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Psaltiri
New Member


Date Joined Apr 2009
Total Posts : 11
   Posted 4/20/2009 8:05 PM (GMT -6)   
Hi all,
 
My wife wanted me to get a prostate exam at my annual physical, as she had noticed my erections were not quite as hard lately, and she had read that there might be a connection to prostate cancer on the Internet.  The doc said the erection issue was more likely related to low testorone levels, and that they normally don't do a prostate exam in someone as young as me (42), especially given the lack of risk factors (e.g. no family history) and indicators.  However, since my insurance is so good, there would be no fiscal impact for me, so they did it.
 
Quite the instincts on my wife.
 
Tomorrow I go for CAT scan and bone scan to determine if the cancer has spread elsewhere.  We should find out on Thursday.
 
My urologist has done something like 200 prostatectomies.  He said that if the cancer is contained in the prostate, I'm high risk for anything but prostatectomy.  And maybe that's the best thing.  Dunno.  But in my head, I keep hearing "To a man with a hammer, every problem looks like a nail."
 
He also said that 7 of 12 cores showing cancer seems to indicate the cancer has been there a while (though I don't know what "a while" means), and that the high Gleason score is of particular concern.
 
So, does high Gleason score usually equate to PCa that has spread, is it common/uncommon for it to be contained within the prostate?  Any guidance out there?
 
Just a bit nervous...

Age at DX 42
03-25-09 | Routine annual physical, palpable lump on left side of prostate, PSA 8.8
04-10-09 | Biopsy
04-16-09 | 7 of 12 cores positive, Gleason 4+5 (9)
 


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 731
   Posted 4/20/2009 9:11 PM (GMT -6)   
Psaltiri,

By all means get more opinions. Go to other urologists, oncologists, etc. In my experience they welcome this. You will have more confidence in a well-informed opinion, even if you wind up chosing what you were first considering.

To answer your question, I'm sorry to say that a Gleason score of 9 is considered high risk. The high score means that it is more likely that the cancer will grow and spread quickly. But has it spread outside the prostate? You might have caught it soon enough, as you're young. The CAT and bone scan will give some indication. (They make you drink a terrible tasting drink. Some places will add chocolate if you ask.)

One thing I like about the prostatectomy approach is that you can analyze the tissue that was removed, and determine if it was contained or not. But oftentimes, for a high Gleason, hormone therapy and/or radiation is indicated. I'm sure some of the other guys here, with higher Gleason experience, will weigh in with their comments.
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)


hawkfan75
Regular Member


Date Joined Jan 2007
Total Posts : 165
   Posted 4/20/2009 10:02 PM (GMT -6)   

Pasltiri

While this is definitely a shock for someone so young, be thankful that you have discovered it!  I just read an obituary from my local paper of a 54 year old who just passed away after a long battle with prostate cancer.  That hits me, having been diagnosed at 57.  My first recommendation that you may have read here, is to get Dr. Patrick Walsh's book,  "Surviving Prostate Cancer", right away.  It has a whole bunch of answers to the questions you must have. 

As you can read from my signature line, I did the surgery, followed by HT and radiation as a secondary treatment after finding more cancer than the biopsy showed.  I'm 2 1/2 years post diagnosis, and my numbers look good.  From your signature, I would do a lot of study soon, and make your decision on treatment.  Your's is a case I don't think I would take too much time to decide If I were in your shoes.

Good Luck......keep in touch....


Age 57 at diagnosis (2006),  PSA 4.7 (up from 3.2 one year previous)
Biopsy November 8, 2006 1 of 10 cores positive 5% LEFT Side Gleason 3+3
Robotic surgery January 19, 2007
Post Surgery Pathology Stage T3a, Gleason 3+4, positive margins and capsular penetration RIGHT Side
Post Surgery PSA:  March 5, 2007:  0.01    5 month PSA  0.08
Adjuvant therapy began June 26, 2007 with Zoladex injection
Radiation began August 23, 2007, ended October 8
First post radiation PSA, December 18, 2007:  0;  March 2008 - still 0;  July 2008 - 0; Sept. 2008 - 0;  Dec 2008 - 0;  March 2009 - 0;  Final Zoladex injection!
 
