1st post, new member, inquiry about proton treatment

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Budalaska
New Member


Date Joined Feb 2009
Total Posts : 4
   Posted 2/13/2009 1:58 PM (GMT -6)   
Hi. I'm Bud, 64, from Alaska, currently in so cal.  The day prior to our flying south (Dec 4, 08), I was called with bioposy results, I have prostrate cancer, I think showed advanced cancer in 8 or 9 of 12 samples.  2 weeks later, at doctors recomendation, had bone scan in so cal, showed no spreading out of prostrate, good news.  bought lupron injection at COSTCO pharmacy and had wife administer it on Jan 2. Just found out this week my PSA has dropped from 9.8 to 2.2.   Been looking and doing a little research about next step.  We have been traveling in a motor home in the SW area.  Met and talked to a  fellow while walking our dogs who's bro had PC and treatment at Loma Linda University.  He swares by it, his brother has completely controlled and stopped the cancer.  They tell me 98% successful rate, no pain and very minor side effects.  Sounds like a combo that is hard to beat.  Now experiencing hot flashes (not a big problem) and ED from the lupron and am waiting for all the insurance paperwork and agreements to finalize, expect consultation appointment in about 3 weeks, treatment to start couple weeks after that.  Not available at home (Alaska).  Treatment consists of 45 daily visits, 20 min a day of being shot with proton beam.  Painless.
 
Does anybody here have experience or knowledge about this treatment?  Please relpy.  Thank you, Bud

John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4237
   Posted 2/13/2009 2:39 PM (GMT -6)   

A couple of things about proton treatment:

1. It's 90's technology. There are better radiological technologies such as IMRT and seeds.

2. The wait at Loma Linda is extremely long. Check it out.

3. On Some of the radiology forums there is talk about pelvic bone loss due to Proton treatment, a lot of hip fractures and pending lawsuits. This is also worth checking out.

JohnT


I had a psa of 4.4 in 1999 and steadily increasing psa every 3-6 months before reaching 40 in 5-08.Free psa ranged from 16 to 10%

I had biopsies every year, 13 total in all. I saw 5 different doctors, all urologists or urological oncologists at Long Beach, UCLA, UCSF and UCI and had an MRIS at UCSF in 2007. All tests were negative and I was told that because of all the biopsies I most likely didn't have PC, but to keep getting biopsies every year.

in Oct 08 my 13th biopsy of 25 cores indicated 2 positive cores, gleason 3+3 less that 5% in 2 cores. Doc recommended surgery.

2nd opinion from a prostate oncologist, referred by my wife's oncologists said cancer found wis indolant and statistacally insignificant, but PSA histor was a major concern and ordered a few more tests.

Color Doppler ultrasound with targeted biopsy found a transition zone tumor 18mmX16mm, gleason 3+4 and 4+3. CT and bone scans clear, but Doc thinks that there may be lymph node involvement (30% chance) because of my high PSA, and referred me for a Combidex MRI in Holland, currently scheduled for Feb 14.

Changed diet and takiing supplements while I wait. The location of the tumor plus the high psa make surgery an unlikely option. I'm still evaluatiing all treatment options and will make a decision once I get the results of the Combidex scan.

JohnT


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/13/2009 3:00 PM (GMT -6)   
Welcome here Bud, sorry you need to be here, but glad you are with us. Hopefully someone with first hand knowledge of your treatment plan will come along soon. We are here to support you through your journey all the way.

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3
3rd Biopsy 9/8 Positive 7 of 7 cores pos, 40-90%, Gleason 7
Open RP surgery 11/14/8, Right nerves saved, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05
 
 


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 2/13/2009 3:24 PM (GMT -6)   
What has your urologist been telling you about treatment options and what has his recommendation been?

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (getting better, though)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0

 


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 2/13/2009 5:50 PM (GMT -6)   
You can search brotherhood of the balloon for patients whom did this at Loma Linda and such. You can go to www.yananow.net and find radiation patients as mentors and even contact them. All types of protocols are on that site even drug therapy only and w.w. (monitoring-no treatments), RP surgeries, LRRP, cryo, hifu, ADT3, brachy, hdr etc.

