One of my best friends has stood by me since my diagnosis and has provided support I will always remember. His father had prostate cancer in 1981. His surgery removed the prostate and his testes (orchiectomy). He was 55 at the time. Last month he was diagnosed with bladder cancer. And last week after tests were completed, his diagnosis was changed to metastatic adenocarcinoma of the prostate, Gleason 10. The tumor was negative for PSA, but positive for PAP...He will start seeing my oncologist soon. An interesting note, they stopped doing PSA tests when he turned 75. He is having a new PSA test today, and will have results next week. I am not certain there will be a PSA since the tumor did not have any.
His father lived to his 90's so he will likely treat it to some degree. He is 82 now. I find this story facinating. 27 years after surgery, he relapsed. I don't know the details of his story in 1981. There was no PSA tests. He had a positive DRE test that led to biopsy. I don't know the original Gleason, and back then is was not uncommon to do the orchiectomy with the RP. I am trying to find out what the stage and Gleason were in 1981.
The only thing I can say is, don't skip those PSA's, and ask if a PAP can be run with it.
Sheesh...The patient is doing ok, he is an open faucet in regards to incontinence, and the bladder will be treated with radiation. Further tests are being done to determine if the mets have gone to other organs.
Age 47 (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 (May 11, 2009): <0.1
My Journal is at Tony's Blog
My InfoLink page is at Tony's Prostate Cancer InfoLink Page