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dandan
New Member


Date Joined Aug 2009
Total Posts : 2
   Posted 8/24/2009 7:00 PM (GMT -6)   
So i feared for the worst and I think it's here unless you guys can tell me otherwise. My father is 60, nearly 2 months ago he found out his PSA was over 5, so he was put on some medicine, not quite sure and after 50 days he was supposed to do another blood test and god-willing his PSA would be down. Well, he just got the call tonight and his PSA went up and it's over 6 now, a biopsy is scheduled for next week.........This is so deflating to me since I'm in my mid-20's, just launched my tech startup after a year of design and planning, and recently had my biggest month of sales yet last month.....go figure how life can turn around on you so quickly in just a few days. I'm just so down right now I can't even explain it.

What I need is a better explanation of what's going on here since I didn't get such a great explanation from dad. I am doing my own research now and I know his PSA is high, but does this automatically mean cancer or is there a chance it's just an enlarged prostate or something else non-threatening? I'm just curious because I always thought cancer was a hereditary thing and he doesn't have it in his family. Dad's diet isn't the best and he doesn't exercise much, so I worry about how he'll handle chemo if it is cancer because I had a very fit,athletic aunt on my mom's side who had breast cancer and she struggled during chemo even though she was tough and fit.

Basically just help me with some positive things here because i'm going to lose my mind over the next week waiting until the biopsy otherwise. Thanks again.

Galileo
Veteran Member


Date Joined Nov 2008
Total Posts : 697
   Posted 8/24/2009 7:28 PM (GMT -6)   
Hi.

An elevated PSA does not necessarily mean it's cancer. It could be elevated from prostatitis or BPH (benign enlargement).

If it is cancer, it's not a death sentence. Caught early, it's very curable and just a bump in the road, as Dr. Walsh would say. It's almost never a wildfire like breast cancer and other cancers can be. It's more of a turtle, usually. If he has it, it has been developing for years--decades even.

Don't fret about chemo. That's not a first-line treatment for prostate cancer. IF he has cancer, and that is a big unknown, he will go over the stage and Gleason score with his doctor and evaluate his options. Treatment for localized prostate cancer is usually a choice of surgery (open or robotic), external radiation in the form of X-rays or protons, or brachytherapy (seed implantation). There are other therapies possible as well, such as cryo and HIFU.

You're worried about something that hasn't happened yet. Hang in there, and let us know how it goes, okay?
Galileo

Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T2c, NX MX, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) total dose 70.2 Gy, Jan-Mar 2007@ age 44
PSA 6/07 0.1, 9/07 and thereafter <0.1
http://pcabefore50.blogspot.com


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4149
   Posted 8/24/2009 8:05 PM (GMT -6)   

Dear dandan:

I understand your concern but you're getting way ahead of yourself.  Galileo's answer is excellent and, hopefully, will be reassuring to you.  IF it turns out that your Dad has prostate cancer it is most likely slow growing and he has time to evaluate a number of excellent options with a high probability of cure.

In the meantime, as a father myself, I can assure you that the last thing your father wants you to do is freak out about this.  I'm sure he would want you to stay focused on your job.  If you want a good primer on PCa, I suggest you read Dr. Patrick Walsh's Guide to Surviving Prostate Cancer which you can get in any bookstore.  It will give you a good basic education and knowledge is power in this arena.

So, try to stay cool and feel free to come back here with any questions you have or...better yet...encourage your dad to come here.

And, by the way re the biopsy, many guys have no problems at all with them but others have some pain.  Mine was done under IV anesthesia so there was no pain at all.  But, even if his doc doesn't do it that way, I suggest at least some local anesthesia or calming drugs to make the experience less traumatic.  Also, there are a few post biopsy after effects like bloody ejaculate....not painful but pretty nasty looking...that your dad's doctor should tell him about.

Good luck,

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"!