Knowledge is power, be open to looking at everything, post your stats with gleason scores, percentages etc. I did one of the rarest radiation protocols, for external radiation it is the most powerful method available (external only, not with seeds), there is data supporting better survival rates compared to other standard radiation protocols and mentioned in Dr. Strums book, also as being such. It is not well known, and I usually don't mention it and it is not for everyone and may have even more risks, which I decided to take and I have not seen any complications 6+ yrs. later. I am not saying to do the same thing I did, I do say look at everything out there so you know what are your options...and possible side effects and control stats etc.



Z-Bob


 


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 2/13/2009 6:05 PM (GMT -6)   
Budalaska,
Welcome to the forum, the best patient to patient site on the web concerning prostate cancer. I don't have any information for you concerning proton treatment other than to say treat any claims of a 98% cure rate with great skepticism regardless of the treatment chosen (exception being centres offering treatment only to patients with very small signs of disease, low PSA and a Gleason of maybe 5). Zufus has hit the nail on the head with his comments. Knowledge is power and understanding when it comes to PCa. Spend some time with us and make sure you fully understand what all the terms mean, your standing with regard to the disease (PSA, Gleason, stage etc.) and know what treatments are available together with their advantages and side effects. It sounds daunting but it is not and there are many here anxious to lend a helping hand. First step is to supply as much information re. history, biopsy details etc. as you have. Again welcome and best wishes,
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) : 2/13/2009 4:08:38 PM (GMT-7)


gpg
Regular Member


Date Joined Jan 2009
Total Posts : 180
   Posted 2/13/2009 6:18 PM (GMT -6)   
Hi Bud,

This is a serious issue and in my opinon while a support group like this one a useful sounding board, you need to be under the care of a good Dr.

It appears that your cancer may still be in a curable state.  You need to be seeing a good Dr, in my opinion.

Scott


Diagnosed @ 48yo 04/07
focal, low volume tumor gleason 6
RRP 07/30/07 robotic
Persistance of PSA
IMRT 11/07-01/08
Emerg, cysto obstructed bladder 01/08
Persistance of PSA
08/08 learned Dr. left significant amount of prostate
12/08 PCA3 negative
12/08 saturation biopsy 36 cores 24 having normal prostate tissue
12/08 referred whole to med malprac attorney

Post Edited (gpg) : 2/13/2009 4:25:29 PM (GMT-7)


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 2/13/2009 6:55 PM (GMT -6)   

Finding the right doc is important.


 

Post Edited (zufus) : 2/13/2009 6:00:18 PM (GMT-7)


Jayadub
Regular Member


Date Joined May 2007
Total Posts : 89
   Posted 2/14/2009 12:29 AM (GMT -6)   
Hi Bud,

I would encourage you to email me by clicking the link under my name if you would like to have a discussion about Protons from someone who has been through the whole process as a primary treatment. I'll call you and we can talk or you can call me if you like.

John T I ask again that you provide a link to the proton, pelvis, lawsuit discussion or stop posting this "information".

54 years old (55 currently)

PSA 5.6 on 3/20/07

DRE: Negative

Biopsy on 4/20/07 

Results 4/25/07:

3 out of 12 cores positive, 2 on the right lobe with 5% adenocarcinoma Gleason 3+3, 1 on the left lobe 10% adenocarcinoma Gleason 3+4, overall Gleason graded 7 Cancer T1C.  After web research discovered Proton Beam Therapy and called Loma Linda. Completed consultation with Dr. Luu on 7/5/2007 and started treatment at Loma Linda on 7/26/07. Completed treatment 44 on 9/28/07. 0 treatments remain. Side Effects are zero. 1st PSA result on January 28th is 1.1. PSA result on July 17th, 2008 .73 . PSA result on January 22nd, 2009 .66 18 months removed from start of treatment.


