First and foremost, Welcome to HealingWell!! Sorry that you have to be here, but glad that you found us. I just have a couple of questions. First, when was your post op PSA taken? (6weeks, 12 weeks post op) What was your preop PSA? My father also had a focally positive margin, which by definition means touching the margin, but not going through right?!! However, my father also had a positive lymph node on the opposite side. Which I couldn't understand if there was only one focally positive margin, but then again, cancer doesn't seem to follow a flow chart if you ask me. My father's case is probably a worse case scenario and I don't want to scare you, because there are a number of people that had focally positive margins where the cancer was removed and their PSA remained undectable.
What did your dr recommend? I imagine retesting your PSA to see if there is a change?! Unfortunately, PC involves a lot of waiting. Typically, most dr's will look for at least two-three consecutive PSA rises before initiating another therapy, others might recommend radiation since your PSA is above .1 or .2. I would definitely get a couple of opinions from local top PC oncologists. Keep us posted!!
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