More Watchful Waiting

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Uncle Harley
Regular Member


Date Joined Feb 2009
Total Posts : 85
   Posted 7/27/2009 4:33 PM (GMT -6)   
I just had my 3 mo PSA test today. It was 2.6, up from 2.3. Doc says that's not a significant change. He says next check will be 6 months instead of usual 3 & wants to do my annual biopsy at that time. I'm trying to live life as normal as possible, but the PC thing is always in the back of my mind. Some days I just wonder, why me? But then I look around & see those that are a lot worse off than me. I think I'm prepared to someday deal with a solution, but until I have to, I'm a watchful waiter.
PSA History
3/99 1.2
3/00 1.04
3/01 1.16
7/02 1.24
2/06 1.59
3/07 1.79
3/08 2.54
8/08 2.3
4/09 2.3
7/09 2.6
12 needle prostate biopsy Jan 09
Dx of (1) core adenocarcinoma 20%
All other cores benign
Gleason 3+3 T1C
Currently in Active Surveillence
Age 60


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4149
   Posted 7/27/2009 4:53 PM (GMT -6)   
Hi Uncle:
 
I know many of the guys on this site would not WW even if they had the chance.  But, if it's any support, if I had your stats when I was diagnosed, I would have done what you are doing in a heartbeat!  I think you have made the right decision and I hope you are one of those guys who is still watching 30 years from now!
 
Tudpock
Age 62, Gleason 4 +3 = 7, T1C, PSA 4.2, 2 of 16 cores cancerous, 27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 7/1/09.  6 month PSA now at 1.4 and my docs are "delighted"!

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 7/27/2009 5:00 PM (GMT -6)   
You've done a great job Harley...
And so has your doctor in prescribing another biopsy in 6 months. Proper watchful waiting should include evaluating the tumor charactaristics. I hope you don't worry too much. It is the hardest part about waiting...

Tony
 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  
 
STAY POSITIVE!


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 7/27/2009 5:43 PM (GMT -6)   
Unc
Thanks for checking in. We don't have enough AS guys on this site and so it is good to hear from someone who has taken that path. As far as the PC thing never being far from your mind, let me remind you of heart attack, stroke, and being shot by a jealous husband. Each of us is going to die from something but AS is done because because it is not reasonable to assume that PC is that thing.

By the way, when I mention the shot by a jealous husband possibility to my wife, she reminds me that shot by an irate wife has higher probability!
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4223
   Posted 7/27/2009 5:47 PM (GMT -6)   
Uncle Harvey,
The Prostate Cancer Research Institute's web site has a whole section of papers on Active Survelience.
It seems that if your PSA doubling time is greater than three years then you should have no problems.
Please keep us posted. Your stats look very good.
JohnT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DX BPH and continue to get biopsies yearly. Positive Biopsy in 10-08, 2 cores of 25, G6 less than 5%. Scheduled Surgery as recommended.

2nd Opinion from Dr Sholtz, an Oncologist said DX wrong, path shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G 4+3 approx 2.5cm diameter.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and burining urination. Daily activities resumed day after implants.

Scheduled for 5 weeks IMRT in July

JohnT


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 7/27/2009 5:58 PM (GMT -6)   
Uncle, with your stats, looks like it watching is working for you. Hope it stays that way for a long time for you.
Age 57, 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
 Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes 
2009 PSA   2/9 .05, 5/9 .10, 6/9 .11, 8/11 ?
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, scarring closed up bladder neck, again
 
 


Uncle Harley
Regular Member


Date Joined Feb 2009
Total Posts : 85
   Posted 7/27/2009 6:29 PM (GMT -6)   
Thanks to all for the kind words. And by the way Geezer, that's exactly why I only mess around with single women, & why I hid my Ruger from my wife!
PSA History
3/99 1.2
3/00 1.04
3/01 1.16
7/02 1.24
2/06 1.59
3/07 1.79
3/08 2.54
8/08 2.3
4/09 2.3
7/09 2.6
12 needle prostate biopsy Jan 09
Dx of (1) core adenocarcinoma 20%
All other cores benign
Gleason 3+3 T1C
Currently in Active Surveillence
Age 60


BooMan
Regular Member


Date Joined Oct 2006
Total Posts : 27
   Posted 7/28/2009 11:08 AM (GMT -6)   

Congratulations Uncle Harley and we'll hope for many more readings that don't signal intervention.  There aren't a lot of us here following AS.  How long have you been at it?  It will be 3 years for me this fall.  Take care.

Boo


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 7/28/2009 3:02 PM (GMT -6)   
Great job, Boo,
I hope that all remains well for you as well..

Tony
 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  
 
STAY POSITIVE!

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