Salty_clark's Journey

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Salty_clark
Regular Member


Date Joined Apr 2008
Total Posts : 95
   Posted 4/6/2008 1:46 AM (GMT -6)   
I just ran across this forum as I was researching on the net my condition and decided to join. My situation is that I had a DRE with a small lump found. My uro performed a biopsy on 11 March 2008 and the pathology report came back with a gleason 8 (4+4) on the right and a 7 (4+3) on the left. 23 core samples with 3 of 12 on right positive and 1 of 11 on left positive. My PSA is 3.8. Had a bone scan and CT scan of pelvic and abdominal regions and they were negative. I have decided to have robot assisted surgery on 30 April 2008. The surgeon is Dr Randy Fagin who has done over 1200 of these specific surgeries. He is located in Austin Texas...I am in El Paso Texas and will travel there for the surgery and spend about 9 days to complete the time to remove the catheter before returning home. I am apprehensive about the outcome with respect to positive margins. Everything I read seems to point toward a post-op pathology report of positive margins. I will not speak directly with Dr Fagin until the day before the surgery so I don't know his thoughts about my chances. I thought about radiation and dismissed it for the time being...I just feel like I have to get the thing taken out of me and then if necessary go for the radiation. I am 75 now and am approaching my 76th year in May. I have lived a long life with many adventures and misadventures as I am a retired Army officer and I am looking for a way to extend my life a bit more as I suppose most other folks on this forum are doing also. Would appreciate hearing from any others that are experiencing any similar circumstances especially with aggressive gleason scores and a relatively low PSA.
 

Post edited to add title to thread…  :)

Post Edited By Moderator (bluebird) : 4/7/2008 8:50:43 PM (GMT-6)


anniea
Regular Member


Date Joined May 2007
Total Posts : 234
   Posted 4/6/2008 4:38 AM (GMT -6)   

Hi Salty Clark,

You have found the best web site on the net for support. I am sorry you have been diagnosed with prostrate cancer but glad you found this site. The more experianced members will be along shortly to welcome you. My husband was diagnosed a year ago with 13 of 13 cores positive on both sides and a Gleason of 4+4=8. We went for the surgery and he had positive margins and was upgraded to a Gleason 9. He did well with the surgery and regained his urinary control 4 months after the surgery. We are a year out from surgery and he has had no further treatment and his PSA is still a low 0.3. I think you are on the right track in wanting to get the cancer out and enjoy a few more years. My husband has alot of other medical problems and chooses not to opt for further treatment, I have read of many other men with high Gleason scores who have surgery then follow uo with radiation or hormone therapy and do just fine. I have read of other patients who use Dr. Fagin and he has done very good by these people. I wish you the best of luck in getting this under control and will add you to my prayer list. You may also want to check out yana (You are not alone) that web site lists patients in chart form by Gleason Score, Age, etc.

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


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 4/6/2008 4:56 AM (GMT -6)   
Welcome Salty_clark
Sorry you had to come but you are at the right place for helpful and informative advice and suggestions. The most common and sensible piece of advice I have come across is to temporarily put aside your initial (and completely understandable ) reaction of "get this out of me now." Those with PCa have time to research the condition carefully (there is much information here covering all forms of treatment) before deciding on their final course of treatment. You will find that members here on the forum are anxious to help and a source of great advice, answering virtually any question you can think of. They will greatly help put your mind at ease. Another valuable resource as Diana has suggested is located at (www.yananow.net) particularly the treatment chart section. I wish you well with your treatment.
Bill :-)
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07----4 of 10 cores positive for Adenocarcima-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable


livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 4/6/2008 6:38 AM (GMT -6)   
Good morning and I to welcome you to the forum. I have only been here for a couple of days and find it quiet informative. I think you are on the right course of treatment. The men I have been able to discuss this with whom are in similar situations, all feel optimistic skepticism while making decisions. There are seemingly 100's of treatment options, however the reality is that most accomplish the same thing. If you are comfortable with the surgery then go with it. The doctor you have chosen has a wonderful reputation, and I am positive will do fine. You may be 75 now, but we want to still be talking to you at 85. God is opening new doors in your life.
I am glad you found us, I just wish the circumstances were different.
peace love and grace to you.
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Casodex
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids


GreenAcres
Regular Member


Date Joined Jul 2006
Total Posts : 474
   Posted 4/6/2008 8:09 AM (GMT -6)   
Hi, Salty. We went in with better numbers (to Dr. Fagin) in August 06. Our path report came back as somewhat of a shock - a major upgrade. The point is, you really won't know one way or the other until after surgery when you get the path report. That's also the good news, because you'll know pretty much where you stand and what, if any, the next steps will be.

