A captive audience today to talk about Prostate Cancer

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/9/2009 4:48 PM (GMT -6)   
This afternoon, had to go to the local unemployment office for a schedule review.  Hours of waiting, 5 minutes when you see the person kind of thing.  Was at a table with 5 other men.  They started talking about Obama's speech tonight on health care, one thing led to the other, next thing you know, I was telling them about my journey with PC.  It sparked a lot of interest.
 
Not one of the men there had ever had a PSA test before, all were well over 50.  Only one even knew what one was, because his father died of advanced PC not too long ago.  So I took advantage of the moment, and we got into a serious discussion on the subject.  It was really a neat moment, totally unplanned.
 
We got into symptons, testing, biopsies, treatment choices, and yes, I stayed neutral and we talked about surgery, radiaton, seeding, HT, etc.
 
The two things this group of strangers brought up on their own, and you might find this part interesting, is that they had heard that having a catheter would keep them from having surgery, even though none of them had ever had one  (and of course, I didn't tell them about my 7 cathater voyage), and they had all heard horror stories about the biopsies.  So we got into a good talk about both subjects.
 
All of them agreed they needed to have at least a baseline psa test done soon, and would tell their adult sons about this too.
Didn't plan on this, but what a great opportunity for our cause.  And that didn't count the other men that were in hearing distance in our little group disussion.
 
Hope I get a chance to do that another time.
 
David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out after 38 days


Sonny3
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Date Joined Aug 2009
Total Posts : 2447
   Posted 9/9/2009 4:56 PM (GMT -6)   
David,

I told you in a post the other day that God has a plan for you. I also said that you may never know how many lives you have touched or influenced with your honest and forthright posts.

Do you need a better example than today. One of the guys you talked with or their sons or sons-in-law may have a life saved because of your discussion. And that doesn't take into account the others that may have been listening that you weren't aware of because they didn't join in.

Keep up the good fight, stay positive and the life you save may just be someone else's loved one too.

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 17th, 2009 with Dr. Mani Menon at the Henry Ford Medical Center in Detroit.


CPA
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Date Joined Feb 2008
Total Posts : 655
   Posted 9/9/2009 5:34 PM (GMT -6)   
Greetings, David.  Thanks for taking the opportunity to share with this group.  It is always a blessing to me to be able to help someone else along the way. I would just as soon have passed on having prostate cancer but if my having it and my experience can help someone else along the way, so much the better.  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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/9/2009 6:01 PM (GMT -6)   
Kind of what I thought, I am real shy in public situations, rather become the wallpaper, but the conversation opened naturally. I think the other men detected my passion in the subject. One in particular asked a lot of questions, was easier to answer them with all I have learned from HW.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out after 38 days


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 9/9/2009 7:51 PM (GMT -6)   
David,
I'm glad that you had the opportunity to educate these men about PSA test and how it could save lives. God has a mission for you and you are doing it well. It amazes me how some men even those who have had PC surgeries know. I have several friends that had PC surgery who don't even know their Gleason score. One of them had a PSA of 29 after robotic surgery and didn't know that it should have been a zero. I finally told him to see an onco doctor immediately.
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 : 25380
   Posted 9/9/2009 8:03 PM (GMT -6)   
Ed, it is sad that many men, even educated men, don't take any part in their own health care. That's a known statistic that doesn't seem to go away. Prior to my first PSA test at age 50, not sure I ever once thought about my prostate, or even knew what it did. As it began its steady rise over the next few years, I started asking questions first of my GP, then once referred to my Urologist, lots of questions everytime I saw him. It's been a long education and I am still learning every day. It was a rare opportunity for me to speak out about this subject to a group of strangers. I was amazed at how interested they were in the details, and of course, they were full of misinformation, as to be expected.

Perhaps providence will provide another opportunity one day for me.

In all, it was a good day,

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out after 38 days


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 9/9/2009 9:17 PM (GMT -6)   
David: I must saw that many time I have made the comment that good thinngs come from bad. A good thing just happened. You gave knowledge to people that needed it. A piece of info that could save a live. When things like this happen we never know the end results but we have planted the seed. Congrats on do so and a big thank you from them through me.

