My dad has PC - HELP, Im' SO scared...

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bounty
New Member


Date Joined Jan 2009
Total Posts : 10
   Posted 1/19/2009 1:25 AM (GMT -6)   
Hello!
 
My dad is 64 years old I was diagnosed PC 2 weeks ago... He has no symptoms.
 
His PSA is 11 and 8 out of 10 biopsy were positive (Don't know his score)
 
Now he has to wait for a bone scan, and I'm so very affraid that the cancer has spread... What are the changes that the cancer has spread to the bones at this time?? He has bagpains (But that he has had for 30 years, he is a farmer :o)
 
PLEASE help, I can't eat, sleep og live :o(
 
 

BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 1/19/2009 2:10 AM (GMT -6)   
bounty
Sorry to hear the news about your dad. A diagnosis of cancer hits us a the very core of our being and when hearing it we tend to panic. But the wise course of action, most particularly with prostate cancer, is to become knowledgeable about exactly what it is and its various treatments. You will find a great depth of wisdom here and information from patients who have been through every form of treatment and varying degrees of success who are more than happy to help. Early PCa usually has no symptoms so he is not unusual in that respect. It will be helpful if you could include your dad's stats.......PSA you say is 11 and 8/10 positive cores. What was the percentage of PCa in each core and most importantly what was his Gleason score. This booklet:
www.yananow.net/StrangePlace/index.html
is some of the best reading on the web from a newly diagnosed and layman's perspective and will explain what's ahead and what all the terms mean. There are many treatment options and it is terribly important that your dad bases his decisions on a sound knowledge base. Hard as it is do not panic............perhaps reading some of the stories here:
www.yananow.net/Chart-Year.htm#year
may help you see that you can be cured and even if not cured go on in pretty good health for many, many years. Stay with us and you will find your anxiety level will quicky fall away.
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)

Post Edited (BillyMac) : 1/19/2009 1:13:27 AM (GMT-7)


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/19/2009 2:55 AM (GMT -6)   
Hi bounty,
Welcome to HealingWell. None of us want to be here, but we are glad you found us. You will many like Bill here wanting to help. Bill is right, we need that Gleason score information. His percentage of positive cores is high, but the PSA is in range of a good outcome. Let's get the rest of the info first. Can I ask? Where abouts are you?

Welcome again to what I found to be the best site on the web for prostate cancer support.

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 (January 13, 2009): <0.1
 
You can visit my Journey at:
 
STAY POSITIVE!
 
 


bounty
New Member


Date Joined Jan 2009
Total Posts : 10
   Posted 1/19/2009 3:28 AM (GMT -6)   
Thanks!

I'm from Denmark...

Many places on the web says that it is very rare that the cancer has spread to the bones if the PSA is under 20... Anyone knows if that is true?

BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 1/19/2009 4:12 AM (GMT -6)   
bounty,
What you have read is generally correct..............Prostate cancer with a PSA below 20 generally does not show bone metastases, but having said that, nothing is set in stone with this disease. Every person is an individual and their cancer is likewise individual. But please don't assume that even if your dad had spread to the bones then that is the end of the line...........it is not, for the majority of this type of cancer responds well to treatment. Please spend the next couple of days studying, particularly the booklet I posted...........it will help make you feel a little easier and give you a greater understanding. As you can see you have a worldwide source of help at your fingertips (I am in Australia and Tony is in the U.S. and there are many,many members from all round the globe) who will help you get through this.
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)

Post Edited (BillyMac) : 1/19/2009 3:15:26 AM (GMT-7)


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 1/19/2009 6:30 AM (GMT -6)   
Please rest from fear and panic, my stats were likely worse than your dads or maybe very comparable. I had clear scans ct and bone, that is not a guarantee but does make you atleast smile some. I am 7 yrs. survivor thus far with decent results considering where I started. Others that have some even higher ominous stats, that are herein at HW forum, are couple years into their journey. There are various levels of this disease, knowing the parameters is important, but all have some type of treatment to use or consider.