In our case, Dr. Fagin recommended no further action, with some "suspected" cell leakage plus bladder neck involvement and a 30%-50% chance of return. He is extremely knowledgeable in statistics (and skill) and we trust him implicitly. To date, we are still "undetectable" so his recommendation is paying off. With each 6-month Zero our percentages rise considerably for staying clear for many years to come.

Yes, it's an apprehensive time, this waiting before surgery (or any treatment). And you may question your decision up until the last minute, even though you know it's the right one for you. You'll be in great hands - get the first step out of the way and then you may not have to worry about a next step.
Husband: Age 67
PSA had doubled in 14 mos to 4.3/Gleason 6
da Vinci 8/06 in Austin with Dr. Randy Fagin
Post surgical path shows encapsular penetration; possible bladder neck involvement.
PSAs remain undetectable; no further treatment at this time.
Next PSA: April 08


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1464
   Posted 4/6/2008 8:34 AM (GMT -6)   
Hey Salty,

I was 72 when diagnosed and had open surgery 1 month later. I too wanted it out of me as soon as possible. At the time I was teaching school and went back to work 3 weeks later. I had no continence problems.

Surgery gives the best way to find out what your exact status is and also gives the opportunity for follow on treatment if it is needed. Please stay with us...

Jim
Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
PSAs from  1/3/07 - 1/17/08 0.00. 
Next PSA test on 7/17/08
"Patience is essential, attitude is everything."
 
 


Salty_clark
Regular Member


Date Joined Apr 2008
Total Posts : 95
   Posted 4/6/2008 12:24 PM (GMT -6)   
Thanks all for the responses and encouragement...I appreciate your kind words. My wife and I are approaching this with reason based on what I have found though my research. I can understand how some men can elect to go with other forms of treatment but for me I feel the very best option is the surgery with Dr Fagin. I have always been somewhat of a man of action who wants to get things done yesterday if at all possible. The thing about it is I have to know and the best possible speedy way to know is through surgery and the post-op path report. This is one of the most difficult decisions a man can face and, as I have reasoned, I can follow up with radiation if the path report is unfavorable. I have a life-long friend who was diagnosed about two months before me and he elected radiation treatment. He received about 6 weeks of external beam and just underwent seeding this past week. His doctors told him that he was to old for surgery or, at least, that is what he told me.
Again thanks so much for your kind words and encouragement. I will keep you informed.

Salty

Frank1205
Regular Member


Date Joined Feb 2008
Total Posts : 308
   Posted 4/6/2008 2:12 PM (GMT -6)   
Salty-clark
Funny meeting a guy like you in a place like this. :) As you can see by my profile I am 54 and just got out of RRP with one positive margin. I am waiting to see what I do from here but I am a lot happier knowing alot of what we are dealing with and not just shooting into the forrest.......yet.

Welcome you will find this site to be very informative.

Frank
Frank S.
diagnosed 01-08-08 53 years old 
DRE normal
High PSA for 5 or more years
2004 Biospy negative
2008 Biopsy positive (01-08-08)
10 cores, 1 positive and at 1% of that one core
Current PSA   6
Bone and Ct scans negative
Staged at T1C
Gleason 3+3 = 6
Robotic Da Vinci performed March 27th, 2008
University of Chicago
5 hour surgery , 3 hour recovery
Unexpected Cardiac issues appear and disappear?
Hospital stay 30 hours
Catheter out in 7 days  expected leakage
Erectile funtion back on line 9 days
 
Post Pathology T2C, Gleason 7, 10 % of both portions of prostate, Seminal vessels clear, fat tissue clear,Tumor on bottom of prostate distal, 1 positve margin distal at urethra, going to meet with oncologist to discuss treatment options if any at this time.
 