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4237
   Posted 2/14/2009 3:09 AM (GMT -6)   
Jayadub,
Prostate pointer EBRT mailing list has a thread started on Jan 18th 2009 "Hip Replacement from Proton Therapy at Loma Linda". Replies to the thread sight other sources but I didn't check these out. You can find this in the EBRT archives.
I also remember reading about protons beams causing bone loss, but I can't remember where I read it.
JohnT

I had a psa of 4.4 in 1999 and steadily increasing psa every 3-6 months before reaching 40 in 5-08.Free psa ranged from 16 to 10%

I had biopsies every year, 13 total in all. I saw 5 different doctors, all urologists or urological oncologists at Long Beach, UCLA, UCSF and UCI and had an MRIS at UCSF in 2007. All tests were negative and I was told that because of all the biopsies I most likely didn't have PC, but to keep getting biopsies every year.

in Oct 08 my 13th biopsy of 25 cores indicated 2 positive cores, gleason 3+3 less that 5% in 2 cores. Doc recommended surgery.

2nd opinion from a prostate oncologist, referred by my wife's oncologists said cancer found wis indolant and statistacally insignificant, but PSA histor was a major concern and ordered a few more tests.

Color Doppler ultrasound with targeted biopsy found a transition zone tumor 18mmX16mm, gleason 3+4 and 4+3. CT and bone scans clear, but Doc thinks that there may be lymph node involvement (30% chance) because of my high PSA, and referred me for a Combidex MRI in Holland, currently scheduled for Feb 14.

Changed diet and takiing supplements while I wait. The location of the tumor plus the high psa make surgery an unlikely option. I'm still evaluatiing all treatment options and will make a decision once I get the results of the Combidex scan.

JohnT


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 2/14/2009 11:31 AM (GMT -6)   
JohnT,
I am a member of the PPML for two years now, and with one exception I have heard all good things about PBRT. The fact is that PBRT combined with IMRT is showing promising results for people like Bud. We have a quite few members who have come here who have done very well with PBRT, and none noting anything that confirms this information. I have been trying to find Radiation oncology forum that shows these results you noted and I can't find one word that confirms it. The only complaints about PBRT I can find are coming from insurance companies that don't want to cover it because of cost. PBRT has been around since the fifties by the way ~ Photons as well. In 1990 Loma Linda opened the first PBRT center that treated prostate cancer. And I believe therefore has the best group of doctors. My RO interned there. There are definately more side effects with IMRT (Photons aimed better than EBRT), although in cases where the disease has spread locally, the combination has worked well.

If you can enlighten me with substantiated information then I would be willing to read it.

Tony


Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 15, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
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
 
My Journal is at Tony's Blog  
 
STAY POSITIVE!

Post Edited (TC-LasVegas) : 2/14/2009 9:54:50 AM (GMT-7)


Jayadub
Regular Member


Date Joined May 2007
Total Posts : 89
   Posted 2/14/2009 8:40 PM (GMT -6)   
John T said...

A couple of things about proton treatment:

1. It's 90's technology. There are better radiological technologies such as IMRT and seeds.

2. The wait at Loma Linda is extremely long. Check it out.

3. On Some of the radiology forums there is talk about pelvic bone loss due to Proton treatment, a lot of hip fractures and pending lawsuits. This is also worth checking out.

JohnT


John T thanks for the link. Not surprising that it doesn't show up in a google search as it is a private mail list. I joined the list to read the topic referred to in your post and in fact have spent several hours reading posts in prostatepointers.org/mailman/private/ebrt going back at least 2 years and what I have discovered is this:

Your comment is disingenuous at best. There is no published clinical evidence that supports the claim of bone loss or fracturing with regard to PBT for prostate cancer and I will refer anyone to the same EBRT mail list where the info is contained.

The article I have linked below does mention an increase in spontaneous hip fracture in patients receiving radiation to treat pelvic tumors so I would imagine there IS some risk but it does not define the patient age or sexual orientation. In the very next sentence though they refer to post menopausal women as having poor survival rates from the fractures. This would not be unexpected as many would be borderline for an osteoporosis diagnosis in all likelihood.

In fact a physician with a nuclear medicine background who had proton treatment refuted the claim that protons are causing damage to the head of the femur and the pelvic socket by disrupting the blood supply to same by saying there is no clinical evidence that this is occuring. I would think with the number of patients being treated at the proton centers in this country, Japan and Europe that there would be more substantive evidence if this was now the case.

It appears that there is some evidence of bone loss associated with ADT but who would have thought that Androgen deprivation would lead to male osteoporosis eyes

ANY radiation exposure (including photons and neutrons and gamma rays) to bone can result in bone loss, which is a real concern to astronauts since crew members on the Space Station suffer bone loss in weightless conditions at 5 times the normal rate. However there are several studies with pediatric pelvic tumor patients that show that protons are beneficial and should be considered the preferred treatment for pediatric patients with certain types of cancers.

