New Prostate Cancer

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PWB
New Member


Date Joined Jan 2008
Total Posts : 1
   Posted 1/4/2008 10:43 PM (GMT -7)   
Hello,
I am new to this forum. So I will have to learn how to post in the proper format.
Two years ago my PSA was 3.5. I forgot to get a test a year ago. I had a PSA test
last month and It had increased to 7.1. I had a biopsy. I had very little discomfort with it which was done in the doctor's office. It was positive for cancer. I have not had any symptoms.
I have some of the results:
T1c
MX
Gleason 7
3 0f 12 samples positive
DRE Negative.
AGE: 68
 
I don't know at this point which treatment to have.
The Dr. gave me several options. He seems to favor IMRT.
It seems that most people on this forum have the DaVinci surgery.
They just started doing it in my city (Tyler, Tx) last mo.
I would like some feedback as I new to this.
 PWB

Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2249
   Posted 1/4/2008 11:37 PM (GMT -7)   

Welcome, PMB.  I hope you find the help, information and support you are looking for here. The good news is that you have options.  I would suggest researching what is the best cancer treatment for you, based on your own situation.  Knowledge is power. 

I was 57 when my prostate cancer was diagnosed and after much reading and discussions with my doctor, who supported me as I weighed the options, it boiled down to two: (1) brachytherapy and (2) prostatectomy. 

It could have gone either way for me, but what finally pushed me in the direction of surgery were several factors that were important to me. (1)Its its success rate.  (2) The fact that my prostate would be removed along with associated structures for pathological examination and I would know the extent of the cancer with some exactness. (3) Lastly, if I required further treatment, radiation could be initiated more effectively than after brachytherapy (seed implants).  

It's a personal choice, but if it is an educated decision, you are more likely to make the best decision for you.  Take care and hang in there...Tim 

 


Age 59 PSA 2.6 (PSA velocity--quadrupled in 1yr) 
Bilateral nerve-sparing open RRP 6/21/06  Gleason 5
Cancer confined to prostate, post-op PSA's non-detectable


aus
Regular Member


Date Joined Sep 2006
Total Posts : 211
   Posted 1/5/2008 4:09 AM (GMT -7)   

Regardless of which treatment you undertake, choice of a top doctor is the most important aspect, as this will have a great impact on potential side effects and prognosis. This can be more important than the kind of treatment being considered, and whether the preference is for Robotic or open surgery for example.

It's worth reading a good book on the subject: especially for someone considering surgery, the book by Dr Scardino is very informative. Although it was written a few years ago, the book by Lee Nelson M.D. "Prostate Cancer Prevention and Cure" is very comprehensive and covers diagnosis, selecting a doctor, treatment options, lifestyle changes etc.

 


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 1/5/2008 5:18 AM (GMT -7)   

Hi PMB.  Welcome to the forum but sorry you have to be here.  I was diagnosed on Jan 29, 2007.  I had the radical open procedure on May 29, 2007.  It is a personal choice.  research all you options including getting several good books on the subject and seek out another opinion from another doctor not associated with you other doctor.  The problem is there are many treatments for this disease.  The stats show most of them to be similar in their results.  Get educated, trust in God, make your decision, go forward and don't look back.  Good luck to you and don't be a stranger on the forum

 

Mika


GreenAcres
Regular Member


Date Joined Jul 2006
Total Posts : 474
   Posted 1/5/2008 6:04 AM (GMT -7)   
Hi, PWB. You'll be in good hands here (along with your doctors, of course). We're just up the road from you between Pittsburg and Mt. Pleasant. We had our da Vinci done in Aug. of '06 and went to Austin. However, at the time, Dr. Andrew Kirkpatrick in Tyler had been doing da Vinci there for a few months. At that point, he probably had about 100 surgeries under his belt, so we looked for more experience. If we were looking right now, we would certainly seek a consult with him.

You really want to go "tire-kicking" among the specialties to figure out which one is right for you. Then, come here and ask questions, too, as the docs will be pushing their own "faves." Our first visit was to a radiologist, then we decided that if there weren't any underlying issues, we would seek surgery first and keep radiation as a backup.

Everyone is different and you'll work it out, even though it seems pretty daunting right now.
Husband age 66
PSA on 5/1/06: 4.2 (had doubled in 13 mos. and rising monthly)
DaVinci Surgery 8/2/06 - Austin, TX w/Dr. Randy F.A.G.I.N.
T2a (at biopsy)
At pathology - cancer cell leakage into fatty tissue
Post-Surgical PSA on 10/06, 4/07 - undetectable!
11/1/06 - perhaps bladder neck involvement; 30%-50% chance of recurrence
PSA test "Un-zero-detectable" on 10/16/07.
9% chance recurrence w/in next 7 years (down from 50% as we understand it)
Future: PSA tests twice-yearly for now.
 


