Today I got the word.

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GopherState58
New Member


Date Joined Sep 2009
Total Posts : 1
   Posted 9/4/2009 11:18 PM (GMT -6)   
Today I got the word, and now I am a member of this group. I am 58, have no symptoms, but my PSA was 6+ in July and 8.9 in August. I had 10 biopsy samples taken, and four turned up something I didn't want. My urologist tells me I am at stage 3, my prostate looks and feels normal, although a little darker appearing in the ultrasound than normal. He says he believes that the cancer is confined internally to the prostate, and I am at the best possible position for a positive outcome and says there is a 90% chance of a complete recovery. I have yet to meet with him in person since he phoned me with the news. I have more questions than answers, and I am studying, but I realize that I will need more tests before choosing treatment. He is encouraging me to get a second and third opinions, and so here I am at the beginning of this journey, My father had prostate cancer at a much later age, but he sucumbed to a different cancer at age 88. But with my family history, I guessed I would face this sooner or later. I would have preferred later.

I will have lots of questions as I learn more about this. I want to thank everyone in advance just for having the courage to be here, exchange information, and for offering suggestions and advice. I have been reading through some pf the forums. And thanks to the people who run this web site for their kind attention and support.

I live in the Twin Cities in Minnesota, so I have a lot of local choices. Anyone from this area I especially am eager to hear about your experiences. I wish you all well. I will check back soon.

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 9/4/2009 11:32 PM (GMT -6)   
Hi Gopher,
Sorry to welcome you here, but welcome to HealingWell. I remember my first day like it was yesterday. I don't remember much of what the doctor told me, I just remember being scared and confused. That was almost three years ago. Let me start by saying you need to understand a little about the process. When prostate cancer is found after a biopsy was done after an elevated PSA, the stage is T1C. Stage T3 patients can not be confirmed by biopsy or PSA. Only surgery or extensive tests with imaging can confirm T3. I am a T3 guy and it was only confirmed after the surgery. T3 guys are not easily cured and I believe that your doctor will confirm you are at this point a T1C.

Best way to know, and you need to know, is ask for a copy of the pathology report. This will give you Gleason Score and also percentage of invasion in the cores.

Try to get some rest. This will be frightening for a few days, but learn as much as you can. Knowledge is power with this beast. It helps you settle in and it also eases the fear factor.

You are most welcome to ask as many questions as you can. The folks here will jump at the opportunity to help you...

Tony


 Age 47 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Gleason 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!

Post Edited (TC-LasVegas) : 9/4/2009 11:05:13 PM (GMT-6)


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 9/4/2009 11:46 PM (GMT -6)   
Greetings, Gopher.  Welcome to the site and welcome to the club no one wants to be a part of.  At this point, as hard as it is to do, relax and get some rest.  It's difficult.  But you need to rest.  Start doing your research as to what treatment choice is best for you.  There are lots of options and many different ways to explore your options.  There are several good books and of course this site is a good place to start.  Ask your questions and different ones will chime in - and usually fairly quickly.  Please keep us posted and we'll trust that you will have a peace that passes all understanding and you will come to just the right treatment option for you. David
Diagnosed Dec 2007 during annual routine physical at age 55
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 pos; 2 marginal
Gleason 3+3; upgraded to 4+3 post surgery
RRP 4 Feb 08; both nerves spared
Good pathology - no margins - all encapsulated
Catheter out Feb 13 - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 9/5/2009 5:56 AM (GMT -6)   

 

 I too welcome you here, you may or may not realize how lucky you are to have found it, but lucky you are. Like Tony metioned I can remember the first Saturday after being Dx'd, lost, scared and wondering what the heck was going on with me. I also knew it was going to happen sooner or later as well, I looked at the outcome as a success after ten years of PSA test.......I mean hey, found what we'd been looking for! Then the reality of it all sit in.....I dealt with those feelings for about one day, from a Friday evening phone call to sitting down at the keyboard and typing in Prostate forums that Saturday morning....and felt the care, compassion, knowledge and empathy here at once. Tony and David have given you as they did myself some great advice, take a breath, settle in, and suck in all the knowledge you can in making your decision.......the group's here, Good luck my brother....