 


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4203
   Posted 4/20/2009 10:02 PM (GMT -6)   
Palsaltiri,
Sorry you have to be here.
A G9 is a serious agressive cancer. There is no way to know if it has spread outside the capsul with out some more tests and scans, but you definately want to know this before deciding on a treatment. Definately get a 2nd opinion from a prostate oncologist as a urologist will 99% of the time recommend surgery. It may be the best course of action, but seeing an oncologist will give you a lot more information on which to base a decision. Good luck and learn as much as you can by reading books and going on websites like Prostate Cancer Research Institute.
The bone scan is pretty accurate,but gives false positives if youv'e ever had an injury; the CAT scan will only pick up large amounts of cancer in the nodes and is not very good at determining spread to the lymphnodes if the cancer is just starting to grow.
The best advice for a favorable outcome is:
1. Understand the biology of your particular cancer.
2. Choose the treatment that best matches the biology.
3. Find the very best doctor that specializes in that treatment.
Good luck. You will find a lot of guys on this site with similar stats that are doing well.

JohnT

64 years old.

I had an initial PSA test in 1999 of 4.4. PSA increased every 6 months reaching 40 in 5-08. PSA free ranged from 16% to 10%. Over this time period I had a total of 13 biopsies and an endorectal MRIS all negative and have seen doctors at Long Beach, UCLA, UCSF and UCI. DX has always been BPH and continue to get biopsies every year.

In 10-08 I had a 25 core biopsy that showed 2 cores positive, gleason 6 at less than 5%. Surgery was recommended and I was in the process of interviewing surgeons when my wife's oncologist recommended I get a 2nd opinion from a prostate oncologist.

I saw Dr Sholtz, in Marina Del Rey, and he said that the path reports indicated no tumor, but indolant cancer clusters that didn't need any treatment. He was concerned that my PSA history indicated that I had a large amount of PC somewhere that had yet to be uncovered and put me through several more tests.

A color doppler targeted biopsy in 11-08 found a large tumor in the transition zone, gleason 6 and 7. Because of my high PSA Dr. suspected lymph node involvement, 30% chance, and sent me to Holland for a Combidex MRI, even though bone and CT scans were clear.

Combidex MRI showed clear lymph nodes and a 2,5 cm tumor in the anterior. I was his 1st patient to come up clear on the Combidex which has a 96% accuracy,

I've been on a no meat and dairy diet since 12-08 and PSA reduce to 30 while I awaited the Combidex MRI.

The location of the tumor in the anterior apex next to the urethea makes a good surgical margin very unlikely. Currently on Casodex and Proscar for 8 weeks to shrink my 60 mm prostate. Treatment will be seeds followed by 5 weeks of IMRT while continuing on Casodex and Proscar. So far no side affects from the Casodex.

As of April 10 and 7 weeks on Casodex and Proscar PSA has gone from 30 to 0.62 and protate from 60mm to 32mm. Very minor side affects. Doc says all this indicates tumor is not aggessive

Awaiting schedule for seed impants

 


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 4/20/2009 11:14 PM (GMT -6)   
Psaltiri,
Welcome to the forum. Good advice and information from the members above particularly that from JohnT about seeing an oncologist and having additional tests and scans. It is most important that you know the extent of your tumour before committing to a particular treatment. Quite often a urologist will recommend surgery based on PSA, Gleason, CAT scan and bone scan alone and while it may indeed be the best course in your case, there are additional staging tests and scans available and JohnT has good knowledge and information on them. As a general rule it is unlikely that there will be any apparent metastases with a PSA under 10. Here is a little information that will make Gleason and grading a little clearer for you: Knowledge is a great tool in dealing with this disease.
www.stjohn.org/InnerPage.aspx?Pageid=1446
Additionally this booklet is a very good read on prostate cancer and it's treatment:
www.yananow.net/StrangePlace/index.html#index
You will find the stories of the journeys of many with similar stats as yours here. It is good therapy to read of the success of others who have walked the same road.
www.yananow.net/Chart-Gleasonu6.htm#8
Sorry you had to join us but you will find much good information here and a lot of people anxious to help, all from the patient's perspective. I wish you well
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