So basically your statement above is based on the single posting by a 76 year old man (at time of treatment) with diabetes, who one year later FELL and broke his hip and is having hip replacement and posted wondering about causality from Protons due to prior postings about bone loss due to proton/ photon treatment for prostate cancer.

There was one response to this gentleman with a referral to this article http://www.nsbri.org/Research/Projects/viewsummary.epl?pid=232 which while mentioning protons also refers to any radiation exposure. I would be more concerned by receiving IMRT and hormone therapy than I would be from receiving protons, alone or in combination. 


54 years old (55 currently)

PSA 5.6 on 3/20/07

DRE: Negative

Biopsy on 4/20/07 

Results 4/25/07:

3 out of 12 cores positive, 2 on the right lobe with 5% adenocarcinoma Gleason 3+3, 1 on the left lobe 10% adenocarcinoma Gleason 3+4, overall Gleason graded 7 Cancer T1C.  After web research discovered Proton Beam Therapy and called Loma Linda. Completed consultation with Dr. Luu on 7/5/2007 and started treatment at Loma Linda on 7/26/07. Completed treatment 44 on 9/28/07. 0 treatments remain. Side Effects are zero. 1st PSA result on January 28th is 1.1. PSA result on July 17th, 2008 .73 . PSA result on January 22nd, 2009 .66 18 months removed from start of treatment.


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 2/14/2009 8:52 PM (GMT -6)   
Jay,
I have to agree that the likelyhood of bone loss is more so attributed to photon beams. I suppose it's possible but having been through IMRT and HT, I know clearly that testosterne ablation is a severe threat to my bones. But I would have had to choose to do nothing and risk an aggressive relapse.

John's post made me search long and hard today about bone loss and all RT's. It is real, but nothing I could find about PBRT that substantiates this concern more than any other RT modality. I too must dispute the man's claim on PPML as it is merely conjecture. In fact his diebetes could be the cause of bone loss due to poor circulation.

Just a thought.

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 15, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
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
 
My Journal is at Tony's Blog  
 
STAY POSITIVE!


RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 2/14/2009 10:13 PM (GMT -6)   
It sounds like you are well into the study process. I do hope you are considering all options with all the plus and minus of each. It appears you are leaning toward some form of radiation rather than surgery. Assuming you have done your homework on this and you will move toward radiation, I would suggest you consider the Seattle Prostate Institute. Back when I was looking at all options, that was considered by many in the know, as the top place in the country for radiation therapy. For the main body of the USA geologically - that is about as close as you can get from Alaska. I wish you the best.

RB
Age 61 (now 62)
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04
2nd Post PSA <.01 10/30/2008


smilinjack
New Member


Date Joined Jan 2009
Total Posts : 15
   Posted 2/15/2009 6:33 PM (GMT -6)   
RBinCountry.....Proton Beam Therapy is only available at five places in the US. Seattle is not one of them. Mass. General Hospital, Boston, Midwest Proton Radiotherapy Institute at Indiana University, M.D. Anderson Cancer Center's Proton Center, Houston, University of Florida Proton Therapy Institute, and the first one at Loma Linda in SoCal.
Jack
age 67
DX 7 Jan. 09
psa 4.1
prostate size 61cc
free psa 17%
Gleason 3+3=6
14 cores 1 had cancer 5%
Going to do Proton Beam Therapy


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4183
   Posted 2/15/2009 7:03 PM (GMT -6)   

Hi Folks, I have a few comments re the previous posts:

1.  Smilinjack:  I don't think RB was suggesting proton therapy in Seattle.  Rather, he was suggesting that, assuming Bud was interested in radiation, Seattle Prostate Institute is an excellent choice...and I agree that it is.

2.  I did a lot of study on proton treatment before making my decision and I dismissed the issue of pelvic bone loss that JohnT raised as a baseless rumor.  I was unable to find any clinincal data supporting it.  JT, as others have stated, if you have more definitive info on this it would be useful for you to post it.