                                                                       

  


 
  age: 53 @ Dx, Pre-op PSA Feb 08' 5.0, April 08' 4.1
  Biopsy 5.1.08, 5 of 15 cores postive, T2a, Gleason 3+4=7
  DaVinci performed 7.29.08
  Bladder sling installed, umbilical hernia repaired during surgery.
  Path report, "cancer fully contained, margins clear".
  Cath removed 8.8.08, ED therapy begins 8.9.08
  100mg Viagra three times a week, pump for ten minutes daily
  and hold for ten minutes.
  8.16.08 switched to Levitra 20mg, immediate results
  9.15.08 Pad free at night, one thin (light) pad during the day
  9.18.08 1st Post-op PSA Undetectable Zero's....Yes!
  12.22.08 2nd Post-op PSA  Zero's still...
  6.23.09 1yr Post-op PSA Still a zero..
  Pads gone 1.3.09, finally found the courage...Thanks ya'll
          ".....tryin' to reason with hurricane season...."
       


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2243
   Posted 9/5/2009 7:24 AM (GMT -6)   
Welcome Gopher,
Well you live in a great state so your options should be wide open. After my biospsy I called my Dr to see what the results were because I didnt want my wife to have to take time off from work for nothing. When the nurse tols me two cores tested positive I was in shock as I thought for sure that all I had was an enlarged prostate. After my visit to the Dr. he gave me a manusrcipt of a book that he was writing which helped men look at the different variables before making a tx. choice. It was helpful and then I stumbled upon this site and it also proved both hepful and supportive. Look at your tx. options, discuss with family and then make a choice and never look back. Take care and keep us posted.
Michael
Dx with PCA 12/08 2 out of 12 cores positive
59 yo when diagnosed
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margins not involved
2 pads per day, 1 depends but getting better,
8/5 1 depend at night only
 started ED tx 7/17, slow go
Great family
Michael


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2461
   Posted 9/5/2009 8:34 AM (GMT -6)   
Welcome gopher,
Tony is absolutely correct. I'm a T3 guy after my surgery and pathology report but only a T1 after the biopsy. The biopsy gives you a base to start from, it tells you the Gleason score of the samples taken. In most cases the Gleason score is confirmed by the pathology report although it can ne upgraded or degraded.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 9/5/2009 8:42 AM (GMT -6)   
Hello and welcome, Gopher,

So glad you found us early in your dx, and while I wish you didn't need to be here, you are, and this is a great place to be when dealing with Prostate Cancer. I have been here as a member since about a month before my surgery, but lurked for months before, never even been to another group online, this has been my home, and here I stay by choice.

You said you were stage 3, do you remember your gleason score? Perhaps you can put up your stats at the bottom of your posts, as it makes it easier for anyone here to get a feeling about your journey, and makes it easier to offer help/advice.

Now that you know for sure, researching and studying the myriad of options is the most important thing you can do. As you and other's mention, getting 2nd and 3rd opinions. Beware of outrageous claims and miracle supplements, they are just snake oil and will do nothing to help you.

At this point, until you are told differently by your doctors, assume you have all treatment options to you. None of them are perfect, none of them come without a price in terms of side effects now or later. I say this jokingly, but sometimes I felt like I was being asked the proverbial question, "do you want to get shot with a gun or stabbed with a knive". Obviously, the correct answer is neither.

Despite being Stage 3, you should feel that you have plenty of time to do your homework. When you see the doctor(s), take a notebook or handheld recorder, and don't let their "lack of time" intimidate you. For what they cost, you calmly sit back and ask and ask and ask, and if you don't get an answer, don't leave till you get a satisfactory reply. THey work for you, not the other way around.

You may not haven chosen this path, but you are now officially a brother of ours, and we will take good care of you.

In between, try not to worry yourself to death. You have only just begun your journey. One step at a time.

My best to you, our newest brother.

