aus need info if you have it

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Rock50
Regular Member


Date Joined Nov 2006
Total Posts : 264
   Posted 3/12/2008 8:20 AM (GMT -7)   
Do you know of any Web sites I can go to in order to research Post-Op rise in PSA.  I am a VA patient and no telling when I will be able to get to a Doctor.  Our local VA serves 160,000 Vets.  Thanks.
Prostate Cancer, Removed by Da Vincie Robotic
in Aug. 2006 
Poorly Differentiated Adenocarcinoma involving Left and Right Lobes involving 80% of the Specimens
Gleason 4+4=8
Pathologic Stage T2C No Mx
Age at Diag. 51
1 year PSA .02


myman
Veteran Member


Date Joined Feb 2007
Total Posts : 1219
   Posted 3/13/2008 9:01 AM (GMT -7)   
Rock50 - just giving this a bump for ya. So much traffic on here lately things get "lost" quickly!

All the best,
Susan
Husband Diagnosed 11/17/05 Age: 63 PSA: 7.96 No Symptoms
2/09/06: LRP - Post Pathology - Gleason 4+3 Stage T2b NO MX
3 mo. PSA: 11.8 Stage T3a
6 mo. PSA: 18.8 Stage IV Systemic w/ distant lymph node involvement
Start HT - Lupron 3 mo. shots
12/06/06: PSA 0.8
03/07/07: PSA 0.3
PSA - Undetectable since 6/07/07


Rock50
Regular Member


Date Joined Nov 2006
Total Posts : 264
   Posted 3/13/2008 1:22 PM (GMT -7)   
Thanks myman. Fortunately and unfortunately there is a lot of traffic
Prostate Cancer, Removed by Da Vincie Robotic
in Aug. 2006 
Poorly Differentiated Adenocarcinoma involving Left and Right Lobes involving 80% of the Specimens
Gleason 4+4=8
Pathologic Stage T2C No Mx
Age at Diag. 51
1 year PSA .02


Rock50
Regular Member


Date Joined Nov 2006
Total Posts : 264
   Posted 3/17/2008 6:38 AM (GMT -7)   

Sara,

Thank you.  I started with the article but they wanted me to purchase a subscription, which I really would have no use for after this.  I took your suggestion and googled Recurrence of Prostate Cancer and found a good article in JAMA.

 

 
It is a little dated and so I will continue to search but again I thank you.
Prostate Cancer, Removed by Da Vincie Robotic
in Aug. 2006 
Poorly Differentiated Adenocarcinoma involving Left and Right Lobes involving 80% of the Specimens
Gleason 4+4=8
Pathologic Stage T2C No Mx
Age at Diag. 51
1 year PSA .02


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 3/17/2008 12:53 PM (GMT -7)   
Rock in addition to the report listed, my RO also sent me this study performed at Stanford University and since confirmed at Mayo Clinic. The topic is on Whole Pelvic Radiation Therapy or WPRT. It suggests that when treating the pelvic lymph system the results are improved in high risk patients as opposed to just treating the prostate bed (PBRT). He has since stated at our USTOO meetings that this is now widely accepted. In both studies, the patient is post surgery and high risk but with no recurrance as yet.

http://www.ncbi.nlm.nih.gov/pubmed/17459606?dopt=Abstract&otool=stanford

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!
 
Prostate Cancer Forum Moderator


Rock50
Regular Member


Date Joined Nov 2006
Total Posts : 264
   Posted 3/18/2008 5:57 AM (GMT -7)   
Sara,

Your personnal opinion on a PSA rise from .02 to .07 in 60 days. What has me concerned is the fact that my PSA remained constant for 19 months (.02 - .03) then in a 60 day period jumps to .07 which is still a low concentration, yet a drastic rise. The articles I have read have a wide and varying range of opinions. I have always educated myself on this disease and my heart problems. I know most people would like to think Medicine is an exacting science in every area, but unfortunately that just is not true.

I have found over the years the best way for me to make decisions on treatment is to collect as many professional opinions as possible, read as many studies as I can before becoming Inundated with information, and then along with my physcian decide on a course of treatment.

The long and short of this is that you must be a dedicated Physcian if you are on this site and responding to patients for what could be no other reason than you are also compassionate. I would value your opinion on the PSA rise.

Again, thank you for your time and valued opinion.
Prostate Cancer, Removed by Da Vincie Robotic
in Aug. 2006 
Poorly Differentiated Adenocarcinoma involving Left and Right Lobes involving 80% of the Specimens
Gleason 4+4=8
Pathologic Stage T2C No Mx
Age at Diag. 51
1 year PSA .02


Rock50
Regular Member


Date Joined Nov 2006
Total Posts : 264
   Posted 3/18/2008 7:22 AM (GMT -7)   
Thanks Doc. I have come to the conclusion that before I jump through any hoops I want to see another PSA to see: one if it is continuing to rise and second to see the amount of rise.

Your God sent for a VA patient. Thanks again Doc.


Prostate Cancer, Removed by Da Vincie Robotic
in Aug. 2006 
Poorly Differentiated Adenocarcinoma involving Left and Right Lobes involving 80% of the Specimens
Gleason 4+4=8
Pathologic Stage T2C No Mx
Age at Diag. 51
1 year PSA .02


Rock50
Regular Member


Date Joined Nov 2006
Total Posts : 264
   Posted 3/18/2008 10:19 AM (GMT -7)   
TC,

Thank you very much very helpful.
Prostate Cancer, Removed by Da Vincie Robotic
in Aug. 2006 
Poorly Differentiated Adenocarcinoma involving Left and Right Lobes involving 80% of the Specimens
Gleason 4+4=8
Pathologic Stage T2C No Mx
Age at Diag. 51
1 year PSA .02

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