intraductal carcinoma

[SherryKahn]

My husband's biopsy was reread by MSK and one of the cores said the following, "Focally suspicious for intraductal carcinoma (separate core)." He has been diagnosed with stage 4A prostate cancer with one pelvic lymph node involvement that I have written about here. Moving ahead with ADT then internal and external radiation. What does this new diagnosis of 'intraductal carcinoma mean for his treatment, cure etc? TIA

[Tall_Allen]

It doesn't mean much, given the intense radiation his prostate will be getting.

[SherryKahn in reply to Tall_Allen]

ok hopefully the radiation will take care of it.

[bdrakes]

Hi Sherry. I’m quite new to all of this like you and your partner but do share the unusual designation of being in the “intraductal” category which is less common and due to that status not researched/funded as much. I’ve been told you have to be additionally careful of PSA reading as intraductal tends to be “sneaky” and not get picked up all the time. It’s a “stealth” cancer so looking at best options for monitoring. Maybe you have been informed of this and have been given advice for your husbands case? More bits and pieces to this puzzle out there and surfacing but you have to dig deep and ask questions from multiple sources. My wife and I are scouring the US and Europe for more similar cases to learn about best practices/treatments for any/all advice. Too be honest in the past three months searching we’ve come across less than ten intraductal PC individuals so hopefully we can be of help together. I’ll send leads on another forum tomorrow of a few that you should join. I have to run for now but to be continued, take care and a fun weekend to the both of you,

Ken

[SherryKahn in reply to bdrakes]

Thank you Ken. They found it in one of the cores of the biopsy during a pathology report. When I asked the doctor he told it doest affect the treatment as all that means that the cancer is aggressive which in my husband's case is as its stage 4 A. So that is my take away from it. I am unsure if at all it affects his treatment, etc moving ahead. Thats what Tall also said. So I am not preoccupying my mind worrying about this too much right now. Staying positive and keeping fingers crossed. Hope all goes well with you too.

[DLimey]

In our case his post-RP pathology showed 50% ductal and 50% acinar and notes “intraductal spread” as an additional finding. He failed localized treatments too quickly and is now metastatic with low psa, but doubling around 3 months. First psma was negative. Another psma in 2 weeks, so maybe we will know more then. The wait and not having an MO to consult with is agony.