****Go and get an actual copy of the pathology report data-asap**** That information is crucial in knowing what you are dealing with. Get all tests and records if you can. In the USA you are legally entitled to get it, in England they don't have to provide it to you, I hope your country is better than that. If no copy, then see doc and you transpose the words for yourself.

Dx-2002 (Total urinary blockage)- bPsa  46.7  12 of 12 biopsies all positive, 75-95% cancer in everyone, Gleason scores found 7,8,9's on both sides about equally too, DRE positive felt something. Treatment: ADT3 drugs+radiations external Neutron/Photon+ADT1-3 drugs continued, switched to DES, psa stabilized(low) for near 2 yrs., went off all drugs about 2 yrs., resumed DES now. Psa currently  .61 and was dropping,(editted Feb.'09- now is .36)


 

Post Edited (zufus) : 2/8/2009 5:29:04 AM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/19/2009 6:54 AM (GMT -6)   
Bounty,

Welcome here, your initial fears and concerns are well known by all that dwell here, and would be very much expected. Glad you found us here. As others have said, when you post the Gleason score and percentages in the cores, it will help us understand your father's starting point. Bone and CT scans should show up clear at this point with his current PSA, but tests still need to be ran. Many here will help you with any information you need, to discuss treatment options, and to be here to help you get through this. Wishing only my best to you and your father.

David in SC
Age 56, 56 at DX
PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, ranging from 40 - 90%, G 4+3 & 3+4
Open RP surgery  November 14, 2008 at St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon, Non-nerve sparing, 4 days in hospital, staples removed 11/24/8, Catheter out on 12/15/8 on day 32.  Day 33, urine stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08.  After 7 hours, complete stoppage again, emergency room put in Catheter #3 early evening of day 45, still 12/29/08. 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/13/9 - Had operation St. Francis - removed blockage, put in Cath #5, suppose to be removed 1/19/9
Post-surgery Pathlogy Report:
Gleason 3+4=7, pT2c pN0 pMx, Prostate 42 grams, tumor 20% cancer
Contained in capsular, neg. margins apex, bladder neck, right lobe, neg. in seminal vessels and lymph nodes.
First PSA Post Surgery  Scheduled now for 2/9/9
 
 


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 1/19/2009 9:22 AM (GMT -6)   
Bounty-
From another daughter whose dad was diagnosed with PC, I understand. It was the most terrifying thing I have had to go through, especially when the path report came back with bad news. However, as Bill and Zufus have said, knowledge is power. Now is the time to research and educate you and your family on this disease and treatment options. You have come to the right spot for support and patient interaction. PC is very curable if caught early and I hope your dad's was. Please keep us posted and feel free to ask away in here.
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
Oct. 10, 08 PSA <.02
Praying for a cured dad.

Co-Moderator Prostate Cancer Forum


sandstorm
Regular Member


Date Joined Dec 2008
Total Posts : 194
   Posted 1/19/2009 10:33 AM (GMT -6)   
bounty

Welcome to this board and sorry about your Father. By now you can tell that you have certainly come to the right place, from the answers you have already recieved. The fear you have right now is normal and we have all had the same reaction but prostate cancer is not an instant death sentence. It is a very treatable condition. Stay here and study and learn from the stories on this board and remember that information is power. Good luck to you and your Father in his journey down this road and keep us updated on his progress.
Age at DX 57
5-18-07 PSA 7.7
5-06-08 PSA 4.6  8% free psa, but stable
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 / post-op 3+4  7  stage t2c
CT and Bone scan negative
Da Vinci RRP 01-09-09
Catheter removed 1-15-09
Pathology Report says it's gone!
First Post-op PSA due 2-17-09


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 1/19/2009 2:31 PM (GMT -6)   

Hi again, bounty,
PSA is a surragate for disease progression in prostate cancer.  A PSA below 20 opens up more options.  Mine was 19.8 and surgery/radiation/just about anything was still an option for primary treatment.  It may be possible to acheive a curitive state.  Stay positive and stay diligent as well.  Knowledge is very helpful in fighting prostate cancer.  By the way, I did not have any symptoms either.