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/24/2009 8:31 PM (GMT -6)   
dandan,

we welcome you here to HW, and can honestly say we would know how you feel. when i got my PC dx. last year at this time, my two sons, at that time 25 an 31 were shocked. your reaction is very normal, and I can understand why you are upset and even scared. the others have given you sound advice. his rising psa doesn't mean cancer for sure, there are other non-cancerous reasons. with the rise that has taken place so far, it makes good medical sense to do a biopsy. for most men, its a bit uncomfortable, but we get through them. as suggested, a good doctor will make sure that it is painless to your father as possible. i had 3 of them along the way, none of them were terrible.

even if cancer is detected, as mentioned above, there is a wide range of options to be considered before he would need to make a primary treatment choice. we have men here experienced in all of them, so we would be happy to help you and him with information and experience that we can share.

we are a brother hood here of prostate cancer survivors, you and your father are most welcomed here. there is no such thing as a dumb question, so ask away, and we will be happy to steer you to the right source or share an experience with you.

for your father's sake, and for your peace of mind, i sincerely hope that it isnt cancer. but if it is, it doesnt mean its a death sentence by any means.

please keep in touch and keep us posted of what is going on.

david in sc
 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, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, still talking option, 8/18 - had laser scope surgery to clear blockage, now on Catheter #7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 8/24/2009 9:01 PM (GMT -6)   
PCa can be hereditary but often is not. It is not normally treated with chemo so you can rest easy on that score.

A rising PSA that does not respond to (I assume) prostatitis medication is likely to be caused by PCa (Prostate Cancer). But having accepted that, a diagnosis of PCa is by no means a death sentence. It is slow growing, and caught early, as seems likely in your Dad's case, is very treatable.

Your Dad is likely to be inconvenienced for a bit during treatment, but we all come out the other side. I had a PSA of 5.7, Gleason of 9 (aggressive) and from about 3 months after surgery, life for me was back to normal.

So I suggest, prepare for the worst, but continue to hope for the best. And if the worst does happen, it is not the end of life as you know it.
Pre-op:
Age 63 at diagnosis, now 64.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Operation:
Non-nerve sparing RRP on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Post-op:
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
PSAs:
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
ED:
After a learning curve, Bimix injections (0.2ml) are working well. VED also works but we find it inferior to Bimix.
14 months: Occasional nocturnal erections.


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 8/25/2009 12:28 AM (GMT -6)   
Hi Dandan,
Welcome to healingwell. Thanks for joining and count on your father being around quite a long time.

Your father's high PSA is concerning in that cancer must be verified. The medication he likely took was an antibiotic. As suggested above, the first part of verifying prostate cancer is eliminating other things. The doctors were correct in administering an antibiotic. Next is the biopsy. This is used to see tissue samples of the prostate. If they are cancer, they will be graded as to their aggressiveness, and a clinical stage will be assigned. From my experience, if your father has prostate cancer, he likely has a very treatable case of it. Many guys get discovered with PSA's in the hundreds and that too can be managed.

There are several effective ways to treat localized cancer. Surgery, radiation, and others can be used to stop the disease progression. In such cases, the cancer can be cured or it will be managed. prostate cancer can be managed many years even decades. It is important for you and your father to educate yourselves of these points. It will help take away the fear you and your father are likely feeling.

You are very welcome to follow along with us. Since your father is headed to biopsy, then have him ask for a copy of the pathology report. It should be available withing a week or so of the biopsy. It is very important to not move forward with any treatments until he has that in hand. This will help determine what to do if anything at all...And I mean that, it is possible to do nothing safely...

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!


Geebra
Regular Member


Date Joined May 2009
Total Posts : 476
   Posted 8/25/2009 8:09 AM (GMT -6)   
I cannot add anything to the posts above. Excellent advice. I just wanted to say I understand how you feel. I was in your shoes with my father and in your father's shoes with my two sons. The initial shock is bad, but you will learn a lot about this disease and will realize that it is often curable or is a chronic condition. We continue with our normal lives.