You have been a pal to then with out knowing.


Jeff T
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


dogbot
Regular Member


Date Joined Aug 2009
Total Posts : 147
   Posted 9/10/2009 3:51 AM (GMT -6)   
I try to spread the word here in England to friends, who are all probably in the age group where this is likely to occur, not many give it much thought, but I try to impress the importance of a regular check up at the doctors to include a psa count. My son is 38 now with a lovely wife and two sons and I said to him after my surgery that he should think about himself in a few years time. I was not trying to scare him, but just trying to inform him of the possibilities for his future health. Regards from England.

Diagnosed February 2009. Gleason 6, Psa 7.2, 12 core biopsy, and then Mri scan, which showed organ specific.
DaVinci at Addenbrookes, Cambridge, England 18th May 2009.  Nerves removed one side.
Catheter in for 8 days, no pain, no post op problems apart from an infection, cleared with antibiotics.
Some aching around the penis, which still occurs.
6 week psa 0.1, post op pathology all good, confirming pre op tests. Ed a problem, no treatment as yet.
Light ladies pad during the day, just to control a slight dampness and a Tena for  men pad at night for occassional leakage.
Awaiting 3 month consultation at the moment.
Sept 10 - still awaiting consultation. 99% dry during the day, tena pad at night just in case.


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4149
   Posted 9/10/2009 5:32 AM (GMT -6)   
David, good for you.  The lack of info that most men have about PCa is astounding.  I think back to my pre-diagnosis days and realize just how ingnorant I was about this.  I was just lucky enough to have primary care docs who included PSA testing and DRE's as part of the routine physical.  
 
So, you did your good deed for the day!!!
 
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 9/1/09.  6 month PSA  1.4 and my docs are "delighted"!

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/10/2009 6:35 AM (GMT -6)   
Jeff - thank you, I just seemed the right thing to do, if only just one of men goes out and gets tested, I would feel like all I have been through was worth it outside my own little circle

dogbot - greetings to our brother in the UK. My sons are 26/32, both have promised to have an initial PSA test for a base line at age 40 or sooner. Now that they know it happened to their dad, and that it can run in families, neither wants to take a test. With your son, I would reccomend the same thing. btw - my mum is a brit, still loyal to the queen though she has been a citizen here in the US since the 60s, my older brother and my sister were born in London. I was the only American born.

tudpock - I was well educated on the other medical matters and the previous cancers I had to deal with prior to PC, but not the prostrate or anything about PC itself. My only real complaint is with my GP, just wished he had been more informed as a doctor about the danger of PSA velocity. We both watched it shoot up year by year, until it hit the magic 4.0 mark on the chart, and then matter of factly, he sent me on to my urologist. He went by the book, and I guess since urology or PC isn't anything that he treats, he just didn't know. I am only speculating, but if it had been caught earlier, even a year or two, I could have been dealing with something low level instead of something moderatly on the agressive side. BTW, I still see the same GP, have for about 13 years. Despite the pc in my life, he's a great caring doctor.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out after 38 days


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 9/10/2009 6:56 AM (GMT -6)   
Thank you David for the impromptu advocacy for all the men and their families. Prostate cancer is not just a man's disease, as it will effect the lives of their families and loved ones. It is important to spread the word at every chance and opportunity one has. The other day I was talking with a couple at a restaurant about my prostate cancer (the couple's wife noticed my blue wrist band)...and the she said, "oh..thats good..at least it is treatable." My response to her was...."Tell that to the 500 families that just lost their husband or father to this cancer just this week alone in the US." She was very silent after that and let me tell my story to her husband.

Again thank you,
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month Apr 2009 .06
                   9 month Jul  2009 .08


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/10/2009 8:26 AM (GMT -6)   
Good and appropriate response to her, les. sounds like that made a sound point in itself. I feel, all of us here, owe it to those of our own sex, to get the word out by whatever means we have before us. What scares me, if I wasn't married to a nurse, who insisted on the yearly exams, and started getting psa tests, I would still be clueless with a raging out of control case of PC going on inside, and me, not even knowing anything was wrong at this point. I am thankful that isn't the case, but easily could have been.