Post Edited (BillyMac) : 4/20/2009 11:22:40 PM (GMT-6)


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 4/21/2009 12:18 AM (GMT -6)   
Welcome to HealingWell,
I'm sorry you are here. Given your age ~ your pathology and Gleason score was not good at all. Have you had a bone scan yet? Your low PSA is a plus and your cancer could still be contained. An oncologist and CT and MRI are good next steps. My Gleason was 4+3, PSA near 20, and half my cores were 90% positive. I elected to have the prostate removed for examination.  I have advanced prostate cancer but I am doing well and remain hopeful. I was two year older than you when I started out. 

As it is, you need to stay positive and hopeful. I hope you stay with us. There is so much experience to draw from.

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!


livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 4/21/2009 5:02 AM (GMT -6)   
I almost hate to say welcome to the forum, however I truly am glad you found us in this time of need. The advice you have gotten from the forum members is wise. I have nothing to ad on that note. I do hope that you will take care of yourself emotionally, physically, and spiritually especially now. The road ahead is going to be paved with uncertainty so shore up the aspects of life that you can so as to go into this battle with plenty of armor. For me my faith and spirituality helped me in areas that doctors could not. I have similar numbers to you and was originally given what I would call a grim prognosis. Now I am living life to the fullest and enjoying all the relationships that have been forged from this battle. I plan to live many many years and continue to be an advocate for faith based healing. Would love to chat via email sometime if you so choose. Stay in touch and please keep us informed as to how you are doing.

peace and much love
dale
My PSA at diagnosis was 16.3
age 47 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes (3 positive) was 4+4=8
I had 44 IMRT's
Casodex
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .016
PSA Mar 30th, 2009 is .02
Testosterone keeps rising, the current number is 156, up from 57 in May
T level dropped to 37 Mar 30th, 2009
cancer in 4 of 6 cores
92%
80%
37%
28%
 


Psaltiri
New Member


Date Joined Apr 2009
Total Posts : 11
   Posted 4/21/2009 12:52 PM (GMT -6)   
Thanks all for the feedback. Today I go for my bone scan and CT scan. This is all still very new for me, and I've been pretty optimistic, until today. Today has been rough. Struggling to stay positive, but I keep thinking about my family (wife, two young kids, 4 & 5).

I have an appointment with a radiological oncologist on Monday. Can someone recommend a prostate oncologist in the Southern California area? I want to get as many opinions as I can, but I feel like I'm a bit under the gun, with my Gleason 9. I called one office recommended by a friend, and they said they wouldn't give me an appointment until end of May, then promptly put me on hold. NOT what I was hoping to hear...

Also, as I said, the urologist I've been seeing thus far has done about 200 prostatectomies, but I'm seeing elsewhere on this site that ~300 is considered the "learning curve", and perhaps I should find a doctor who has done 1000-1500+. Should I look at possibly getting a different urologist? If not for a second opinion on treatments, perhaps to do the actual surgery, if we go that route...

Still freaking out.
Age at DX 42
03-25-09 | Routine annual physical, palpable lump on left side of prostate, PSA 8.8
04-10-09 | Needle Biopsy - 12 samples
04-16-09 | 7 of 12 cores positive, Gleason 4+5 (9), ranging from 15% to 50% tissue volume
 Microsopic description: Sections are of prostate tissue containing tumor characterized by atypical glands with increased nuclear size and prominent nucleoli. The atypical glands all show fusion or cribriform patterns. In some foci, small clusters of atypical cells or individual atypical cells with markedly enlarged nuclei with prominent nucleoli and occasional signet-type formation are seen with the stroma with no evidence of gland formation.