3.  Bud, the 98% cure rate sounds great but is not supported by data...not even data from the proton centers.  So, if it sounds too good to be true (like this) it probably is not true...

4,  The "cure rate" does seem to be in line with surgery and radiation treatments but the long term studies are not as numerous nor definitive, in my opinion.

5.  Do not believe the hype re "no side effects".  I spent a fair amount of time in consultation with the center in Jacksonville.  There are likely to be sexual, urinary and possibly rectal side effects.  They are different than for brachytherapy and surgery but are real all the same.  Please make sure you have a good understanding of them and realistic expectations.

6.  In my opinion, however, proton therapy is a realistic option for some men and I would encourage all pre-procedure patients to check it out as one of their possibilities.

Hope this helps,

Tudpock


Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
2 of 16 cores cancerous
27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 1/31/09.


Budalaska
New Member


Date Joined Feb 2009
Total Posts : 4
   Posted 2/16/2009 11:43 AM (GMT -6)   

I'd like to thank everybody for their replies and their concern.  Currently I am leaning towards protron beam therapy but am also trying to gather more information on other options.  I shoud get a consultation appointment with Loma Linda in a couple weeks and with the exam that goes with it will have more information.  Please keep the responses coming, especially from those of you who have had PBT or are looking into having it. 

I hope all of  you are successful in controlling your PC, good luck.  Bud


Jayadub
Regular Member


Date Joined May 2007
Total Posts : 89
   Posted 2/16/2009 2:52 PM (GMT -6)   
You're welcome Bud. Hope you got some info you can use out of our chat yesterday. If you have any other questions post them here or send me another email and I will get right back to you. Take care

Jay

54 years old (55 currently)

PSA 5.6 on 3/20/07

DRE: Negative

Biopsy on 4/20/07 

Results 4/25/07:

3 out of 12 cores positive, 2 on the right lobe with 5% adenocarcinoma Gleason 3+3, 1 on the left lobe 10% adenocarcinoma Gleason 3+4, overall Gleason graded 7 Cancer T1C.  After web research discovered Proton Beam Therapy and called Loma Linda. Completed consultation with Dr. Luu on 7/5/2007 and started treatment at Loma Linda on 7/26/07. Completed treatment 44 on 9/28/07. 0 treatments remain. Side Effects are zero. 1st PSA result on January 28th is 1.1. PSA result on July 17th, 2008 .73 . PSA result on January 22nd, 2009 .66 18 months removed from start of treatment.


KenW
Regular Member


Date Joined Mar 2007
Total Posts : 74
   Posted 2/17/2009 1:58 PM (GMT -6)   

This forum is probably not the best place for info on Proton Beam Therapy. It's obvious due to the number of surgery patients here and the mindset of "just wanting it out". I also recommend the website of the brotherhood of the balloon. Lots of info there from those who have been through it. The book by Bob Markini is a must also.

I'm 3 years out from my treatment and doing well. I do have some side effects, mainly urgency which I had even before treatment. Most guys have it for a short period and then it goes away. Sex is good with a little help. I think the bone loss thing is a stretch due to the accuracy of the beam. Perhaps with Photon.

Sounds like you are on your way. Hopefully your insurance is good as it is an expensive treatment. Medicare and my insurance took care of it all. If you need to talk with me personally,I'm more than willing.

Good Luck

Ken


Diagnosed with a Gleason 4X3. Second opinion at Stanford came back as 3X4, 1 out of 7 samples, Left Side. DRE showed Normal. Before Biopsy Psa gradually crept to 10. Dropped to 6.4 with Alt. suppliments.
Proton Beam Therapy at Loma Linda 11-06. 1st PSA 4 Months 3.4, PSA at 8 Mo. 1.7. - 1 Yr. PSA 1.8 ( Different Lab ) 4 th PSA Slightly up at 2.19- Free PSA at .33 probably due to BPH. 1 year and 11 mo. Urologist discovered Scar Tissue in the uretha causing frequent urination with burning. Bladder not emptying completely.
Scheduled ( 12/17/07 ) to have the scar tissue sliced to open up the restriction. Good news is PSA is down to 1.14.
Urethrotomy performed. Flow much improved. No more burning.
PSA bump to 3.1. being checked at 3 months now.
New test result 9/29 dropped to 1.03.

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