Salty_clark
Regular Member


Date Joined Apr 2008
Total Posts : 95
   Posted 4/6/2008 6:00 PM (GMT -6)   
Thanks Frank1205 for your response. I plan to keep all of you informed as the month progresses toward my surgery date of 30 April. I just got a call from my cardiologist giving me report on my chemical stress test I had on Thursday past. Everything is fine and he cleared me for surgery and will fax a letter to that effect to my surgeon, Dr Fagin in Austin. I needed clearance because I had a 4-bypass surgery back in 1995. So, everything is falling into place. I will be posting periodically to let you guys know how things are going leading up to the surgery and as I can after the surgery.

Salty

smilingoldcoot
Regular Member


Date Joined Jan 2008
Total Posts : 338
   Posted 4/6/2008 7:29 PM (GMT -6)   
Hi salty
 
Glad you found us but sorry for the reason.
 
I am retired AF Senior NCO age 68 awaiting Proton radiation treatment at the U of FLorida Proton Therapy Institute in Jacksonville, FL.
 
My journey is posted here under the subject "Richard's Journey"
 
God bless and the best with your upcoming surgery.
 
Richard  yeah
Retired USAF Richard & Debbie on The Shores of Toledo Bend Lake Louisiana
Neg Bios 1997 & 2000 PSA within considered normal range
11/06 PSA 1.9 PSA 11/07 was 4.9 PSA 12/07 was 7.7 MDA 2/12/08 3.3 On Proscar so shud be doubled
Biospy 1/10/08 Gleason 10, Stage T1C  8 of 12 samples positive all Less Than 5% 
Bone scan 1/17/08 hot spot on ribs, CT shows rib enjury CT CHest 1/30/08 Clear
M.D. Anderson 2/12/08 Gleason 9 - CT Abdomin & Pelvis Clear Recommended Hormone&Radiation
2/19/08 Dr Fagin, Austin, TX did not recommend surgery based on medical history
2/22/08 Contacted U of Florida Proton Therapy Institute - Appt 3/13/08 
3/24/08 PET Scan await results - 4/1/08 Prostascint Scan await results
Preliminary appt UFPTI for 3 day workup 4/14/08 or 4/21/08 depending on when last Scan available
Turn Stumbling Blocks into Steping Stones and Keep Smiling


Salty_clark
Regular Member


Date Joined Apr 2008
Total Posts : 95
   Posted 4/6/2008 10:57 PM (GMT -6)   
Richard (smilingoldcoot) Thanks for your kind words. I hope and pray that everything goes well with your Proton treatment. Please keep me informed of your progress and stay positive..

Keep smiling...and I am smiling with you.

Salty

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 4/7/2008 12:18 AM (GMT -6)   

Hi ~ Salty_clark & Loved Ones ,

 

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!!

tongue   

Welcome New Members ~ to HealingWell

 

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

 

v       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      TC-LasVegas ~  Moderator for Prostate Cancer Forum

 

v      bluebird ~  Moderator for Prostate Cancer Forum

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Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 4/7/2008 12:22 AM (GMT -6)   
Welcome Salty,
This site has brought me a great sense of caring support and Hope. I extend those things to you and Hope you do stay with us through your journey. I have been here a year and a half almost and have seen this site help so many I cannot count. Good luck and God Bless.

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. 
Years in Remission (3/23/07): 1
Visit my Journey at:
 
STAY POSITIVE!
 
Prostate Cancer Forum Moderator


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 4/7/2008 7:31 AM (GMT -6)   

Welcome salty! yeah

A treatment decision is very personal.  I'm glad you are on a good track for your particular situation.  Don't be afraid to confirm your treatment decision with others.  After I made my initial decision to have surgery, I had conversations with 3-4 other health care professionals to obtain other views.  All the information was very helpful.

Please consider using the "Control Panel" above to create your own signature file as others have done.  This will help all forum members respond to you a little better when you are posting on other topics.  :-)

I'm so glad you joined the forum and hope you find this a place of support and comfort as I have done.