Denmark? Splendid!  Please note that HealingWell has members from every continent, and a pretty good list of countries, too.  I hope you stay with us.  Time for me to be nosey again, are you a son or a daughter?

Tony


bounty
New Member


Date Joined Jan 2009
Total Posts : 10
   Posted 1/19/2009 3:17 PM (GMT -6)   
Thank you!
 
It is very nice to be here, we need places like this in Denmark...
 
By the way, I'm his 28 years old doughter (I have 2 older brothers). My boyfriend and I are planning our wedding the 4th April, but I just can't focus on anything but my farthers cancer :o(
 
I guess it will really help me if the bone scan test is good. He went for the scan today, so we will get the answer in 2 days.
 
(I hope my english is understandable)
 
Stine

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/19/2009 3:39 PM (GMT -6)   
Your English is fine, glad we can be here for you
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, 40 - 90%, G 4+3 & 3+4
Open RP surgery 11/14/8, Non-nerve sparing, 4 days hospital, staples out 11/24/8, Catheter out on 12/15/8. Stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08. Emergency room put in Catheter # day 45, 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/13/9 - removed blockage, put in Cath #5, 1/19/9 -out
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grams, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery  Scheduled now for 2/9/9
 
 


bounty
New Member


Date Joined Jan 2009
Total Posts : 10
   Posted 1/19/2009 3:44 PM (GMT -6)   
By the way, what IF the bone scan is not clear?? Can you than live 10 years with ir or is it a matter of month?

Missyj
Regular Member


Date Joined Sep 2007
Total Posts : 87
   Posted 1/19/2009 4:02 PM (GMT -6)   

Hi Bounty,

My husband's bone scans were not clear - he has multiple bone mets

However, you would not know from looking at him that he has cancer at all. Really, since he was diagnosed over 18 months ago absolutley NOTHING has changed ( I mean from his daily routine, work, general health etc)

OK, the worry is there. Mentally, it is difficult every time he goes for his 3 month check, but even if the worse came to the worse, your dad will have many years of good health.

Add to that the fact that there are many hopeful treatments on the horizon for prostate cancer, I really do believe that things aren't so bad

Our daughters are 17 and 19 and at first, they were like you, very worried. They now take the whole thing in their stride as dad is fine.

I am sure your dad will be too

Regards, Julia


Age - 59
Dianosed - July 07
Gleason 8 (4+4)
PSA - 17.7
Bone Scan - August 07 revealed mets to spine, neck, rib, shoulder and pelvis
MRI - August 07 revealed seminal vesicle involvement
Treatment - Zolodex started on August 10th
First PSA  November 7th - 2.3
Second PSA February 7th - 1.1
Third PSA  May 5th 2008 - 0.8
Fourth PSA September 3rd - 1.7
As of 6th January, PSA up to 2.1 Casodex now added to regime
 


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 1/19/2009 6:13 PM (GMT -6)   
Bounty-
I was 6 months pregnant when my dad was dx. I couldn't understand the timing of everything, because I was so depressed. However, looking back, it was the biggest blessing. Everyone needed something to be happy about and I hope that your wedding will provide joy to your family when everyone needs it most. I am sure it will be a good distraction for your dad. By April 4th, hopefully, he will be cancer free and finished up with whatever treatment he decides on. He will need to be thinking about his toast and father/daughter dance :)
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
Oct. 10, 08 PSA <.02
Praying for a cured dad.

