Just got back from my dr. appt. Wasn't good news. My PSA doubled from .05 to .10 in just 3 months, and this was the six-month post surgery test. He did a DRE, which I didn't think I would ever have again, and found nothing. He's 99% we have reaccurance already, but he's scheduled another PSA in 6 weeks, if there is any movement upward, he wants me to hook up with the Oncologist and Radiation people. He will use my former Oncologist, one of the best in the state, who took care of me ten years ago.
My dr. did comment, that is the trouble with Gleason 7, and why men shouldn't play around with them. Even though my post surgery pathology was "clean", doesn't take many cells to have escaped to start all over again. I am proof of that.
He told me some utter horror stories of salvage surgeries he had to help perform when he was a resident, one reason he said he would never do one himself. He still feels strongly, despite today's news, that I am doing things in the correct order.
If we have to do salvate RT, then he said without the prostate in the way, they can really do a focused and targeted attack on the prostate bed, and in most cases, that will finish off the cancer for good.
Now I have to let this bad news settle in. Shows that some of the pre-surgery info is accurate, about PSA velocity and doubling times can give you stronger chances of reaccurance, even after having surgery.
All for now, this will just add to my depression.
David in SC
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