David in SC

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 9/5/2009 9:31 AM (GMT -6)   
Welcome to the Forum, sir. Hate to see you, glad you came, nonetheless. Ask away, we got lots of guys with a multitude of experience and opinions, and none is shy about sharing them... tongue
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
22 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix 30/1/20-.05ml 2X week continues
PSA's: .04 each test since surgery

Post Edited (James C.) : 9/5/2009 9:11:33 AM (GMT-6)


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2448
   Posted 9/5/2009 9:55 AM (GMT -6)   
Here is yet another warm welcome. I like you found this site while beginning my research and gaining information to allow me to make an informed choice. I was diagnosed June 25th.

While I have been to many forums on PC, I believe you are most fortunate to have found this one. The guys here are knowledgeable, supportive, encouraging, and perhaps the most experienced I have found.

You will find that there is not much you can ask that someone here does not have experience with. You will find experience with every treatment imaginable and the pros and cons experienced by each individual. All of this information will really allow you to make a confident and informed decision.

Our Dr.s can provide information from a medical and clinical viewpoint but having it come from the guys who have experience it brings it down to earth for guys like us.

So ask away. No subject is taboo nor too embarrassing. The guys here are willing to discuss anything.

They have been a tremendous help to me.

Sonny
60 years old
PSA November 2007 3.0
PSA May 2009 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative

Surgery set for September 2009 with Dr. Mani Menon at the Henry Ford Medical Center in Detroit.


Geebra
Regular Member


Date Joined May 2009
Total Posts : 476
   Posted 9/5/2009 10:29 AM (GMT -6)   
Welcome to HW. I too remember the day I was told I have PCa. It was out of state, at Duke. I wanted to catch the first flight home and start getting my affairs in order. Thankfully, my wife flew to RDU and took me back to Duke for more tests and conversations with the docs. It is a scary time, but you will get comfortable with the idea in a little while. We have cancer, it is not a death sentence, but a chronic condition. So try to get over the initial shock and relax.

Please ask anything and everything. This forum is agreat source of knowledge and compassion. To get this going, I have a question for you. Stage 3 means cancer has escaped prostate capsule. Your doc is saying it is contained, but calls it stage 3. Do you know why he thinks it is stage 3?

Best of luck in your journey. Stay with us and keep us informed.

Greg

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


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 9/5/2009 1:02 PM (GMT -6)   
Cancer is evil, but prostate cancer is a rather different kind of evil. For some cancers there are no good treatments and only months to live. Enough to scare anyone.

With prostate cancer there are a number of very good treatments, months to decide, and years to see how things came out. In fact, most men who have prostate cancer now will die of something else first. So my first piece of advice about your PC is "look both ways when crossing streets."

In the coming months you will learn more about what your test results mean and what your options are but there is plenty of time. As others have said, life is much more than cancer, pay attention to it.
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


TeddyG
Regular Member


Date Joined Apr 2009
Total Posts : 133
   Posted 9/5/2009 7:15 PM (GMT -6)   
Gopher,
One thing that all newbies must do as initiation to this unique club is get educated. Go to the bookstore this weekend, go to medical section and buy one of several very informative books written by world class urologists/surgeons that discuss everything from what psa is to what treatments are available. Go to the resources section of this forum (top of main page) to see some recommended sources. Of course you have Mayo in your neighborhood and other great facilities so you should end up in good hands, once you learn enough to make your own informed decisions.
Best wishes in your journey. We have all been there with our own deviations.
Ted
Background:
Age 55, two teens, very fit cyclist (avg 2000+ miles per year) and weight, diet, etc. consistent with good habits. Stressful job as attorney; very supporting wife who is helping me through every stage of this war.
Stats:
2006 PSA - 1.5
2007 PSA - 2.3
2008 PSA - 5.3 (18 mos.)
2009 Jan. 20 - Biopsy 12 samples
        Feb 3 Dx 2/12 samples positive, low volume  (5% and 7-10%)
Gleason 3+4, later downgraded by second opinion at Johns-Hopkins to 3+3, but "it's still PCa" as my Doc said.
Laproscopic surgery April 9,  University of KY Medical Center, Lexington, 3 days in hospital, catheter removal April 21.
Pathology: clear margins, no cancer in prostate: told that this is very rare and Doc has only seen it in 3 out of over 1400 cases; I rearched the concept of "vanishing cancer" and found a tumor classification of tP0 and asked Doc if it applied to me. He said that it was unlikely because if a pathologist had done a much more detailed analysis of the tissue, he would likely find more foci somewhere, and biopsy found "needle in the haystack as opposed to the tip of the iceberg"; Nevertheless, it is a blessing;
Regardless of the science, my family says "miracle."
Now working w/ post-surgery issues....
 