Co-Moderator Prostate Cancer Forum


livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 1/19/2009 7:34 PM (GMT -6)   
Welcome to the sight Bounty, you have ever reason to be concerned and for me to say not to would be in appropriate. I would encourage to asborb all the knowledge you can. Please keep us informed as to the results of the scan. I would not think it has spread based on what you wrote, but it is cancer. Stay with us and join in.

peace and love
dale
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
latest PSA 5-27-08 0.11
PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .06
Testosterone keeps rising, the current number is 156, up from 57 in May
cancer in 4 of 6 cores
92%
80%
37%
28%
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 1/19/2009 7:41 PM (GMT -6)   
Bounty, I love seeing how much care and concern you have for your father. I have 3 adult age childrent, all living local to me, and throught my entire PC crisis, they have been there for me all the way, while I would never wish cancer on anybody, it has helped knit and tied my family into a single unit. We are all here for one another. I am sure your father knows he's has a loving daughter. My daughter called me from her work just this afternoon, just to check up on her dear Dod. It made my afternoon. Then my youngest son came by after he got off work and visited with me. It means a lot to us parents, trust me.

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3, 9/8 14.9, 10/8 16.4
3rd Biopsy 9-2008 Positive 7 of 7 cores positive, 40 - 90%, G 4+3 & 3+4
Open RP surgery 11/14/8, Non-nerve sparing, 4 days hospital, staples out 11/24/8, Catheter out on 12/15/8. Stopped flowing, new catheter put in 12/16/08, Catheter out 12/29/08. Emergency room put in Catheter # day 45, 1/5/9 - Cath #3 out, dr. did cycloscope, saw potential blockage, put in Catheter #4, 1/13/9 - removed blockage, put in Cath #5, 1/19/9 -out
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grams, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery  Scheduled now for 2/9/9
 
 


bounty
New Member


Date Joined Jan 2009
Total Posts : 10
   Posted 1/20/2009 2:14 AM (GMT -6)   
Well, I must admit that it is very hard to se your parents sad and affraid... My dad talks like his time is up :o( I know I have to be strong and someway make him believe that he CAN get well... But it is hard when I at the same time am so very sad myself...

BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 1/20/2009 4:30 AM (GMT -6)   
We all understand how your parents and you feel. Believe me all here felt the same when we first received our diagnosis. It feels as though your world has ended. But, it is not so. As you and your parents come to understand this disease and it's available treatments you will start to relax bit by bit. As difficult as that is to accept at the moment it will happen. Start your dad reading the experiences and successes of others who have had the same diagnosis and he will see that he can still be a healthy farmer for a long time yet.
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)


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 1/20/2009 4:39 AM (GMT -6)   
Hang tough Bounty alot of warriors and pioneers went this road way before all of us, they helped find and bring better results, treatments, and choices that did not exist 5-10-15 yrs. ago even. Control of PCa (even if no cure in sight) is way better than some people may realize, it can be done and done in different ways or protocols.

There are some mentors on www.yananow.net that have some of the worst high end stats you will probably hear of or see written anywhere, some of them have done what seems impossible, one guy comes to my mind right now....10 yr. survivor with stats that very ominious looking and he is still battling. That gives us others hope. Newer things are in the pipeline, anyone who comes up with better control or cures will be overly rewarded with acolades and money. What the patient needs to be most aware of is how good is your doctor, how much knowledge-experience does he have, and also for patient to be informed and up on what your choices might be, as only you walk the walk, others talk the talk.

You and dad need to look at a book that covers basically all aspects of PCa and in detail of treatments, protocols, drugs, oncology, results etc.

A Primer on Prostate Cancer-The Empowered Patients Guide (Dr. Strum & Donna Pogliano)

It will rock your world for knowledge and getting a grasp on all the PCa jargon, options, etc.

