psa/ bone invovlement

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mgl
Regular Member


Date Joined Feb 2007
Total Posts : 122
   Posted 10/8/2008 6:22 AM (GMT -6)   
at what psa level would a doctor suspect prostate cancer has moved into the bones? post radiation and surgery
50 years old
gleason 3+4=7 psa5.8 clinical stageT3a
Da vinci surgery April10 2007 Mayo clinic Rochester, Mn.
extraprostatic extension Gleason -same
pelvic lymph nodes -negative
Catheter out April 19
psa aug 2007 0.28
37 treatments IMRT ended 10/26/07
psa Jan 29 2008 0.10
psa april 30 0.14
psa aug 21, 0.16


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 10/8/2008 10:07 AM (GMT -6)   
Hi Mike,
When a PSA is > 20ng/ml prior to RP mets are suspected. However, after RP I am not clear on what would constitute bone mets. I know for sure that you had some residual in the prostate bed as the drop you experienced after RT would indicate. Whether they hit it all is suspect. I know you know that further increase will indicate the need to starve it by starting HT. Keep the attitude up, it will keep you up my friend. There is plenty to do still, and I know that HT will most likely induce remission for you. It might not be a bad idea to bite the bullet, and give that RT a hand.

We're with you, Mike! Hang in there, buddy!!!

Tony


Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (September 17 '08): <0.1 ~ Undetectable!
 
You can visit my Journey at:
 
STAY POSITIVE!
 
 


mgl
Regular Member


Date Joined Feb 2007
Total Posts : 122
   Posted 10/9/2008 6:14 AM (GMT -6)   
thanks for the encouragement Tony
mike
50 years old
gleason 3+4=7 psa5.8 clinical stageT3a
Da vinci surgery April10 2007 Mayo clinic Rochester, Mn.
extraprostatic extension Gleason -same
pelvic lymph nodes -negative
Catheter out April 19
psa aug 2007 0.28
37 treatments IMRT ended 10/26/07
psa Jan 29 2008 0.10
psa april 30 0.14
psa aug 21, 0.16

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