Father died from poorly differentiated PCa @ 78 - normal PSA and DRE

5 biopsies over 4 years negative while PSA going from 3.8 to 28

Dx Nov 2007, age 46, PSA 29, Gleason 4+4=8

Decided to participate in clinical trial at Duke - 6 rounds of chemo (Taxotere+Avastin)

PSA prior to treatment on 1/8/2008 is 33.90, bounced on 1/31/2008 to 38.20, and down at the end of the treatment (4/24/2008) to 20.60

RRP at Duke (Dr. Moul) on 6/16/2008, Gleason downgraded 4+3=7, T3a N0MX, focal extraprostatic extension, two small positive margins

PSA undetectable for 8 months, then 2/6/2009-0.10, 4/26/2009-0.17, 5/22/2009-0.20, 6/11/2009-0.27

Salvage IMRT + 6 Months ADT: Casodex started 6/12/2009, Lupron 6/22/2009, PSA 6/25/2009-0.1, T=516, 7/23/2009-<0.05, T<10, IMRT to start mid-Aug


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 8/25/2009 8:38 AM (GMT -6)   
From a daughter that has been through the process, I just wanted to let you know that I also agree with the above posts. Stay calm and know that PCa isn't the end of the world. Is it terrifying? Absolutely. Is it curable? In most cases absolutely. Stay positive and believe that if your dad has PCa, that it will be caught early and cured. At this point, you have absolutely no reason to think otherwise. Keep us posted and know that we are here to answer any questions and offer support.
Father's Age DX 62 (now 64)
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


dandan
New Member


Date Joined Aug 2009
Total Posts : 2
   Posted 8/25/2009 12:40 PM (GMT -6)   
so what I'm getting from you all so far is

PSA:6 even if cancerous isn't life-threatening right? Now is this 100% of the time or is there still potential it has spread or can spread.

Also treatment-wise, assuming he goes with some of the basic treatments you all have said are the norm how would this affect his daily life. Currently I have to say my dad is a one-man army he owns a few small businesses and he's running around all day and buying all the supplies,taking money to the bank,dealing with all his employees because he enjoys it, never had a manager helping him. I'm assuming this is going to change right or is the therapy not really life-altering like the chemo my mom's sister went through.

geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 8/25/2009 1:30 PM (GMT -6)   
I think that almost no one here would say that their treatment was "life altering" at least in terms of work My younger brother had seed implants and was back to making sales calls the next day. I had surgery and was back at work in 2 1/2 weeks carrying my full load (could have gone back at under two weeks if necessary.)

Here is what is likely to happen:
Biopsy (takes 1-2 hours as an office procedure) If you are a workaholic you can go back to work afterward but I took the afternoon off.
Wait for the result -- about a week of senseless worry.
If negative -- go away unless there are symptoms like problems urinating. If there are, the doc can prescribe drugs to help.
If positive -- you get scheduled for a cat scan and a bone scan. Both are hospital procedures, but you walk in and walk out a couple of hours later and go back to work. This is extremely scary because while you are waiting for the scans and the results you imagine that the cancer has spread throughout your entire body. If fact, it almost never has.
So, with positive biopsy and negative scans you have localized prostate cancer and lots of options and months and months to decide (there is generally a minimum 6 week wait after the biopsy)

The odds of prostate cancer treatment working (no recurrence) run about 80% in the patient's favor. Even if follow-up treatment is needed, the odds of success are still better than 50%. A PSA of six is at the low end of where doctors start to worry, so it is reasonable to expect the best.

By the way, PCa got quite a few of us to look at our diet and lifestyle and make changes. Even if your dad doesn't have PCa, lifestyle changes help avoid a lot of diseases. My son has been encouraging me in these. Previously I reported about how a bowl of chips that I set out for watching a ball game was magically transformed into a bowl of carrot sticks.
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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/25/2009 2:27 PM (GMT -6)   
great advice geezer
 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, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, still talking option, 8/18 - had laser scope surgery to clear blockage, now on Catheter #7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4149
   Posted 8/25/2009 2:36 PM (GMT -6)   

Dear dandan:

In answer to your questions:

1.  Without seeing the results of a biopsy it would be impossible to characterize the potential cancer in terms of "life threatening" or not.  However, I can say that the chances are very good for a cure from multiple options.  We just need to learn more from the biopsy to be able to give you even educated guesses in the terms you want.

2.  "Life altering" is highly subjective.  Certainly, if he does have PCa, his life will be changed if he chooses to treat it.  I say "chooses" because, even if he does have it, he may decide to "watch" and see if it worsens...many men with very early stage cancer choose that course and do very well.  And, if he chooses surgery or radiation to treat the disease, both are highly likely to cure him (depending on the initial diagnosis) but with very different side effects.  Chemo is not a treatment of choice and the side effects are very different from chemo.

