Cyst of a prostate?

[Nana]

Dear colleagues! It would be desirable to learn or find out your opinion on such question:

The young man, 32. On US the cyst of a prostate 2,5*2,5 in the left share is found out. At a puncture (under the control of US) it is received nearby 2 ml a light yellow liquid. The analysis: insignificant quantity or amount of leucocytes. In the anamnesis: orhofunikulektomija at the left (2002.) in occasion of a seminoma. Passed or took place a polychemotherapy, radial therapy. The cyst is found out at the next inspection in ODES. Has handed over PSA - 35 (general or common).

Question: the Cyst or mts? Whether rising PSA is possible or probable at the Seminoma as nonspecific reaction? What else inspection to spend?

[kochta]

The seminoma does not give metastasises in a prostate. And PSA did or made up to or after a puncture of a cyst? If it is possible publish US a picture of the given cyst. Whether the general or common analysis and crop was done or made to the patient wet? Whether there were at the patient of pains in a perineum, fervescences and cold fits?

[andrey_123]

The seminoma does not give metastasises in a prostate. And PSA did or made up to or after a puncture of a cyst? If it is possible publish US a picture of the given cyst. Whether the general or common analysis and crop was done or made to the patient wet? Whether there were at the patient of pains in a perineum, fervescences and cold fits?

PSA did or made up to a puncture. Have repeatedly made 16.09.2004 - still it is not ready. In the general or common analysis of urine, a blood, biochemistry of a blood of a pathology it is not revealed. Crop wet on flora and sensitivity to antibiotics - body height of microorganisms it is not revealed. All analyses up to a puncture. Pains, cold fits, temperatures were not.

To publish a picture of US I shall try next time.

16.09.2004 it is spent KT an abdominal cavity, retroperitoneal space, a small basin - pathologies it is not revealed.

[The moon]

PSA after a puncture - 32. Picture UZi I can not present - through the scanner it turns out badly, and other opportunity is not present.

And so, somebody, can explain - than rise PSA is caused or called in the patient with a cyst of a prostate?

[The tramp]

As you probably know, dear skorpio, PSA is not kantserospetsifichnym a marker, and organospetsifichnym. The augmentation of concentration in a blood of this fiber testifies to fabric damage of a prostate. I.e. it most likely at such age can be inflammatory process (the truth data cited by you speak against it or this). I would appoint or nominate to the patient a nonsteroid antiinflammatory or anti-inflammatory preparation + an alpha-adrenoblocker to 1 month and then peremerjal PSA. Depression of the given parameter after antiinflammatory or anti-inflammatory therapy will be acknowledgement or confirmation of the inflammatory nature of its or his augmentation.

[yurgent]

I.e. it most likely at such age can be inflammatory process (the truth data cited by you speak against it or this). I would appoint or nominate to the patient a nonsteroid antiinflammatory or anti-inflammatory preparation + an alpha-adrenoblocker to 1 month and then peremerjal PSA. Depression of the given parameter after antiinflammatory or anti-inflammatory therapy will be acknowledgement or confirmation of the inflammatory nature of its or his augmentation.

Thanks for advice or council. Antiinflammatory or anti-inflammatory therapy is spent already in current of two weeks, after the termination or ending I shall inform results. But, all is peer, excruciate doubts: In the anamnesis a seminoma and here still PSA it is raised or increased, the CANCER prostatic can, but at a biopsy is not found out?

[Sunshine]

Once again: *quot; As you probably know, dear skorpio, PSA is not kantserospetsifichnym a marker, and Oua??N?o???U?*quot;. In 32 years it practically is not real.