PC in the News

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Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2248
   Posted 2/5/2008 6:08 PM (GMT -7)   
Here's another NY Times article, with reader comments, on choosing prostate cancer treatments
 

Age 59 PSA 2.6 PSA velocity quadrupled in 1 yr 
1 of 12 biopsy cores positive (5%) 
Open surgery June 2006  Cancer confined to one small area of the prostate Gleason 5
Post-op PSA's non-detectable


tullamore
New Member


Date Joined Feb 2008
Total Posts : 4
   Posted 2/6/2008 2:15 PM (GMT -7)   

TimG,

Thanks for posting the article.  I am searching for treatment options for a very dear friend.

Thanks,

tullamore 


PianoMan
Regular Member


Date Joined Feb 2007
Total Posts : 365
   Posted 2/6/2008 5:01 PM (GMT -7)   

Thought provoking article, Tim.  Hopefully it won't discourage guys from getting some kind of treatment and just opt for the watchful waiting routine.  I got a little leery when this writer opened with fire saying things like, "Last year, 218,000 men were diagnosed with prostate cancer, but nobody can tell them what type of treatment is most likely to save their life."

Another one: “Surprisingly, no treatment emerged as superior to doing nothing at all.”

And I love how she states in bullet number 4 under the Report Findings, "Inability to attain an erection was higher in men undergoing active intervention, especially androgen deprivation (86 percent) or radical prostatectomy (58 percent) than in men receiving watchful waiting (33 percent), according to the 2003 report.  WELL, WHAT A REVELATION!!!   No intervention results in better erectile function.  HELLO!!!

I don't mean to shoot the reporter/messenger, but I think she could have done some better research and/or structuring of this story.


D.O.B - 8/9/52

PSA: First ever was 9.8 in late Oct. ‘06, two weeks later, 10.1

DRE: Negative

Biopsy results 11/22/06.  Both lobes involved.  Six out of eight cores positive - from 100 percent to 90, to 60, to 50, two 20s and two zeros.

Gleason 3+3 = 6

Da Vinci Robotic RP surgery, City of Hope, Jan 12, 2007

Post surgery pathology – Organ confined, Gleason still 6, margins clear.  Volume of tumor much less than biopsy suggested.  12 percent overall.

First post-surgery PSA -- Undetectable, 2/20/07

Second post-surgery PSA -- Undetectable, 9/11/07


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 2/6/2008 5:51 PM (GMT -7)   
This article is irresponsible. I too hope that it does not encourage others to do nothing. The true facts are that PC is curable in over 90% of the cases that the detected in stage I or stage II. It is NEVER cured when it is untreated. She may have been refering to ADVANCED prostate cancer. Even so, she did not get the facts correct. Too much surface scratching and too little references in this article.

While the number of PC detection is increasing the death rate has fallen nearly 30% in the last fifteen years. It wasn't an increase in watchful waiting that was responsible. We are limited about what we can do. But the side effects of treatment are not as bad as the side effect of death.

Tony
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09. 
 
Visit my Journey at:
 
STAY POSITIVE!


PianoMan
Regular Member


Date Joined Feb 2007
Total Posts : 365
   Posted 2/6/2008 9:35 PM (GMT -7)   
Amen Tony.

D.O.B - 8/9/52

PSA: First ever was 9.8 in late Oct. ‘06, two weeks later, 10.1

DRE: Negative

Biopsy results 11/22/06.  Both lobes involved.  Six out of eight cores positive - from 100 percent to 90, to 60, to 50, two 20s and two zeros.

Gleason 3+3 = 6

Da Vinci Robotic RP surgery, City of Hope, Jan 12, 2007

Post surgery pathology – Organ confined, Gleason still 6, margins clear.  Volume of tumor much less than biopsy suggested.  12 percent overall.

First post-surgery PSA -- Undetectable, 2/20/07

Second post-surgery PSA -- Undetectable, 9/11/07


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 2/6/2008 10:04 PM (GMT -7)   
Thanks Tom,
As a Christian, I believe that Iwould be with God. But no need to rush things. i love my family and know that fighting this disease is important to them.

Tony
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09. 
 
Visit my Journey at:
 
STAY POSITIVE!


phillysub
Regular Member


Date Joined Nov 2007
Total Posts : 64
   Posted 2/6/2008 11:29 PM (GMT -7)   

I won't even begin to shoot holes in this article...it just frustrates me to read it. mad

However, I do agree with the following, "The most obvious trend identified in the complicated report is how little quality research exists for prostate cancer, despite the fact that it is the most diagnosed cancer in the country.".

Unfortunately, there is very little $$$ donated to PC research.


Age: 51
Last PSA before diagnosis: 2.9
Diagnosed: Oct 2007
Gleason: 3+3=6
RALP surgery: Jan 23, 2008 (Dr Costas Lallas @ Thomas Jefferson Hospital in Philadelphia)
1st Post-op appt: Feb 1, 2008 (negative margins, cancer contained within the capsule)
 


kziz
Regular Member


Date Joined Feb 2007
Total Posts : 242
   Posted 2/8/2008 5:46 PM (GMT -7)   
I have yet to read the article, but what frustrates Kurt and I the most about the "most curable" cancer is the time lines they place on men getting checked.  50 if no PCa in family and 40 if PCa in family!  What a crock!!!!!  My dad was 47, no family history, final stage.  Kurt was 46, no family history, stage T2c.  Too many young men are getting this "old man" cancer.  Doctors should be taking a closer look at this.  There also needs to be standards for biopsies.  Kurt's surgeon my have been able to spare more nerves if he had known what section the PCa was.  Kurt's biopsy doc, put samples into 2 vials, Left and Right, instead of the normal 8 sections.  We were told that some docs do this to keep cost down as labs charge per vial. The word needs to get out.  People need to be reached before biopsy.  That is our message.  Courtney

Kurt & Courtney
47 year old
Great Health prior to dx
Dx on 1/29/07
PSA 4.1
Gleason 3+3=6, both lobes
Stage T2c, I believe
Tumor involves 20% of cores, both lobes
Live in OK
Da Vinci scheduled 3-14-07 in Austin
Post-Op  Gleason 6, Stage t2c nx mx  YAAAAA HOOOOOO! 
1st PSA Post OP  Undetectable!!!!!!  OFF THE CHART
2nd CT scan, to recheck enlarged lymph nodes not related to PCa NO CHANGE relook in 6 months

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