Kind regards,


Barry ~ (a.k.a. "Idaho")

 

Da Vinci Surgery July 31, 2007… 54 on surgery day
PSA 4.3  Gleason 3+3=6  T2a  Confined to Prostate

1st PSA  09/11/2007  <0.04 (undetectable)

2nd PSA 12/10/2007  <0.04

3rd PSA  03/17/2008  <0.04

My web site: http://pca-info.blogspot.com

Post Edited (IdahoSurvivor) : 4/7/2008 6:34:03 AM (GMT-6)


Salty_clark
Regular Member


Date Joined Apr 2008
Total Posts : 95
   Posted 4/7/2008 1:12 PM (GMT -6)   
Thanks Idaho Survivor and TC Las Vegas for your kind welcomes. I do intend to stay with you and keep informed and to let all of you know my situation as we go down this long agonizing road that we have all been subjected to. I know it is not going to be an easy trip but I expect nothing less than total and complete victory however long it takes or how many peaks and valleys that we encounter.

Thanks to all of you for being with me.

Salty

Age 75
DRE nodule 15 Jan 08
PSA 3.8 18 Jan 08
DX 11 Mar 08
4+4 on the right 4+3 on the left
bone and CT scans 18 Mar 08 = Clear
Robotic Surgery scheduled 30 April 08 w/Dr. Randy Fagin, Austin, TX

jtp
New Member


Date Joined Apr 2008
Total Posts : 4
   Posted 4/7/2008 6:37 PM (GMT -6)   
Tommorow Tuesday 4/8/08. I go and see the Doctor to let him know I have made up my mind to have the da Vinci treatment. I join the community a couple of weeks ago. I had asked what to expect from this point on and have been reading a lot of the messages in the chat room, which have been answering a lot of my questions. I guess I need to wait untill after the surgery to see what's up on my end, and then go from there. The community has given me a ample list of questions for the doctor. Thanks everyone.

Salty_clark
Regular Member


Date Joined Apr 2008
Total Posts : 95
   Posted 4/7/2008 10:22 PM (GMT -6)   
jtp...I know you are comforted now with having made a decision. I felt a whole lot better after I made my selection of da Vinci. Just the mere fact of having decided made me calmer about the whole situation. Having made the decision, I then looked around for the most experienced da Vinci surgeon that I could find. I selected Dr Fagin of my home state in Austin Texas. He has performed more that 1200 of these type surgeries. My reasoning, obviously, was that he sure as heck has a lot of experience. In the packet he sent me was a DVD of him performing the surgery at a conference. He appeared extremely confident in all aspects of the operation. jtp the best advice I can give you as a man going into the same kind of situation as me is to find that confidence in your surgeon that he is going to do right with you and then trust him to make the right decisions. Good Luck...let me know how things go.

Salty

Age 75
DRE nodule 15 Jan 08
PSA 3.8 18 Jan 08
DX 11 Mar 08
4+4 on the right 4+3 on the left
3 positive of 12 on the right and 1 of 11 on the left, all less that 5%.
bone and CT scans 18 Mar 08 = Clear
Robotic Surgery scheduled 30 April 08 w/Dr. Randy Fagin, Austin, TX

bluebird
Veteran Member


Date Joined May 2006
Total Posts : 2542
   Posted 4/7/2008 10:34 PM (GMT -6)   

  tongue Hey ~ Salty & Loved Ones,

 

Gentle Hugs and Warm Thoughts

 

We know ~ we can “all” make “Your Journey” smoother just by being here for you! 

This is truly a great forum!!! ~ You have joined!  You are now part our forum family ~ a group of wonderful individuals who are so willing to share...  It helps “all of us” ~ to help you ~ if we know where you are on your path. So ~ Please stay with us and take our hand when you need it!  Keep posting.... OKAY!!

  

 

KNOWLEDGE    IS    POWER  ...  and  POWER conquers  fear

 

YOU MAKE THE DECISIONS… YOU HAVE OPTIONS…

~ and ~

Your decision will be the right decision for you!!!

 

 

Thank you for letting us know the specifics… …this helps all of us to know where you are and it's great to know that you plan to stay with us and share your journey with all of us.  I took the liberty to place a title on your thread.. it was showing (No Subject). If you wish to change it do so by clicking on your 1st post in this thread... then click on the pencil..  you can then change the title.