Old Sailor
Regular Member


Date Joined Aug 2009
Total Posts : 209
   Posted 9/5/2009 7:33 PM (GMT -6)   

I was diagnosed in July and had RRP on 13 August at Mayo Clinic Jacksonville.  The Mayo Clinic in Minnesota is ranked #3 in urology behind Johns Hopkins and Cleveland Clinic.  Mayo has very high continent results with surgery. I have been dry almost from the start although I had a few other complications which are going away.

Be at peace, look into all options and remember that all stats say that 5 year survival is 100% for whatever option you choose so with 10 year and later very high. 

Rich


TheoTeacher
Regular Member


Date Joined Jul 2009
Total Posts : 47
   Posted 9/6/2009 11:08 AM (GMT -6)   
Welcome to the forum we don't want to be a part of!  Research, read, study and pray - you have many decisions ahead of you.  You will find much wisdom here from men who have been there and are there. Ask many questions, read many posts. You will be in our thoughts and prayers.
Dad dx at 72 with Pca; RP at 73; Died 11/08 at 88 from Pca met.
3 Uncles have had Pca; 2 deceased from Pca met.
Me: Age 51: Joyfully Married; father of 7!
Routine Physical 11/07 PSA 1.73 DRE normal
Routine Physical 1/09 PSA 2.77 DRE abnormal.
1st Urologist visit 2/09 DRE normal, small - PSA 6.3!
Biopsy 3/17- St. Patty's Day! 3 of 12 cores positive with 5-8% Pca
3+3 Gleason; Visit Johns Hopkins 3/26/09 and decide for surgery.
Lapro RP 6/29/09; discharged 6/30/09
Cath out 7/9/09 Gleason unchanged 3+3;
"Larger amount of cancer" than expected.
Organ confined Pca, positive margin as "artifact" of surgery.
All other tissues clear.
7 wk psa 8/20/09 - 0.05

"We walk by faith, not by sight."


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 9/8/2009 10:49 AM (GMT -6)   
Sorry about the diagnosis on one hand, but not sorry that the medical professionals found you have a problem - with the time available to deal with it . . . likely successfully. So, good news/bad news. Yes, the first news of this can be shattering. My advice is to get the best medical advice you can find/afford and rely upon it - the advice from medical professionals. Each of us has a different life story and health history - so what I have/experienced will be different from you . . . and that'll be the case with every other person on this forum. Don't make judgments based solely on the report of one of us - do the research yourself with the aid of your family and the professional team you select. Keep us posted as time advances.

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (1/2 light pads per day)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0; 4/09: 0.0

 


Timmy77
Regular Member


Date Joined Jul 2009
Total Posts : 40
   Posted 9/8/2009 3:54 PM (GMT -6)   
scool Welcome to another Gopher stater? I live in Ramsey just north of the twin cities. I was diagnosed with pc in Feb and had Davinci in June at Abbot by Dr Reddy. Piece of cake not really. It is Cancer It is major Surgery ( if you go that route) but at our ages I turned 48 in feb happy Birthday to me. But life goes on The incontence was worse then I thought but with these guys I was able to get a better view of what to expect. Mood swings skull Went through that people have been telling you to get books they are ok but real people like these on this forum are your best bet. These guys have REALLY REALLY helped me through the Drs were ok but they did not teach me much about how to cope these guys did. Fire away with questions these guys can really help you turn I just had my 11 th week blood test lets see next tues how it turned out heres praying for 0's Good l uck and God Bless Fellow Gopher Stater. Did you get to the Fair? yeah
Timmy 77
48 yrs old
Robotic RP
6-15 2009 Da Vinci surgery
8-10 2009 almost dry big step
Still ED
Recovery is a process not a switch to turn on and off.
Using support groups like this and in person to make it through
Surviver


mgl
Regular Member


Date Joined Feb 2007
Total Posts : 122
   Posted 9/9/2009 6:18 AM (GMT -6)   

