Keeping you "abreast" on PCa~gynecomastia~(what???)~patients that use certain drugs may ge

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zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 2/23/2009 7:13 AM (GMT -6)   
Welcome to the land of bizarre in PCa and especially for us patients whom are using hormone therapies in our journey. Certain drugs including: casodex (and its equals), estrogenic drugs like: DES, emcyt, estradiol patches and perhaps some other select drugs in fighting PCa can give some men possible breast enlargement.  Hey I am not making this up, it is for real and there are choices to counter the enlargement and/or tenderness issues that can occur. shocked
 
Drug methods:  arimidex, tamoxifen, exemestone, raloxifene   (can be used to prevent such or help with tenderness issues, you have to research that for yourself)
 
Radiation method: you can get a 'light duty' radiation proceedure to your breasts that does stop enlargement or for people that already have enlargement you can still elect to get this before they could get larger, BUT...once you have enlargement you are staying at whatever level upon starting this. I suppose there are even surgecial methods to deal with comestically in effect reduction or return to the normal look, as plan B for men.
 
Here is the radiation program: uses electron rays (light duty compared to neutron, proton, photon) rad-doc can control depth so as not to hit your heart with rays and this is lesser ray category. Now it is usually done in 3 sessions for patients whom do this but it can be done in one session by experienced skilled radiation doc (maybe not the new guy out of college rolleyes ). Normally you get 12 gy (gray scale) exposure split into those 3 sessions equally, so 4 gy and quick and fast exposures.
 
The fast lane method:  10 gy given at once with electron rays at 3.5 minutes per 'boob' and it covers about 6" dia  (nipple being center point), math majors that is about 3" radius  (LOL). rolleyes
The aftermath: it is similar to seeing a sun burn ring around your breasts about 6" on each side, naturally you look in the mirror and say darn I hope this goes away, ring around the collar is one problem, this one!!!! Well it goes away and you look normal, but it might take 3-4 weeks so don't go to the beach like this, unless you need comedic relief and you would find alot of laughs I would guess. smilewinkgrin
 
Did I ever mention PCa can resemble the Twilight Zone??
 
 
 
 


mspt98
Regular Member


Date Joined Dec 2008
Total Posts : 375
   Posted 2/23/2009 11:23 PM (GMT -6)   
Thanks for the info on this subject. I had gynecomastica ( man boobs ) long before I had prostate CA, runs in my family. I had robotic surgery on 09/11/08, post-op PSA's are still at undetectable level. If I ever need salvage radiation I'll make sure to get by boobs blasted, I absoultely hate the way my chest looks but have no health insurance coverage for "cosmetic" treatment of my chest.........yah.  Prostate Ca survivor, if somebody could tell me how I could add my prostate ca stats as part of my signature so I wouldn't have to go through the whole process every time I post I sure would appreciate it, .............
 

BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 2/24/2009 3:16 AM (GMT -6)   
Good info as always zufus


mspt98 go to control panel at the top left of this page or any other page: once there go to "edit profile": then scroll down to signature.......fill in your details then hit "submit" and away you go.
Bill


edit: Too late . I see from another of your posts you are off and flying
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)
PSA February 09 <0.01

Post Edited (BillyMac) : 2/24/2009 1:20:07 AM (GMT-7)


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 2/24/2009 6:50 AM (GMT -6)   
Thanks Billymac and mspt98 it does not reverse what you may already have, unfortunately. Other people elect to take the additional drug method to avoid possible enlargement.
The other alternative is to compete with your wife and do modeling.....LOL-LOL
 

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