I'll repeat my earlier advice, i.e. be as cool as possible and, if you really want to learn about the disease, buy a primer like Patrick Walsh's Guide to Surviving Prostate Cancer that will give you an excellent background.

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"!

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4149
   Posted 8/25/2009 2:40 PM (GMT -6)   

...one P.S. to geezer's excellent post.  That is, many docs will NOT recommend cat scan and/or bone scan with such a low PSA as your dad has.  So, ask about it but do not be totally surprised if it is not done since, as geezer states, they almost never show anything with patients who have PSA under 20.

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"!

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/25/2009 3:32 PM (GMT -6)   
True, Tud, at my dr's practice, they only do the bone scan/cat scan with a biopsy of Gleason 7 or higher, and even then, its more of a formality.
 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, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, still talking option, 8/18 - had laser scope surgery to clear blockage, now on Catheter #7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


engineer55
Regular Member


Date Joined May 2009
Total Posts : 121
   Posted 8/25/2009 4:03 PM (GMT -6)   
well I am at 2 months post surgery, really not that big of  a deal even if it is PC.  Only real issue is the "sexual function" issue but my doc has me convinced it will be working in within a year.  I see Prostate Cancer of more of a manintenace issue, got to keep up the machine.
Dx'ed 5/08 one core 2%  out of 12  3+3 gleason
DREs all negative
PSA was in the 3-4 range then jumped to 7
I have the enlarged prostate, on the order of 100cc.  After taking Avodart for 3 months  my
PSA was cut in half.
I did Active S for a year but concluded that I didn't want a life
of biopsies and Uro meetings.
DaVinci on 6/24/09  UCI Med Center  Dr Ahlering, long surgery based on size and location
Final was 5% one side all clear, but had a huge 90 grm prostate
Now we work on pee control, ok at night but sitting is a big problem.


Geebra
Regular Member


Date Joined May 2009
Total Posts : 476
   Posted 8/25/2009 4:35 PM (GMT -6)   
Dandan,

I also have seen what chemotherapy could do to people. However, not all drugs are the same and not all people are the same. I had chemo to improve my chances of successful surgery prior to it. I worked through the whole thing. My job has me travel every week, a lot of pressure and stress. Major sideeffects were a mild fatigue towards the end of the treatments. I did the treatment on Thu, felt great on Fri (they give you steroids prior to treatment) then got tired over the weekend and back to work on Mon. I worked Mon from home my last couple of treatments.

I am telling this so that you don't feet it. While it is unlikely that your father will ever need it, if he does, it does not automatically mean he is going to be miserable.

Father died from poorly differentiated PCa @ 78 - normal PSA and DRE

5 biopsies over 4 years negative while PSA going from 3.8 to 28

Dx Nov 2007, age 46, PSA 29, Gleason 4+4=8

Decided to participate in clinical trial at Duke - 6 rounds of chemo (Taxotere+Avastin)

PSA prior to treatment on 1/8/2008 is 33.90, bounced on 1/31/2008 to 38.20, and down at the end of the treatment (4/24/2008) to 20.60

RRP at Duke (Dr. Moul) on 6/16/2008, Gleason downgraded 4+3=7, T3a N0MX, focal extraprostatic extension, two small positive margins

PSA undetectable for 8 months, then 2/6/2009-0.10, 4/26/2009-0.17, 5/22/2009-0.20, 6/11/2009-0.27

Salvage IMRT + 6 Months ADT: Casodex started 6/12/2009, Lupron 6/22/2009, PSA 6/25/2009-0.1, T=516, 7/23/2009-<0.05, T<10, IMRT to start mid-Aug


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 8/25/2009 5:02 PM (GMT -6)   
A PSA of 6 can be life threatening. Higher Gleason scores (more aggressive cancers) don't generate much PSA, and it is possible for PCa to have escaped from the prostate capsule. That is why a biopsy is so important -- to find what the Gleason score actually is. And that will mainly determine what treatment your Dad's doctors recommend.

