prostate carcinoma. The MRI should not be able to distinguish malignancy definitively from BPH based on this imaging study alone.
Since you had your prostate gland surgically removed in January, the pathologists have had the entire gland to slice and make slides for careful microscopic examination examination.

It sounds like the urologist was treating you for possible or suspected distant spread or stage IV prostate carcinoma. Bicalutamide http://en.wikipedia.org/wiki/Bicalutamid… : "Bicalutamide is indicated for the treatment of stage D2 metastatic prostate cancer in combination with a luteinizing hormone-releasing hormone analogue or as a monotherapy."
Stage D2 is advanced metastatic prostate carcinoma.
Was your PSA elevated? Were there any plain x-rays of the bones ?
A bone scan (nuclear medicine) ? CT scan of pelvis, upper abdomen and lungs looking for metastatic disease? Your doctors have this information. We do not.

MD hematologist and medical oncologist - cancer and leukemia specialist physician for 20 years



You don't explain how you were diagnosed or how you came to find out is was a mistake. My understanding is that an MRI is not 100%. Most rely on a biopsy. It is also my understanding that the hormones are not permanent.




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