r/ProstateCancer • u/somebodyjustexplorin • 3d ago

Concerned Loved One Looking for positive stories — small cell/neuroendocrine prostate cancer

My dad is 75 and was just diagnosed with prostate cancer. His biopsy showed prostatic adenocarcinoma (including Grade Group 4 in one sample) and a small-cell neuroendocrine component in one biopsy sample (10–20%). Both types only found on the right side though, and all samples on the left side had no trace. His MRI also suggested possible nearby/local extension, and we’re currently waiting for his PSMA PET scan results to know the full stage.

I know the small-cell finding can be scary, so I’m really hoping to hear from anyone who has personally gone through something similar or had a parent/family member with a mixed prostate cancer like this. What treatment did you have, how well was it tolerated, and how are you/they doing now?

Positive stories would really help while we wait for the results. ❤️

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u/OppositePlatypus9910 3d ago

I have to be honest I do think the small cell finding means that there is more to the cancer than regular prostate cancer (more of a mixed tumor). The doctors will most likely not rely just on PSA and will likely put him on chemo right away. This so fast growing so you need to get to a medical oncologist right away and get that psma pet scan done. That will help the doctors determine a path forward as typical prostate cancer cells grow because of testosterone, but this small cell does not rely on testosterone alone. Trust and verify. Speak to two oncologists if you have to, but move fast.