64 years old.
I had an initial PSA test in 1999 of 4.4. PSA increased every 6 months reaching 40 in 5-08. PSA free ranged from 16% to 10%. Over this time period I had a total of 13 biopsies and an endorectal MRIS all negative and have seen doctors at Long Beach, UCLA, UCSF and UCI. DX has always been BPH and continue to get biopsies every year.
In 10-08 I had a 25 core biopsy that showed 2 cores positive, gleason 6 at less than 5%. Surgery was recommended and I was in the process of interviewing surgeons when my wife's oncologist recommended I get a 2nd opinion from a prostate oncologist.
I saw Dr Sholtz, in Marina Del Rey, and he said that the path reports indicated no tumor, but indolant cancer clusters that didn't need any treatment. He was concerned that my PSA history indicated that I had a large amount of PC somewhere that had yet to be uncovered and put me through several more tests.
A color doppler targeted biopsy in 11-08 found a large tumor in the transition zone, gleason 6 and 7. Because of my high PSA Dr. suspected lymph node involvement, 30% chance, and sent me to Holland for a Combidex MRI, even though bone and CT scans were clear.
Combidex MRI showed clear lymph nodes and a 2,5 cm tumor in the anterior. I was his 1st patient to come up clear on the Combidex which has a 96% accuracy,
I've been on a no meat and dairy diet since 12-08 and PSA reduce to 30 while I awaited the Combidex MRI.
The location of the tumor in the anterior apex next to the urethea makes a good surgical margin very unlikely. Currently on Casodex and Proscar for 8 weeks to shrink my 60 mm prostate. Treatment will be seeds followed by 5 weeks of IMRT while continuing on Casodex and Proscar. So far no side affects from the Casodex.
Post Edited (TC-LasVegas) : 3/10/2009 6:25:15 PM (GMT-6)
Not sure of your first question, my original urologist wanted me to have "open" surgery, Or after I indicated I was interested in the Davinci (Robotic) surgery, he pointed me towards lapricopic surgery. He was pretty set against robotic.
Post op pathology was cancer at the margins, and Dr. Wilson did extensive scraping and cleaning the prostate bed prior to closing up.
On the exercise, I diligently work out, and I ski hard every weekend. However, once my original diagnosis, I continued to ski, but quit working out. I gained quite a bit of weight, and have never really dropped it. Again, for the past 6-7 weeks, I again became lethargic, and very inactive. This past week I have gotten back into my routine, and will continue the workouts.
The suggestion to drink lots of water will be taken to heart, and I will begin to consume more. I never really got that recommendation from my treatement center!
My treatment is external beam radiation, at 60-70 Gy. Not sure if that answers your question!
My original post, you mentioned we probably passed each other in the hallway. Not sure if the almost 6 months from diagnosis to surgery was a factor in the margins issue, but it sure could not have helped the situation. For that reason alone, I have decided I am not waiting for any future treatement. I want to beat this thing to death.
Thanks for all the input.