Be that you are from the twin cities I would look to go to the Mayo, only an hour south, I'm sure you would be impressed

Mike from Duluth


50 years old
gleason 3+4=7 psa5.8 clinical stageT3a
Da vinci surgery April10 2007 Mayo clinic Rochester, Mn.
extraprostatic extension Gleason -same
pelvic lymph nodes -negative
Catheter out April 19
psa aug 2007 0.28
37 treatments IMRT ended 10/26/07
psa Jan 29 2008 0.10
psa april 30 0.14
psa aug 21, 0.16
psa dec 17 o8 , 0.16


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3744
   Posted 9/10/2009 12:59 PM (GMT -6)   
Hey Gopher,
Welcome to the club that no one wants to join. You'll find a great bunch of guys here who understand your pain and are willing to help. Look at the signatures and you'll find you are not alone. Those signatures meant a lot to me when I first joined. Reading the pathology reports, ED status, incontinence etc. helped me put things in perspective. You'll find the full spectrum of personalities here and that reflects on how they handle the situation. Some are religious, some are serious, some are jokesters. You've got artists, writers, engineers, retirees and everything in between.
Believe me brother, hang around here a bit and you will learn more about PC than you ever wanted to know.
Good luck.
Jeff
DX Age 56. First routine PSA test on April 8th: 17.8.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
----------------------------------------------
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7 Tumor size: 2.5 x 1.8 cm location: both lobes and apex. No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Extraprostatic extension present; Perineural invasion: present, extensive
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
----------------------------------------------
One Month Status:
Potency - 9/7 7 weeks Still no activity
Incontinence - 8/20 3-4 full pads per day
9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea, I know)
Post Surgery PSA - 9/3 6 weeks - 0.05


dogyluver
Regular Member


Date Joined Sep 2009
Total Posts : 35
   Posted 9/17/2009 10:29 PM (GMT -6)   
Sorry that you're here but it is best place to be right now. The people here are very supportive and can answer your questions better than any dr can at least in laymens terms. Also don't read too much, stick to Mayo Clinic, THe Cleveland Clinic, and John's Hopkins and keep in mind that the percentages that they list are not accurate they, will only take the best canidates. People 50 or younger, non smokers, drinkers or anyone with prostate cancer family history. They will always recommend the procedure that they specialize in. Just make sure that you trust the doctor that you choose. We preferred a doctor that was old enough to have the experience, and knowledge, skill, and appreciate what prostate cancer means to men and their spouses. But young enough to still be compassionate, and care for his patients. You don't want anybody ready to retire.
Good Luck,
Pam
April 09 PSA 3.2
May 09 DRE enlarged prostate
July 09 PSA 5.2
July 09 Biopsy 5 out of 12 malignant
Gleason score: Primary 3, Seconary 4 Total 7
August 24, 2009
Radical Open Prostatectomy Andocarcinoma of the prostate
% of 4 and/or 5: 1-25%
% of 3    76-90%
Androgen deprivation effect: Negative
Apical involvement: Positive
Apical marginal involvement: Negative
Extraprostatic extension (EPE): Negative
Margin: Negative
Bladder Neck Shave: Negative
 
Areas of involvement: Right and Left lateral, posterolateral and posterior and left anterior apex and mid prostate
Principle area of involvement: Right and left lateral, posterolateral and posterior apex and mid prostate
Focality: Multifocal
Volume: Medium(100 Sq mm)
Ejaculatory Duct: Negative
Seminal vesicles involvment (SVI): Negative
Vas deferens N/A
High Grade PIN: Positive
Neuroendocrine differentiation: Negative
 
Pathologic Stage: pT2c NO MX


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4126
   Posted 9/17/2009 10:49 PM (GMT -6)   
Gopher:  You have found a great resourse in this web sight.  We are all brothers in PC and in that common fact we are able to ask each other for help and clarification when we get confused about numbers or terms that are dropped on us.  Some of the guys here are so knowledgable  on the subject and willing to share.  Good luck on you quest to healing.
 
 
Jeff T
Cajun Country
Jeff T Age 57
9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable
 10th month  PSA <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next

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