Sounds like you never miss a good opening yourself. Bravo.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out after 38 days


westcamp
New Member


Date Joined Sep 2009
Total Posts : 1
   Posted 9/10/2009 9:43 AM (GMT -6)   
Amazing that men still have not had a psa test at age 50. Glad you were able to enlighten them. Iwas tested but my psa was always low so doctor said I was fine not until I finally had a dre thst they found th aggressive cancer 4/5 gleason. Have has surgery radiation, hormonal therapy once and about to go back on it again since psa is now .13. My psa was 1.8 at the highest and my doctor said I was crazy to get a second opinion. Crazy but still alive.

mjluke
Regular Member


Date Joined Jan 2009
Total Posts : 189
   Posted 9/10/2009 9:57 AM (GMT -6)   
Purgatory:
 
I know from the time I have spent on this forum and having read your posts, that you are a good man and have provided invaluable support and guidance to many. But I wonder if encouraging men "well over 50" to seek out PSA testing is a good idea.
 
I understand that a major debate is still ongoing whether widespread use of PSA tests leads to overdiagnosis and overtreatment. ( it seems that 9 out of 10 of the forum postings relate to the devastating side-effects of various different treatments.)
 
 We are all familiar with the two recent major studies involving 250,000 men in the US and Europe, which concluded that the PSA test saves few lives and leads to risky and unnecessary treatments for large numbers of men. Dr. Peter Bach at Sloane- Kettering Cancer Centre interpreted the data to mean that with widespread testing there is a 49 in 50 chance of unnecessary treatment for a cancer that will never threaten a persons life.
 
I have heard that some general practicioners no longer recommend PSA testing for their patients over 60.
 
These are my thoughts on reading your posts and the encouraging responses from others and certainly not intended to criticize or offend you.
 
63 years old-tumor discovered on digital exam- biopsy December 2008-
4 of 12 samples positive-all on right side
Gleason 3+3=6
PSA-3
Otherwise excellent health.
Brachytherapy- May 19, 2009 -so far, so good.
 
  "There may come a day when the courage of men will fail, but it will not be this day."


dogbot
Regular Member


Date Joined Aug 2009
Total Posts : 147
   Posted 9/10/2009 11:09 AM (GMT -6)   
mjluke,
 
Whilst I agree psa testing is not the definitive answer, at the very least it gives the patient the opportunity for further tests which may or may not indicate cancer. I am very grateful that my local doctor did my psa on several visits and found a rise which was followed by further tests to prove or disprove cancer, in my case a positive biopsy.
Diagnosed February 2009. Gleason 6, Psa 7.2, 12 core biopsy, and then Mri scan, which showed organ specific.
DaVinci at Addenbrookes, Cambridge, England 18th May 2009.  Nerves removed one side.
Catheter in for 8 days, no pain, no post op problems apart from an infection, cleared with antibiotics.
Some aching around the penis, which still occurs.
6 week psa 0.1, post op pathology all good, confirming pre op tests. Ed a problem, no treatment as yet.
Light ladies pad during the day, just to control a slight dampness and a Tena for  men pad at night for occassional leakage.
Awaiting 3 month consultation at the moment.
Sept 09 - still awaiting consultation. 99% dry during the day, tena pad at night just in case.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/10/2009 11:11 AM (GMT -6)   
westcamp - good call, crazy but alive would always work for me, food in the asylum isn't that bad...... The point is, you were pro-active to your own cause, your body and your life. That;s the way it should be. There are men with high PSA 20+ that never get PC, and guys who's psa never gets over 2 with bad bouts of PC , PSA is a good marker, but just one marker.