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 4/21/2009 1:05 PM (GMT -6)   
Dr Mark Scholz in Marina Del Rey is well known as an excellent prostate cancer oncologist.

Like I said my numbers were similar to yours, I opted to come to SoCal and have the prostate removed. City of Hope is outstanding for that and I admit bias to that facility. They were fantastic. (Marc Kawachi or Tim Wilson are highly experienced surgeons).

If you elect to have better imaging of the tumor, you may wish to head out to Ventura. Look up Dr. Duke Bahn.

A consult with each of these would be excellent.

Hang in there. There is plenty that can be done.

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!


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 4/21/2009 1:09 PM (GMT -6)   
Also Bob Lebowitz is a an excellent oncologist in San Diego who specializes in prostate cancer. Nick Vogelzang is in Las Vegas and is top shelf and very good as well. He is my oncologist.

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!


Psaltiri
New Member


Date Joined Apr 2009
Total Posts : 11
   Posted 4/21/2009 1:12 PM (GMT -6)   
Hi Tony,

Thanks for the immediacy of your response. When you say "better imaging", are you referring to an MRI of the tumor, or something else?

(Getting myself geared up to drink my barium...)
Age at DX 42
03-25-09 | Routine annual physical, palpable lump on left side of prostate, PSA 8.8
04-10-09 | Needle Biopsy - 12 samples
04-16-09 | 7 of 12 cores positive, Gleason 4+5 (9), ranging from 15% to 50% tissue volume
 Microsopic description: Sections are of prostate tissue containing tumor characterized by atypical glands with increased nuclear size and prominent nucleoli. The atypical glands all show fusion or cribriform patterns. In some foci, small clusters of atypical cells or individual atypical cells with markedly enlarged nuclei with prominent nucleoli and occasional signet-type formation are seen with the stroma with no evidence of gland formation.


BillSD
Regular Member


Date Joined Sep 2008
Total Posts : 143
   Posted 4/21/2009 1:32 PM (GMT -6)   
Psaltiri,
 
I live in San Diego, and Dr. Charles R. Kossman is my oncologist. He is the BEST!!! Not only a great doctor, but now a cherished friend.
 
Wishing you the best on your tests today and in the journey ahead.
 
Rev. Bill in San Diego
Age 60 (59 when Dx) PSA 4.4
Biopsy 5/15/08 Gleason (3+3=6)
Bone scan and pelvic CT: clear
HT - 2 mo Casodex, 3 mo Trelstar
RRP Surgery 9/15/08 La Mesa California
Post-OP Gleason 3+4=7, Stage pT2c pN0 MX
Seminal vesicals, perineural margin, 18 lymph nodes, bladder neck: all carcinoma free
Perineural invasion & Distal Margin: Carcinoma present
IMRT adjuvant radiation (35 Treatments) End 1/27/09
PSA (10/13/08): <0.1
PSA (3/13/09): <0.1
 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 4/21/2009 2:51 PM (GMT -6)   
Dr. Bahn is using a newer fusion technology that maps a tumor in color images. This is gaining respect in the industry. It may not change your path, and it might. But I am one who believes that getting this scan doesn't hurt and can provide a baseline image that may come in handy later. Dr. Bahn is also a cryologist, and I am still not sold on that method for guys who are advanced. But his imaging techniques are pretty solid. I will see Dr Bahn on Thursday. He will be here in Vegas at my cancer center for a speaking engagement. I may learn a thing or two.

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!


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4203
   Posted 4/21/2009 3:01 PM (GMT -6)   
Psaltiri,
As Tony said Mark Sholtz is an excellent oncologist, I learned more about my cancer is 45 min with him than I did in the previous 10 years from 5 urologists. His number is 310 827 7707
Scans such as color doppler ultrasound or endo rectal MRIS can give a lot of info about the tumor, how big and where it is located and if you have capsular penetration.
The Combidex MRI is the only way currently to identify small lymph node cancers. There are other blood tests that can give better probabilities of determining if the cancer has spread. Understand that nothing is 100% certain and you are dealing with probabilities.
Remember that there are a lot of ways to treat PC, some may have a slight advantage over others in individual situations and the side affects are different. If any doctor tells you that his way is the only way to treat PC then run, don't walk away from him. A good doctor will explain why he thinks his recommendation is better in your specific case.
JohnT

64 years old.

