ABC story tonight, see for details

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Regular Member

Date Joined Dec 2008
Total Posts : 375
   Posted 3/18/2009 10:47 PM (GMT -6)   
One again the treatment and diagnosis for prostate cancer is a big, fat,  question mark?
One study showed no  survival improvement 10 years out from prostate ca diagnosis regardless of treatment; a British study found a very small benefit 10 years out. Dr. Timothy Johnson now states only men between 50-70 should be given the PSA test and then talk with their urologist about treatment, always get a second opinion from another specialist he notes. Currrently  nobody knows if you have a kitten of a cancer that is going nowhere, or a tiger that is going to kill you shortly.  I thought the gleason score and degree of spread gave us some idea of what to do, I guess I was wrong, confused and disappointed....................
my age=52 when all this happened,
PSA went from 1.9 to 2.85 in one year, urologist ordered biopsy,
First biopsy on 03/08, "suspicious for cancer but not diagnostic"
Second biopsy on 08/14/08, 2/12 cores positive for Prostate Cancer on R side, 1 core=5% Ca, other core = 25% Ca, Gleason Score= 3+3=6 both cores,
Clinical Stage T1C
Bilateral nerve sparing Robotic Surgery on 09/11/08, pathological stage T2A at surgery,
No signs of spread, organ contained,
First post-op PSA=.01 on 10/15/08,
Second post-op PSA <.01 on 01/15/09,
Incontinence gone in early December '08,
ED remains, using daily Viagra and 2x/wk bimix/trimix injections for penile rehab

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4840
   Posted 3/19/2009 8:18 AM (GMT -6)   
Breast self-exams, long advocated as essential for early breast cancer detection, are now considered optional. What's stressed today is breast awareness, which involves being familiar with the normal consistency of your breasts and the underlying tissue.
I have a feeling that when this "optional" thought came out about this time last year - most older women thought someone had lost their mind.
Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
10/03/08 - 1st Quarter PSA -> less then .01
01/16/09 - 2nd Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.

Regular Member

Date Joined Dec 2008
Total Posts : 235
   Posted 3/19/2009 8:11 PM (GMT -6)   
Haven't read it yet, but just from what I've heard, 10 years seems too short of a time to make decisions on.  Seems too that too many men still die of Prostate cancer to say just ignore it.
50 YO
PSA at Dx: 8.2
DaVinci RALP: 10/31/08 -- Great MD in New Haven, CT
Negative margins, no extra-capsular involvement
One nerve spared
6 Wk PSA - 0 

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