(Hey in your case I will give you a money back guarantee-and I mean it-I could paypal)

 

Z-Bob  (7 yrs. of shooting arrows at this beast- PCa) :-)


 

Post Edited (zufus) : 1/20/2009 3:45:03 AM (GMT-7)


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4188
   Posted 1/20/2009 1:43 PM (GMT -6)   
Bounty,
Most likely both the bone and CT scans will be clear with a low PSA.
Radboud University Medical Center in Nijmegen NL has a scan, Combidex MRI, that can identify small lymph node cancers. have your dad take his time and evaluate all options, PC is not a death sentence and 10 year survival is very good even with those that have had their cancer spread. The gleason scores are very important so as soon as you have them give them to us.
JohnT
Diagnosed 10-08 at 63 with PSA of 33
PSA was 4.4 in 1999 and has risen steadily.
Had 13 biopsies and an endorectal MRI, all negative until 10-08. Two cores out of 25 with a gleason 6
2nd opinion with an oncologist said cancer found was insignificant, but suspected larger tumor somewhere.
Doppler ultrasound with target biopsy indicate a large tumor in the transition zone, gleason 7.
Bone and CT scans negative.
PSA3= 43; (high normal is 35)
Scheduled for Combidex MRI in Feb. (Lymph node imaging MRI done in Holland).
Location of tumor makes positive surgical margin unlikely.
Looking at IMRT with hormone therapy as soon as staging is complete with Combidex MRI.
Changed diet, eliminated all meat and dairy. Taking the normal supplements recommended for PC.
 
JohnT
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


strawberry man
Regular Member


Date Joined Dec 2008
Total Posts : 23
   Posted 1/20/2009 4:55 PM (GMT -6)   

Hi Bounty,  wishing you well, it scares us too!  I was very scared when I first found out.  I am now 7 months post surgery and everything is fine with me.  I have a few problems but they are much better than having cancer!  I am cancer free in the post surgery tests that I have taken.  Take care, everything will work out!

 

Dx 4/21/08 psa 9.7  Age 58

Biopsy results  3 areas of  3+3=6 gleason

Di Vinci surgery 6/3/08

Post op 3 months and 6 months -  all clear

0 psa

 


bounty
New Member


Date Joined Jan 2009
Total Posts : 10
   Posted 1/21/2009 4:59 AM (GMT -6)   
I hour ago the doctor said that the bonescan is clear - THANK GOD!

Now the doctor told my farther he must decide if he wants radiation therapy or surgery... Which one is safest??

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 1/21/2009 5:33 AM (GMT -6)   

There are more choices than your doctor just mentioned and 'must decide' hopefully were not his exact words, if so smells biased already to me. Should decide or has a decision to make is better words. The condition of prostate cancer can even be tackled by drug therapies and at age 64 is maybe worth atleast a look at it, non-invasive also. There is also cryo, HIFU, various types of radiations to consider (many), various types of surgery methods (many), HDR (removable brachy seeds-short duration use), Dr. Leibowitz ADT3 protocol  (google Dr. Leibowitz and look at this approach too-blows your mind but has results), other drug protocols being used and some are unique but effective.  One size does not fit all in PCa.

But alot of people don't bother looking that hard and go with the tradiational two you mentioned as they are promoted the most and sold the most. Might be the best too, but all have risks, side effects and issues for the patient to consider. Alot roads lead to Rome, same idea for PCa.

 

 


 


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 1/21/2009 7:31 AM (GMT -6)   
Bounty, so sorry about your dad's diagnosis. But, as many have written, take heart for there is hope. Cancer is a serious illness but it is not the only serious illness...we tend to react very strongly when we hear the word. My husband was diagnosed in February 2008. The urologist called us within 24 hours of the biopsy to tell us the bad news and explained to us over the phone what his situation was: 2 our of 10 cores tested positive with a Gleason score of 6 and 7, making my husband's overall Gleason a 7 (3+4). His PSA at diagnosis was 6.4. Urologist ordered a CT scan followed immediately by a consultation with him to explain the diagnosis further and discuss options. In my husband's case, all options were open to him and we chose surgery.

Please encourage your dad to have hope - a diagnosis of prostate cancer is not the same as a diagnosis, say, of lung cancer, since PCa is usually caught much earlier than most cancers and tends to be a slower growing cancer. Chances are very good that your dad's PCa is treatable and that he has much to look forward to.

Stay with us and keep us posted.
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