1st Post Op PSA test today. Obviously, scared.

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ChrisR
Veteran Member


Date Joined Apr 2008
Total Posts : 812
   Posted 1/13/2009 10:20 AM (GMT -7)   
I have my first test today.  I had RP 10/15 at Johns Hopkins with Dr. Partin.  Post-Op path was Gleason 6, organ confined.  Just had PCa in about every lobe.  Tumor volume stated as "moderate".  I have read that tumor volume is not an adverse prognastic factor.  Does anyone know more about this?  I am more nervous then I was for the surgery.
 
 
Chris
Age 43 Dx 42
PSA 2.76
Biopsy Gleason 6
Post-Op organ confined Gleason 6

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/13/2009 10:30 AM (GMT -7)   
Hi Chris,
You had great results at surgery. My bet you will be a big zero. But I understand. I have been at this over two years and I have my tests tomorrow and it is still a bit nerve racking. But I feel we will be fine, both of us.

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!
 
 


sandstorm
Regular Member


Date Joined Dec 2008
Total Posts : 194
   Posted 1/13/2009 1:29 PM (GMT -7)   
Hang in there Chris,

I'm also betting you get a big zero. Good luck.
Age at DX 57
5-18-07 PSA 7.7
5-06-08 PSA 4.6  8% free psa
10-23-08 PSA 5.65 4% free psa
11-04-08 biopsy
11-11-08 2 of 12 cores positive
Gleason 3+3  6  stage t1c
CT and Bone scan negative
Da Vinci RRP 01-09-09
Time to heal now.


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/13/2009 1:40 PM (GMT -7)   
Chris, I had my 5th one today, and it hasn't gotten that much easier. I don't get nervous until after the blood draw, then I have it lingering in my mind until I get the results next Wed. I think we all have a little stress about it, but I remember how worse the first one was. Your path report suggests a good report, probably a big zero.
James C. Age 61
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/07 Nerve sparing open Retropubic Radical Prostatectomy
9/07 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.


Matthewsti
New Member


Date Joined Nov 2008
Total Posts : 2
   Posted 1/13/2009 1:47 PM (GMT -7)   
All this talk about VIagra, the pump, and Trimix is great if your insurance covers it. Otherwise, you get screwed. No coverage and too expensive means impotent for the rest of my life.

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/13/2009 1:52 PM (GMT -7)   
Matthew see my welcome post above.
James C. Age 61
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/07 Nerve sparing open Retropubic Radical Prostatectomy
9/07 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.


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 1/13/2009 2:05 PM (GMT -7)   
Ah Chris,
waiting for the results of the PSA test is always an unnerving time but as good results mount the apprehension is just a tad less each time. Your op pathology reads well and the pre-op PSA pretty low.............good signs. Here's wishing you the very best of results and I look forward to reading your next post.
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 Adenocarcinoma-------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
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)


Lungman
Regular Member


Date Joined Jan 2008
Total Posts : 276
   Posted 1/13/2009 2:08 PM (GMT -7)   
Chris, I remember how nervous I was before my first PSA post-op, I sympathize with you. I am wishing the best for you. In my case, I still get nervous but have developed some confidence, thanks to the fantastic members here.
Randy
46 you when diagnosed, now 48
Pre-Op PSA 9.9
1 of 12 cores positive, Gleason 3+3
DaVinci on 9/5/2007
Post-Op Gleason 3+6, Negative Nodes and Margins
Less than 1% of prostate involved with CA
3 Month PSA 0.01, 6 Month PSA 0.01, 9 Month PSA 0.01
One Year PSA 0.01
Incontinence resolved 9/15/2007, one day after cath removal
ED showing significant improvement.
Occasional Success with Oral Meds
Success with BiMix


ChrisR
Veteran Member


Date Joined Apr 2008
Total Posts : 812
   Posted 1/13/2009 2:45 PM (GMT -7)   
Thanks guys I will let you all know.
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