 

Buddy & I invite you to visit our personal thread listed in our signature below

We would like to help in making a portion of your journey a little smoother.. so pull from us what fits your needs.

 

Make sure you visit the links in your Welcome Message… there is so much information to help you through this!  This path is best traveled with friends. 

The stepping-stones ahead will be smoother if you stay close to all of us.

http://i206.photobucket.com/albums/bb179/mamabluebird1955/Stepping-StonestoHealingWell.jpg

 

Keeping you close in thoughts and prayers ~ as you travel this new path with new friends.

 

In 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

4th PSA 2-13-2008 (23 months) Less than 0.1 Non-Detectable :)


KrisP
Regular Member


Date Joined Mar 2008
Total Posts : 162
   Posted 4/8/2008 4:52 AM (GMT -6)   
Hi Salty
Welcome, and I know how you are feeling as I'm also schedule to have the DaVanci Surgery by Dr Randy Fagin on 4/21/08. I had a consultation with him on 4/2/08 and was very impressed. I live in the DFW area and he will do the surgery in Austin (3.5 hrs driving from Dallas). Will stay a few nights in a hotel in Austin. I'll be driving up there this Friday also to do pre-operation procedure. Will keep in touch.

KrisP
Biopsy done 3/2008
Pathology report: Gleason 6 (3+3), involving left lobe
DRE=15gm with indurated left base and mid prostate
Cores positive: left base medial, left base lateral, left mid medial and left mid lateral (4 of 12)
Clinical stage t2b.
Prostate Carcinorna 185
Urologist recommended no bone scan but I did anyway and result is negative.
Surgery schedule on 4/21/2008 in Austin by Dr Randy Fagin.


Salty_clark
Regular Member


Date Joined Apr 2008
Total Posts : 95
   Posted 4/8/2008 10:28 AM (GMT -6)   
KrisP...Hey you should have waited a week..we could have met in Austin. Great that you already had a consult with Dr Fagin...I would have liked to have done that but circumstances and distance precluded me from making the trip until the 29th of April. I feel very confident as you do about his abilities and am looking forward to the event. Perhaps if you hang around long enough we can chat in Austin. I am planning to spend about 9 days there.
Good Luck and wish you the best in the future.

Salty

Age 75
DRE nodule 15 Jan 08
PSA 3.8 18 Jan 08
DX 11 Mar 08
4+4 on the right 4+3 on the left
3 positive of 12 on the right and 1 of 11 on the left, all less that 5%.
bone and CT scans 18 Mar 08 = Clear
Robotic Surgery scheduled 30 April 08 w/Dr. Randy Fagin, Austin, TX

jtp
New Member


Date Joined Apr 2008
Total Posts : 4
   Posted 4/9/2008 12:51 PM (GMT -6)   
Good Day everyone, Got back from the doctor's after a consultation regarding the surgery. It looks like surgery will be late May , earlly June. That will give me pklenty of time to get the yard work done. I intend to sit out on the patio and heal up. I also intend to play this thing up as much as I can , so that I get waited on by my daughters and wife. So far it's working , I get more hugs , and niceness since my diagnosis, than ever in my life. I met the wife of a fellow prostratian today. I told her about the sight, and intend to e-mail her the address today. Her husband was just diagnosed and everyone is confused and worried like I was and I guess we all are. Thank the heavens for this sight.

jwb187
Regular Member


Date Joined Apr 2007
Total Posts : 101
   Posted 4/9/2008 1:20 PM (GMT -6)   
Hi Salty,