I had an initial PSA test in 1999 of 4.4. PSA increased every 6 months reaching 40 in 5-08. PSA free ranged from 16% to 10%. Over this time period I had a total of 13 biopsies and an endorectal MRIS all negative and have seen doctors at Long Beach, UCLA, UCSF and UCI. DX has always been BPH and continue to get biopsies every year.

In 10-08 I had a 25 core biopsy that showed 2 cores positive, gleason 6 at less than 5%. Surgery was recommended and I was in the process of interviewing surgeons when my wife's oncologist recommended I get a 2nd opinion from a prostate oncologist.

I saw Dr Sholtz, in Marina Del Rey, and he said that the path reports indicated no tumor, but indolant cancer clusters that didn't need any treatment. He was concerned that my PSA history indicated that I had a large amount of PC somewhere that had yet to be uncovered and put me through several more tests.

A color doppler targeted biopsy in 11-08 found a large tumor in the transition zone, gleason 6 and 7. Because of my high PSA Dr. suspected lymph node involvement, 30% chance, and sent me to Holland for a Combidex MRI, even though bone and CT scans were clear.

Combidex MRI showed clear lymph nodes and a 2,5 cm tumor in the anterior. I was his 1st patient to come up clear on the Combidex which has a 96% accuracy,

I've been on a no meat and dairy diet since 12-08 and PSA reduce to 30 while I awaited the Combidex MRI.

The location of the tumor in the anterior apex next to the urethea makes a good surgical margin very unlikely. Currently on Casodex and Proscar for 8 weeks to shrink my 60 mm prostate. Treatment will be seeds followed by 5 weeks of IMRT while continuing on Casodex and Proscar. So far no side affects from the Casodex.

As of April 10 and 7 weeks on Casodex and Proscar PSA has gone from 30 to 0.62 and protate from 60mm to 32mm. Very minor side affects. Doc says all this indicates tumor is not aggessive

Awaiting schedule for seed impants

 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 4/21/2009 3:07 PM (GMT -6)   
LOL but if a doctor tells you that a certain way is the only way HE will treat you, don't run so fast. You do want a doctor passionate about his competancy if you have elected that form of treatment. it does not hurt that he says it's the best way.  There is truth in the statement that a urologist will recommend surgery and a radiaologist will recommend radiation. Some oncologists will recommend systemic treatments when a local will work fine. And you may be looking at a combination of the three. So order may matter. Be educated in what you decide. Then find the best at doing it.

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!

Post Edited (TC-LasVegas) : 4/21/2009 3:13:09 PM (GMT-6)


