Post-Op PSA Results...

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Kark60
Regular Member


Date Joined Jun 2008
Total Posts : 91
   Posted 7/18/2008 10:30 PM (GMT -6)   
Hi All-

I don't post very often even though I read the forum daily and celebrate, or worry, for everyone with each new post. I had RRP on May 28, 2008, and had the seven-week post-op follow-up with my surgeon last Tuesday, July 15. He went-over the post-op path report, which is summarized in my updated signature below. It appears I am one of the very lucky ones. My cancer seemed very aggressive, had penetrated the prostate capsule, but appears to have been caught before advancing any further.

The GREAT news at this point is the latest PSA score. My four-week post-surgery PSA was 0.1 and the seven-week PSA, taken last Tuesday, was 0.01!

I think we will celebrate this weekend (despite the continuing ED) and spend a couple months in a "relief state" until the next PSA in October.

Thanks to everyone here for the unending support...
Husband and father of two (current ages 4 and 6).
Age when diagnosed: 47 (current)
Biopsy showed cancer only on left side.
Pre-surgery PSA: 13.7
Pre-surgery Gleason: 4+3=7
Pre-surgery Staging: T2
CT Scan, Bone Scan, PET Scan: Clear
Robotic Surgery on May 28, 2008, at Barnes Hospital in St. Louis.
Right nerve bundle spared; left bundle removed.
Catheter for 8 days with infrequent "stress" leaking since. Pad-free after five weeks.
POST-SURGERY PATH REPORT:
Bad news-
Gleason: 4+3=7
Involved 10% of prostate; all quadrants involved
Extraprostatic extension at left base and apex
Extensive perineural invasion present.
Non-neoplastic prostate shows PIN, high grade diffuse.
T3a
However, good news-
Bladder neck, lymphvasular space, seminal vesicles, 17 examined lymph nodes, and all margins are FREE of tumor.
Four-week post-surgical PSA = 0.1
Seven-week post-surgical PSA = .01
Next PSA scheduled for October 2008.


Bob & Wife
Regular Member


Date Joined Apr 2008
Total Posts : 100
   Posted 7/18/2008 10:40 PM (GMT -6)   
Great news! and have fun celebrating.  Heres to continued zero's in the future.
 
Bob

Age 59 at diagnosis
PSA 1.7  Nodule felt. Biopsy 4+4 T2B
1-30-06 Surgery, Infiltrating adenocarcinoma.Nodes & margins clear
Post op Gleason 7  T2c 4+3 PSA .04
12-07 PSA jump .14  (11 Months)
12-07 Nodule felt -  biopsy negative
PSA .16
PSA .17
4-3-08 PSA .32 ouch
4-15-08  Nodule size increased.
5-8-08 PSA still .32
5-15-08 Bone scan clean, nodule size increased. Biopsy scheduled for 5-22-08
5-30-08 Biopsy came back cancerous. Next step consultation with oncology 6-5-08 for further scans & test.
 
6-19-08 Starting Radiation, treatment facility two hours from home.


Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2290
   Posted 7/18/2008 10:58 PM (GMT -6)   
What good news!  Celebrate what I hope will be a lifetime of zeroes...Tim

Post Edited (TimG) : 7/18/2008 11:10:29 PM (GMT-6)


divo
Veteran Member


Date Joined Jul 2008
Total Posts : 637
   Posted 7/19/2008 6:32 AM (GMT -6)   
Wonderful news, and it gives us all hope! Enjoy the present and dont even think about the future! Today is a gift....that's why they call it "The Present"...(I read that somewhere)..Di
Husband Pete
dx Jan 2001 age 67 gleason 4 + 3 PSA 16.5
seed implant and conformal radiation Lupron from Jan 2001 to Jan2002
2005 Dec PSA began to rise from .5 to 8 within 6 months
Salvage surgery at MSK 9/06
Fistula operation 2/07 MSK
Many cystoscopies and ER visits with strictures
catheter for one year....Catheter taken out Sept 07..
Total Incontinence since then....
PSA .52 3/07
In line for AUS possibly in Sept 08


myman
Veteran Member


Date Joined Feb 2007
Total Posts : 1219
   Posted 7/19/2008 6:47 AM (GMT -6)   
That is wonderful news on the PSA - just the way it should go!
I wish you all the best as you move forward and enjoy your life with your family.

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

Link to journey:
www.healingwell.com/community/default.aspx?f=35&m=826731


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 7/19/2008 9:14 AM (GMT -6)   
Incredible news!!! Congrats on the undetectable PSA! Cheers to a lifetime of zeroes!!
Father's Age 62 (now 63)
Original Gleason 3+4=7, Post-Op Gleason- 4+3=7,
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin, One positive node. T3a N1 M0.
Bone Scan/CT Negative (Sept. 10, 2007)
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07, Lupron beg. Dec 03, 2007 2 yrs
Radiation March 03-April 22, 2008- 8 weeks 5x a week
July 2, 08 PSA <.02
Praying for a cured dad.

Co-Moderator Prostate Cancer Forum


Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1210
   Posted 7/19/2008 9:23 AM (GMT -6)   
 
Congratulations on your wonderful PSA test result. I bet you've never felt this good being a zero! :-) .
Wishing you nothing but 000000000's in your future.
 
Magaboo


Born Sept., 1936
PSA 7.9
Stage T1C
-ve DRE
Gleason's Score 3+4=7
2 of 8 positive
open RP 28 Nov 06
Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06
Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 7/19/2008 9:29 AM (GMT -6)   
That's really good news, I am happy for you.  Continuing your Journey with successes makes it much easier, doesn't it? 

James C.
Co-Moderator- Prostate Cancer Forum

Age 61
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07 ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08 Caverject started/stopped, aching. 2/24/08 .5ml Bimix started-success
7/4/08 ED- Viagra, pump continues, no response- Trimix .10ml x 2 weekly continues
Post Surgery PSA's:  3 mts-0, 6 mts.-0


norskie
Regular Member


Date Joined Jan 2007
Total Posts : 376
   Posted 7/20/2008 3:15 PM (GMT -6)   
Great news, here's to a lifetime of 0's

Norskie
norskie
Age 49, PSA 6.22 on 9-26-06
Biopsy 11-01-06, 2 of 13 cores 10% cancer, 2 other cores abnormal Up-dated 20% prostate cancerous
Gleason score 3+3=6 After Surgery Pathology report 4+3=7 a couple agressive Grade 5 cells found
Da Vinci surgery 01-09-07 UW Madison
Pathology Report- cancer 100 % capsual contained 1-18-07
1st & 2nd Post PSA Blood Test .1 and less - Undetectable
3nd Post PSA Blood Test 01-17-07 .3
March 27th PSA .4 Begin Salvage Radiation April, 14 2008
Incontenence-Pad free since end of May 07 4 1/2 months post surgery 
ED back to 95% prior to surgery - no medication required.

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