Prostate Cancer Treatment Guide

coxjajb

Regular Member

Joined : Nov 2008

Posts : 184

Posted 4/8/2009 8:14 PM (GMT -6)

I ran across this site I thought it might be helpful to someone that is considering treatment options.

www.prostate-cancer.com/index.html

Age 51, (50 at DX)
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
ED, need a little help from Levitra
First post op PSA 11/11/08, 0.00
Second post op PSA 2/10/09, 0.00

Post Edited (coxjajb) : 4/8/2009 8:39:28 PM (GMT-6)

Purgatory

Elite Member

Joined : Oct 2008

Posts : 25432

Posted 4/8/2009 8:22 PM (GMT -6)

Not a bad article on the surface for watchful waiting in general, if you meet all the low grade criteria, but when I read where it said it could be a method for a salvage situation, think it lost a lot of credibility, at least with me. Thanks for supplying the link.

Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5

3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3

Open RP surgery 11/14/8, Right nerves spared, 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, 6 month on 5/9

coxjajb

Regular Member

Joined : Nov 2008

Posts : 184

Posted 4/8/2009 8:44 PM (GMT -6)

David, I had trouble getting the correct url posted. The link now shows the full guide. It may be more helpful now.

Purgatory

Elite Member

Joined : Oct 2008

Posts : 25432

Posted 4/8/2009 8:57 PM (GMT -6)

I will try it again, I am open to all views as PC is such a strange and potentially deadly beast

Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5

3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3

Open RP surgery 11/14/8, Right nerves spared, 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, 6 month on 5/9

LV-TX

Veteran Member

Joined : Jul 2008

Posts : 966

Posted 4/9/2009 6:49 AM (GMT -6)

Mods....take a look at tindba post...didn't open the link but has a flavor of spam in my opinion....

You are beating back cancer, so hold your head up with dignity

Les

Age 58 at Diagnosis

Oct 2006 - PSA 2.6 - DRE Normal

May 2008 - PSA 4.6 - DRE Normal / TRUS normal-Gland 38 cc

July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral (Perineural Invasion present at base) - Gleason (3+3) 6 Stage T1C

August 23 - Bone Scan - Hips, Spine and ribs marked uptake - X-Ray showed clear -Hooray

Sept 9 2nd DRE - questionable - TRUS...shadow in base - Gland now 41 cc

Robotic Surgery Sept 18, 2008

Pathology October 1, 2008 - Gleason 7 (4+3) Staged pT2c NO MX - Gland 50 cc

Seminal Vesicles and Lymph Nodes clear

Positive Margins Right Posterior Lobe

4 tumors in prostate - largest being 6 cm

PSA 5 week Oct 2008 <.05

3 month Jan 2009 .06

Purgatory

Elite Member

Joined : Oct 2008

Posts : 25432

Posted 4/9/2009 7:25 AM (GMT -6)

It reeked of SPAM, thanks James for spotting it

Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5

3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3

Open RP surgery 11/14/8, Right nerves spared, 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, 6 month on 5/9

Ed C. (Old67)

Veteran Member

Joined : Jan 2009

Posts : 2488

Posted 4/9/2009 3:39 PM (GMT -6)

Davis,
I think Dr. Walsh's book talks about watchful waiting for salvage if the person is old enough.

Age: 67
Retired in 2001 and living in Austin TX.
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
Dx 12/30/08
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09
Surgeon: Dr. Randy Fagin, Austin TX.
Post op Pathology report:
Prostate weighed 57 grams
size:5.2 x 5.0 x 4.9 cm
Bilateral 10-20% involved
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx
Negative margins
Lymph nodes: not dissected
seminal vesicles clean
1st PSA test 4/7/09 result 0.1

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