Welcome to HealingWell, the site that no one really wants to belong to but since you're here I'm sure you've found out there are some knowledgeable and interesting people represented here. You asked in your initial post for members who have high gleason scores and also low psa's to reply to your message.....well I fit that bill. I had a dre with positive results a fairly low psa on biopsy 4.57 and a high gleason score of 8. I had 24 core samples taken on biopsy with about 12 of them positive to some degree. I initially was uncertain as to what course of attack I was going to pursue....I explored brachytherapy and had almost decided on that when I read of some possibly major problems 4-5 years down the road that turned me from that. In the end I decided on DaVinci surgery as it seem the least invasive of the surgeries and also that is was much safer and that the surgeon could see the surgical field much clearer. I was fortunate that I found an experienced Davinci doctor within a hundred miles from my home. I eventually had a failed surgery as I had a positive margin and a seminal vesicle involved and a Gleason score upgraded to a 9. I was started on Lupron almost immediately after the surgery and scheduled for IMRT radiation as soon as I was fairly continent. I have since completed my Rad therapy and have almost a year of Lupron under my belt. My psa is presently undetectable. I became continent about 5 months after surgery but as both nerve bundles were taken I'm not having much success in the ED department. My Doc tells me that he expects after my 2 years of Lupron that I should regain some sexual function. I feel fortunate that I had the Davinci surgery, as had I selected Brachytherapy, I wouldn't have known of the spread of the cancer into the seminals or about the positive margin. At least I was able to receive some adjuvant treatment in addition to the surgery. Again welcome, probably be talking to you again...jwb.
age: 62
PSA 4.57 - Positive DRE
Biopsy 3-19-07 - Gleason 4+4=8
Negative bone scan 3-20-07
DaVinci 4-24-07
Catheter out 5-01-07
post op pathology:
positive margin left side of prostate
left seminal vesicle involved (both removed)
No lymph node involvement
New gleason score 9
T3B....radiation consult on 5-9-07.
June 5, 2007 1st psa post surgery 0.62
June 27, 2007 second psa post surgery 0.59
June 27, 2007 started Lupron injection (24 mos)
September 6, 2007 scheduled to be marked and prepped for radiation therapy.
Start IMRT therapy on September 13, 2007.
September 26,2007 psa test .08
Finished IMRT therapy October 31!!!
January 17, 2008 psa test .05...


TonyB
Regular Member


Date Joined Mar 2007
Total Posts : 37
   Posted 4/9/2008 2:30 PM (GMT -6)   
Best wishes :-)
SYMPTOMS: Velocity = PSA 2.6 to 4.7 over 12 month period; DRE = Normal

PRE-OP STAGING: Biopsy = 1 in 12 cores positive; Gleason 3+4=7; T2c; Bone scan = clear; CT scan = clear; da Vinci robotic LRP Jan2007 (@ age 58)

POST-OP PATHOLOGY: Adenocarcinoma; Gleason 3+3=6; Bilateral Involvement; Extra Prostatic Extension = Clear; Seminal Vesicles = Clear; Margins = Clear; Post-op PSA's = undetectable


Salty_clark
Regular Member


Date Joined Apr 2008
Total Posts : 95
   Posted 4/9/2008 2:39 PM (GMT -6)   
jtp...looks like you got it all mapped out...good for you...Keep us informed.

Salty

Age 75
DRE nodule 15 Jan 08
PSA 3.8 18 Jan 08
DX 11 Mar 08
4+4 on the right 4+3 on the left
3 positive of 12 on the right and 1 of 11 on the left, all less that 5%.
bone and CT scans 18 Mar 08 = Clear
Robotic Surgery scheduled 30 April 08 w/Dr. Randy Fagin, Austin, TX

Salty_clark
Regular Member


Date Joined Apr 2008
Total Posts : 95
   Posted 4/9/2008 2:51 PM (GMT -6)   
jwb187 Thanks for the welcome...A lot of nice folks on this site...makes me thankful for having found the site to begin with through google. Your rational for surgery and subsequent treatments fit my situation to a tee. I am hoping, of course, that the surgery is a complete success but I have come to terms with the possibility that I will need further treatment after surgery. I am glad to hear your treatments are doing well and many more years left for you. At my tender age of 75 now and 76 in May I am looking for just a few more and the treatments you outlined may be the way I will have to go.

Thanks again

Salty

Age 75
DRE nodule 15 Jan 08
PSA 3.8 18 Jan 08
DX 11 Mar 08
4+4 on the right 4+3 on the left
3 positive of 12 on the right and 1 of 11 on the left, all less that 5%.
bone and CT scans 18 Mar 08 = Clear
Robotic Surgery scheduled 30 April 08 w/Dr. Randy Fagin, Austin, TX
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