Most treatments require very little time off work, but if your Dad chooses surgery, he will be out of action for two weeks at least. The first week, he will have a catheter. I have a part-time desk job so was able to continue with that as soon as I left hospital (2 days). But lots of physical activities will be restricted, and probably no heavy lifting for about six weeks.
Pre-op:
Age 63 at diagnosis, now 64.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Operation:
Non-nerve sparing RRP on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Post-op:
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
PSAs:
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
ED:
After a learning curve, Bimix injections (0.2ml) are working well. VED also works but we find it inferior to Bimix.
14 months: Occasional nocturnal erections.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/25/2009 5:33 PM (GMT -6)   
Piano, good points. Also, I think it should be noted again that at best, a biopsy is an estimate of the extent of cancer, the staging and gleasons are preliminary. We know from experience, that in some cases, the gleason is upgraded one or two numbers if surgery is chosen, based on post surgery pathology. So a biopsy of a gleason 6 doesn't guarantee you that is all it is inside you.

If he chose open surgery, would be thinking more like be out of serious action for a month to six weeks, definitely no real lifting during that time. If keeping recovery time down, then robotic would make the most sense from the experiences I have seen and read here.

Not to scare anyone, especially a new person dx. with prostate cancer, but it is a major cancer, and while it can move slow, and act indolent at times, it should still be taken seriously. Time should be well spent checking out all available treatment options, and getting some good opinions across the board.

But I think it is important that all men considering surgery, whether it be open or robotic, it is still a major complex surgery, and the side effects vary so much from case to case.

David in SC
 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, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, still talking option, 8/18 - had laser scope surgery to clear blockage, now on Catheter #7
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


Romeo
Regular Member


Date Joined Aug 2009
Total Posts : 23
   Posted 8/26/2009 11:35 AM (GMT -6)   
All good posts above and the only thing I would add is do not over think things and do not dwell on the negative but rather focus on the positive.  I know guys with a PSA in the 20's which are non cancerous.  Be supportive of your father when he wants to talk.
 
PSA 4.7 August 2008
PSA 4.7 September 2008 retest
Biopsy late September 2008 6 of 12 positive and gleason 8
DiVinci radical laposcopy surgery November 3, 2008
Nerve spariing surgery.  left side not touched and right side partly disturbed
results of pathology report, cancer contained in capsule in one area
gleason reduced to 7
seminal vessicles and lymph nodes clear
regained full control of bladder with no leakage in about April 09
erections coming back in April 09 and improving
PSA January 09 <.1
PSA April 09 <.1
PSA July 09 <.1
 
 


smilingoldcoot
Regular Member


Date Joined Jan 2008
Total Posts : 338
   Posted 8/27/2009 12:36 AM (GMT -6)   
I agree with all the previous posts.
 
Don't get to far ahead of what is going on.  While I do have PCa I started with up and down PSAs and negative bios 10 years before I was finally diagnosed with PCa.
 
Hope this is a false alarm for your dad. If it is he should still stay proactive with his health.
 
Rich
 
 
Biopsy 1998 = Neg Bio 2000 = Neg with PIN Bio 1/10/08 Gleason 10, Stage T1C 8 of 12 samples positive all < Than 5%
Bone Scan, CTs and MRI Negative early 2008
March 2008 MD Anderson - No Surgery or Proton = No Action
Feb & Mar PET (Possilbe Lymph Node Involvement  & Prostacint Scan Negative
March 2008 U of Florida Proton Therapty Lupron & Casodek May 08 for 2 years
Completed 25 IMRT and 17 PBRT U of Florida Proton Therapy Institute 7/24/08
Latest CT June 08) showed no trace of tumor in lymph node area
7/24/2008 PSA .21, free PSA .08, Percent free PSA 38.1, testosterone 14.6
8/1/2008 2nd Lupon Shot -- 10/27/2008 PSA <.01 -- 12/9/2008 3rd Lupon Shot
12/11/08 MRI Suspicious for Metastic disease L5 & S1 -- Bone Scan 12/19/08 Indicates No Bone Mets Spinal Stenosis and Neropathy in my legs
2/06/09 PSA = < .01  -- 4/09/2009  PSA <.01 --4th Lupron shot 7/02/2009 PSA <.01 Lupron
Our Journey is on WWW.GLEASONSCORE10.COM

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