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maldugs
Veteran Member


Date Joined Jun 2007
Total Posts : 782
   Posted 3/18/2009 7:24 PM (GMT -7)   
Hi everyone, saw the specialist yesterday, he said that if my PSA stays at 0.4 / 0.5 he will be happy, but he conceded that some cells may have escaped into my system before the op and are sending the PSA signal. He also said that because the cells are microscopic there was no way of finding them until they grow somewhere, ie:- lymph node, bone, or other organs, this if it occurrs, would be signalled by a rise in PSA, as we all know, so he scheduled a PSA test in August when I see my Oncologist, if there is a rise they will discuss a treatment program.

So that's it until next PSA test, also wondering whether some cells could have been released during the biopsy? Feel like a walking time bomb...lol :-)

Regards Mal.
age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive

Gleason 3+4=7 right side tumour adenocarcinoma stage T2a

RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck, free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.



Post op PSA 0.5 26th Sept.

PSA 23rd Oct.0.5 seeing Radiation Onocologist 31st Oct.

Started radiation treatment on 5th Dec, to continue until 24 Jan. 08.
Finished treatment, next PSA on 30th April.
PSA 30th April 0.4
PSA 30th July 0.5
PSA 27th Oct 0.4 (I am now 68)
PSA 11th March 0.5


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 3/18/2009 7:28 PM (GMT -7)   
mal, sounds like you are a member of the zero club. Until further notice, consider it so... smilewinkgrin
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
16 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
PSA's: .04 each 3 months


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 3/19/2009 7:53 AM (GMT -7)   
Hang in there Mal! Hoping your next PSA bottoms out at zero. Until then, we are all walking time bombs really, right?!? :) Wishing you all the best!
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


maldugs
Veteran Member


Date Joined Jun 2007
Total Posts : 782
   Posted 3/19/2009 4:13 PM (GMT -7)   
Thanks Doting and James, it's great to have a place like this to post your thoughts, love the forum and the ppl here. yeah

Regards Mal.
age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive

Gleason 3+4=7 right side tumour adenocarcinoma stage T2a

RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck, free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.



Post op PSA 0.5 26th Sept.

PSA 23rd Oct.0.5 seeing Radiation Onocologist 31st Oct.

Started radiation treatment on 5th Dec, to continue until 24 Jan. 08.
Finished treatment, next PSA on 30th April.
PSA 30th April 0.4
PSA 30th July 0.5
PSA 27th Oct 0.4 (I am now 68)
PSA 11th March 0.5


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 3/19/2009 6:49 PM (GMT -7)   
Hi Mal

Keep up the good fight my friend.

Mika
age at dx 54 now 56
psa at dx 4.3
got the bad news 1/29/07
open surgery Duke Medical Center 5-29-07
never more than 2 pads
Tossed the pads this spring
ED still a problem
Got a shot last week and it was great
A year an a half of zero's
 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 3/19/2009 10:57 PM (GMT -7)   
Hi Mal,
Good to see you again...Don't sweat it...if the yleaked they are not growing. Stay diligent, but you look like you are holding up well. If it bothers you too much, you might look into intervention, but just stay close to it and take action if necessary...

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 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!


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 3/20/2009 3:24 AM (GMT -7)   
Hello Mal,
looks like your pretty stable at the .4/.5 mark.........so who cares if the figure is .05 or .5 so long as it stays put. and that seems to be what your doing. Perhaps we should amend our "long may you be a zero" to "long may you be stable" but on reflection that does sound a little odd. Maybe "here's to your continued good health" will do.
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)
PSA February 09 <0.01

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