Question? May or may not be cancer related????

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anniea
Regular Member


Date Joined May 2007
Total Posts : 234
   Posted 3/18/2008 10:31 PM (GMT -7)   
Hi Everyone, I hope you are all doing okay.
This may not be cancer related but then again it might be. I hope someone might be able to give me a little insight. We went to Rick's back surgeon today and he x-rayed where he did the fusion last year. Rick told him the pain in his back has gotten alot worse. When the Dr. came back with the x-ray he said the fusion was either coming apart or it never fused and this could be due to spinal mets. The doctor has ordered a complete body scan for 4-2-08. He said if Rick has mets in the spine there is nothing he can do, but if he does not have mets in the spine we can look at doing another fusion. Here are my questions: Could he have mets that did not show up on the last scan? Would spinal mets prevent the spine from fusing? How could it be possible to have spinal mets when his PSA is 0.3? We are having the full body scan done at the same lab we used last year so we can get a good comparision. How high does the PSA have to be for mets to be present?
If anyone can offer any advice we should ask the Dr. Our next appointment is on 4-9-08 We could sure use any advice you can offer.
Thank you in advance for your help.
Diana
Rick & Diana
Age 68/ 67@ Dx
6-30-06  PSA 2.54
1-22-07  PSA 4.98
1-26-07  PSA 5.09
Diag: 2-14-07 Gleason 8 Stage T1c PSA 5.09
Bone Scan 3-1-07 Clear
3-6-07 Triple Spinal Fusion (due to old back injury)
Radical retropubic surgery 4-2-07  Post surgery Gleason 9 Stage T3a Positive margins
4-29-07 PSA 0.02
6-9-07   PSA 0.02
7-6-07   PSA 0.03
8-1-07   CT Scan & Chest X-Ray   Clean
 9-26-2007 PSA 0.07
11/1/07 PSA 0.1
11/30/07 PSA 0.12
01/31/2008 PSA 0.3
03/01/2008 PSA 0.3


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 3/19/2008 4:42 AM (GMT -7)   
Diana,

The best advise anyone can give you is to try not to worry unless you and Rick are told there is something to be worried about. I know. This isn't preventing a cold, much less the added worry. It's all I have to offer except a thought and a prayer. Many hugs, good wishes and prayers.

Is there truth to the Physician's concern? Yes, it is possible to have mets with a minor elevation in PSA. It it likely by averages? No. It would be the exception, not the rule. I don't know that one Gleason score over another is a higher risk for such a thing but, that's what I'd research. Do your best to hang in there. Stay close.

swim
 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 3/19/2008 8:13 AM (GMT -7)   
Diana,
I don't believe that PSA is can be a marker for bone mets. But it is likely that the back surgery is a better one. Of course the doctor ordered the body scan, what I would have guessed was the right move. 0.3 could easily, and likely is still localized. Maybe this could help Rick decide to consider radiation. If it is bone mets, radiation could help ease any pain. (could also drop that PSA to zip) I know Rick is hesitant to receive any additional treatment. But why accept pain if you have to? Prayers at you again.

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


anniea
Regular Member


Date Joined May 2007
Total Posts : 234
   Posted 3/19/2008 10:38 PM (GMT -7)   

Hi Swimmom & Tony,

Thank you for your replys & prayers. I asked Rick last night if he would consider having another back operation & he said if I really wanted him to he would. I pushed my luck a little and asked about radiation & he of course refused. We will see what happens on 4-2 with the body scan.

Thank you again.

Warm wishes to you all

Diana


Rick & Diana
Age 68/ 67@ Dx
6-30-06  PSA 2.54
1-22-07  PSA 4.98
1-26-07  PSA 5.09
Diag: 2-14-07 Gleason 8 Stage T1c PSA 5.09
Bone Scan 3-1-07 Clear
3-6-07 Triple Spinal Fusion (due to old back injury)
Radical retropubic surgery 4-2-07  Post surgery Gleason 9 Stage T3a Positive margins
4-29-07 PSA 0.02
6-9-07   PSA 0.02
7-6-07   PSA 0.03
8-1-07   CT Scan & Chest X-Ray   Clean
 9-26-2007 PSA 0.07
11/1/07 PSA 0.1
11/30/07 PSA 0.12
01/31/2008 PSA 0.3
03/01/2008 PSA 0.3


myman
Veteran Member


Date Joined Feb 2007
Total Posts : 1219
   Posted 3/20/2008 8:16 AM (GMT -7)   
Diana,

Right now I know that 4/02 seems pretty far away and at one time or another we've all had to wait for something - a test result, blood work result, surgery, radiation...on & on.
The point is, we know how waiting feels and so I just want you to know we're all pulling for you & Rick.

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


anniea
Regular Member


Date Joined May 2007
Total Posts : 234
   Posted 3/20/2008 12:33 PM (GMT -7)   

Hi Susan,

Thank you. Your right I hate waiting but what can we do? I will try to stay busy and not think about it too much.

Warm wishes

Diana

 


Rick & Diana
Age 68/ 67@ Dx
6-30-06  PSA 2.54
1-22-07  PSA 4.98
1-26-07  PSA 5.09
Diag: 2-14-07 Gleason 8 Stage T1c PSA 5.09
Bone Scan 3-1-07 Clear
3-6-07 Triple Spinal Fusion (due to old back injury)
Radical retropubic surgery 4-2-07  Post surgery Gleason 9 Stage T3a Positive margins
4-29-07 PSA 0.02
6-9-07   PSA 0.02
7-6-07   PSA 0.03
8-1-07   CT Scan & Chest X-Ray   Clean
 9-26-2007 PSA 0.07
11/1/07 PSA 0.1
11/30/07 PSA 0.12
01/31/2008 PSA 0.3
03/01/2008 PSA 0.3

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