Michael's Wife
Regular Member


Date Joined Aug 2007
Total Posts : 150
   Posted 1/5/2008 7:32 AM (GMT -7)   
As others have said, the type of treatment you select is really a personal choice. For my husband, the success rate of both surgery and brachytherapy were expected to be the same so it came down to a choice between anticipated side effects of the treatments. You should make sure you speak to both radiation oncologists and urologists/surgeons as each will typically advocate their specialty as the treatment of choice. After listening to everything they have to say, you'll be able to make an informed choice.


Husband: Age 58
Stage: T1c
Gleason: 6 (3+3)
PSA: 4.4
Biopsy: 12 samples, Adenocarcinoma involving 3 cores, right side only (95%, 90%, 30%, discontinuously)

Pre-op prostate study - November 13
Brachytherapy - December 12, 2007
CT Scan scheduled for January 11, 2008

So far, so good!


bluebird
Veteran Member


Date Joined May 2006
Total Posts : 2542
   Posted 1/5/2008 10:03 AM (GMT -7)   
tongue   Hi ~ PWB,

 

Welcome   to…   ~ HealingWell ~

 

and

 

A   Special   Warm Welcome  to  You !

 

Knowledge gives us POWER….  POWER takes away the fear.

 

~     ~     ~     ~     ~     ~     ~     ~     ~     ~     ~     ~     ~

 

 Click  on  link  below for important information that will help you ~ help us!!

 

Welcome New Members ~ to HealingWell

 

 

 

The information (link) listed above is to help you get around the forum! 

     This is a journey best traveled with friends. 

          Welcome ~ New Friend from all the members here... on HealingWell.com

 

v      IdahoSurvivor ~  Moderator for Prostate Cancer Forum

http://farm2.static.flickr.com/1160/1313099593_9f819e3ff8.jpg

 

v      bluebird ~  Moderator for Prostate Cancer Forum

http://i206.photobucket.com/albums/bb179/mamabluebird1955/mamabluebirdWelcome.jpg


bluebird
Veteran Member


Date Joined May 2006
Total Posts : 2542
   Posted 1/5/2008 10:07 AM (GMT -7)   

  tongue Hey ~ PWB,

 

We are here to help in anyway possible.

The most important thing is that you keep posting.

 

The Helpful Hints link in the Welcome New Members link above will help to guide you.

 

Knowledge is Power and Power takes away the fear…

You make the decisions and your decision will be the right one for you.

 

We are so happy you’ve reached out to all of us.

Buddy & I invite you to read our personal journey…. listed in our Signature below.

Take time to read as many other member’s journeys as well ~ this will help you to know there are options and you are not alone.  Stay Close…

In New Friendship ~ Lee & Buddy


mama bluebird - Lee & Buddy… from North Carolina

 

v          We invite you to visit our personal thread:  Click Here:  “Our Journey” ~ Sharing is Caring 

April 3, 2006  53 on surgery day

RRP / Radical Retropubic Prostatectomy

PSA 4.6   Gleason  3+3=6    T2a   Confined to Prostate

3rd PSA 08-07-2007 Less than 0.1 Non-Detectable :)


Mike A
Regular Member


Date Joined Feb 2007
Total Posts : 213
   Posted 1/5/2008 11:16 AM (GMT -7)   
Hi PWB and welcome to the forum nobody want to be in, but almost all are grateful they found.
The choice for treatments is diverse, and on this website you can find people who have had the full range. Your numbers indicate you can take some time and do some research. Is your Gleason score 3+4=7 or a 4+3=7? This can help determine how aggressive your cancer is. Whatever treatment you chose we will all be here to offer encouragement and advice when asked. Good Luck!
Best,
Mike
June 2005 - Age 53 PSA 4.8 at regular physical October 2005 - After several rounds of anti-biotics, PSA 5.2 at Urlogist November 2005 - Biopsy negative July 2006 - PSA 5.9 at regular Physical October 2006 - After several more rounds of anti-biotics PSA 8.1 November 2006 - Second biopsy - Positive December 2006 - Gleason (3+4=7), Tumor T1c, CT Scan and Bone Scan Negative
January 2, 2007 Robotic Prostatectomy, University of Rochester Medical Center - Tumor confined but larger than thought, only one nerve able to be spared. Margins clear. February 2007 - Three to fo ur pads a day, no erection with viagara. April 2007 - First Post-Surgical PSA 0.02. Down to one pad a day.July, 2007 - Six Month Post-op: PSA 0.04 No change in ED. October, 2007 - Nine Month Post-op: PSA back down to 0.02!Almost totally dry! Only slight improvement in ED - Will try injections if not improved by next appointment.

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