Welcome New Member ~ Curious 2

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Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/7/2009 7:09 PM (GMT -6)   
New Thread for Curious 2.  (I removed the web fonts)
 
In another thread Curious typed:
 

Hi, everyone,

 

New to this site and would really appreciate feedback on prostate cancer.

Here is the facts.

My father is 75 years old, he was diagnozed with pre- & canerous cells of the prostate 3 years prior.

received radiation therapy for 6 months as well as the hormone estrogen.

Progress was made, clear for 3 years.?? and changed provinces.

Annual checks were not done.

Prostate is now Grossly inflammed and the Biopsy has been done.

Symptoms:

Extreme gaurding of the lower abdomin, back pain, No fever, excessive urges to void.

Frequent urination and prolonged.

Persuaded him to go to Emergency and scan his lower abdomin as well as run the blood tests.

In which they ran the most  basic tests.

What other tests shoud he be looking to get done?

He currentlly can not void on his own and wears bag to release the urine.

Tests are pending on the Biopspy.? Should this not be done A.S.A.P. with his current history?

Could you please inform me of what I can do to help him and what other tests should be run to help him through this challenge.

I would like to be able to escalate the proper leve of care needed to stablize this situation.

 

Greatly appreciated.

 

Curious 2


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/7/2009 7:21 PM (GMT -6)   

Hi Curious 2,
Welcomem to HealingWell.  This is a great site for patient to patient (or loved ones to loved one) interaction  This site has many knowledgable people.  When you say hormone estrogen, I am not sure what type, if you have that information it is most helpful.  So are other important markers as follows:

Gleason Score: Thsi is two numbers adding to a third Mine is 4+3=7.  This tells us how aggressive the cancer is.
Stage:  It sounds like they work off the clinical stage.  TNM is the system ~ Mine is T3b, N0, Mx  This tells us how large the tumor was before he started his treatment. 
PSA: or prostate specific antigen.  Mine was 19.8.  This tells us the amount of PSA blood serum was detected.  This is usually the first marker of prostate cancer, and is needed to assess the potential spread of the disease.  It is also used to detect prostate cancer, and if it has returned.

Your father having had Radiation has already had this information available to him.  Since his cancer has returned the PSA is important.  If he is no longer on the hormone therapy, the next likely next step is to put him back on it.  This will keep the cancer at bay for a period of time.  Ask him about these things, and if he doesn't know them ask him if you can get it.  It will help a great deal.  And learning more about prostate cancer will help you as well.  It will keep your fears in check, and it will help you help him.  There are some great people here, so stay around.  We are glad to help in any way.

Peace,

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!
 
 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/8/2009 10:16 AM (GMT -6)   
Hello, and welcome to HW. Hate you have to be here, but glad you are asking for info and help. You'll find both in abundance here.
James C. Age 61
Co-Moderator- Prostate Cancer Forum
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 Nerve sparing open Retropubic Radical Prostatectomy
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
16 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.

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