FLHW(David E)
Regular Member


Date Joined Nov 2007
Total Posts : 201
   Posted 4/21/2009 8:07 PM (GMT -6)   
Psaltiri
Tony (and others) have given great recommendations on doctors.
Once you find the diagnosis, please lean of this group for places to go for ALL options whether it be surgery, radiation, crypo, pronton, ADT etc.
the vast amount of experience here is unbelievable!
Dx'd 2/18/05
PSA 271, bone mets, lymph node involvement
Gleason Score: 7
Current (3-30-009)
PSA: 36.36
Treatment: Lupron
+ Atrasentan (or placebo)
[Finished Taxotere on January 26th]
~~~~~~~~~~~~
Personal Blog:
prostatecancerat42.blogspot.com


Psaltiri
New Member


Date Joined Apr 2009
Total Posts : 11
   Posted 4/22/2009 11:41 AM (GMT -6)   
Thanks, everyone. Had my CT scan and bone scan yesterday. The barium solution had some sort of vanilla flavoring in it. Not great, but definitely not awful.

Tomorrow, we get the results, and we can start making our treatment decisions...
Age at DX 42
03-25-09 | Routine annual physical, palpable lump on left side of prostate, PSA 8.8
04-10-09 | Needle Biopsy - 12 samples
04-16-09 | 7 of 12 cores positive, Gleason 4+5 (9), ranging from 15% to 50% tissue volume
 Microsopic description: Sections are of prostate tissue containing tumor characterized by atypical glands with increased nuclear size and prominent nucleoli. The atypical glands all show fusion or cribriform patterns. In some foci, small clusters of atypical cells or individual atypical cells with markedly enlarged nuclei with prominent nucleoli and occasional signet-type formation are seen with the stroma with no evidence of gland formation.


sandstorm
Regular Member


Date Joined Dec 2008
Total Posts : 194
   Posted 4/22/2009 4:25 PM (GMT -6)   
Psaltiri

Welcome to the board. I'm just sorry you had to join us at such a young age but glad you found out about this before it was too late. Yes you have an aggresive cancer but that does not mean it has left the prostate yet. I'm looking forward to you signing on tomorrow and giving us a good scan report.
Age at DX 57
5-18-07 PSA 7.7
5-06-08 PSA 4.6  8% free psa, but stable
10-23-08 PSA 5.65 4% free psa
11-04-08 biopsy
11-11-08 2 of 12 cores positive
Gleason 3+3  6  stage t1c / post-op 3+4  7  stage t2c
CT and Bone scan negative
Da Vinci RRP 01-09-09
Catheter removed 1-15-09
Pathology Report says it's gone!
Fully continent on 4-09-09, no more pads
First Post-op PSA 2-17-09   0.00


Psaltiri
New Member


Date Joined Apr 2009
Total Posts : 11
   Posted 4/23/2009 5:30 PM (GMT -6)   
Just returned from the urologist.

CT scan and bone scan are both CLEAR!!! I am stunned and grateful for this day! I'm keeping in mind that it's still a G9 cancer, and there's really no way to know if it started it's spread, but today, we experienced a miracle. God is with us!

Tomorrow, I have an appointment with Dr. Richard Lam, who works with Dr. Scholz in Marina del Rey. I'm doing a bunch of reading tonight. I feel like I'm studying for an exam.

My wife received something from someone saying pommegranate juice has antioxidant and anti-inflammatory properties, and that studies show it can substantially reduce the development of even the most aggressive prostate cancers (among others). In addition, drinking it daily slows the spread of an established prostate cancer by more than 50%.

Now, I'm very leary of snake oil promises, so I look to this educated community. What's the scoop here? (I'll probably drink it either way, as I like the taste...)
Age at DX 42
03-25-09 | Routine annual physical, palpable lump on left side of prostate, PSA 8.8
04-10-09 | Needle Biopsy - 12 samples
04-16-09 | 7 of 12 cores positive, Gleason 4+5 (9), ranging from 15% to 50% tissue volume
 Microsopic description: Sections are of prostate tissue containing tumor characterized by atypical glands with increased nuclear size and prominent nucleoli. The atypical glands all show fusion or cribriform patterns. In some foci, small clusters of atypical cells or individual atypical cells with markedly enlarged nuclei with prominent nucleoli and occasional signet-type formation are seen with the stroma with no evidence of gland formation.


TeddyG
Regular Member


Date Joined Apr 2009
Total Posts : 133
   Posted 4/23/2009 7:02 PM (GMT -6)   
Hello Psaltiri and California guys,
Your news today is great and you are doing the right thing by reading what you can. All experts agree that when choosing the treatment, esp surgery, EXPERIENCE counts. Look for someone who has done over 1000 and has dealt with as many variables as you can imagine.
We have all been where you are regarding anxiety, family, work, etc. I have used the expression, and it is true, "this experience is like hitting the reset button on my life." But, having said that, PCa is the most curable form.
Best wishes.
TeddyG
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