mjluke - no insult found in your post, your opinion is as valid as mine or anyone else's. no harm, no foul. For starters, I am a bad judge of age, I assumed these strangers were well over 50, they were sitting in the unemployment office with me. Yes, there is a big national debate on treatment vs. overtreatment. My thinking, is a PSA is a simple blood test, a simple and fairly low cost dx. tool. I don't believe in burying my head in the sand, or the "what you don't know won't hurt you." What you don't know can certainly kill you, especially with cancers. This is at the personal level, not meant to be judgmental to anyone views, but I believe that every human life is important, as us Catholics like to say, we protect life from "the womb to the tomb". The fact that nearly 30,000 men still die terrible deaths every year just in the US from PC makes it all worth it to me. With the men I talked to, if nothing else, they will tell their sons, their wives, their son in laws, etc, and just mabe, someone can be saved from this. As far as the side effects of ED and incontinence, for many men, the side effects are fixable to some degree or the other. Yes, we have some poor brothers struggling with these issues years later. But one would have to ask the most basic of questions: Do you want to die of cancer, but have good sex with full ejaculations, or be treated, and perhaps at worse make some lifestyle changes and adjust your sex life and live. My wife and family kind of wanted me to be around some more years, so they got my vote. Every life is precious, at least to me, so if testing and "overtreating" saves lives, then so be it. Just my opinion.


Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out after 38 days

Post Edited (Purgatory) : 9/10/2009 11:15:52 AM (GMT-6)


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 9/10/2009 11:15 AM (GMT -6)   
mjluke...I am sure David will respond for himself...but I have a question

I haven't read the article but wasn't that 49 out of 50 men with low grade cancers that could have gone the Active Surveillance protocol? It seems to me the vast majority of men won't qualify for AS, such as you and me. Not to criticize you either, just curious as my doc still says that 1 in 35 are at risk of death and that so far there isn't a good method of determining which cancers will remain indolent.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month Apr 2009 .06
                   9 month Jul  2009 .08


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 9/10/2009 11:42 AM (GMT -6)   
Just needed to chime in on this discussion.

Healthcare has always and is still taking a beating about over-testing, over-diagnosing and over-treating.

My own experience; the short of it is that my wife has cancer. It is the un-curable kind. All you can do is beat it down with treatment for as long as you can, watch the numbers carefully and then beat the sucker down again, if you can. The hope is that somebody will find a cure in her time here. She has vowed to fight this thing with her every breath and ounce of strength as long as she is able.

I went to my GP for a check up (hey I was 60, time for a physical anyway) because I thought I was losing a little weight I wasn't trying to. First thing they do is the blood work. PSA came back 6.7 elevated from 3.0 the last time. The last time was 18 months prior and it was 3.0. Knowing what I know now about PSA I would have probably looked into this then. Anyway I made a call right away to a well respected Urologist here. Took my blood work labs with me for his review. He did the DRE, a sonogram and a CT Scan. He said I think we need to do a biopsy. We did and my signature tells the rest of the story.

Having a PSA test done is only a smart step in monitoring you own health. Prior to this I didn't know what the hell it meant anyway. My doc never really said anything. How many people know how to read and understand the blood work results they get back anyway.

You never take action on PSA, there are many more things and tests you have to do before you make a decision to address it or not.

My thought process is this; maybe it would take 10-20 years to kill me, maybe 10-20 months, who knows. But if my wife is willing to fight the battle she is, why would I want to take the chance on leaving this earth before she does. Besides, she is 9 years younger and darned good looking. I'd really like to stay around her for a while. She makes me look a whole lot better when I am with her.

Get this stuff out of me, get it out now and fight with everything I have to make sure it doesn't come back.

The PSA test was only the Warning Light Bulb going off. Everything else I did was because it was right, I chose it and I researched the hell out it before I made a decision.

Just One Guy's Opinion. Thanks for tolerating it.

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 17th, 2009 with Dr. Mani Menon at the Henry Ford Medical Center in Detroit.


mjluke
Regular Member


Date Joined Jan 2009
Total Posts : 189
   Posted 9/10/2009 11:55 AM (GMT -6)   
http://www.nytimes.com/2009/03/19/health/19cancer.html?th&emc=th

LV_TX

Here is site for the New York Times article on the testing study. I don't see any reference to low grade cancer or active surveillance
 
63 years old-tumor discovered on digital exam- biopsy December 2008-
4 of 12 samples positive-all on right side
Gleason 3+3=6
PSA-3
Otherwise excellent health.
Brachytherapy- May 19, 2009 -so far, so good.
 
  "There may come a day when the courage of men will fail, but it will not be this day."


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 9/10/2009 12:08 PM (GMT -6)   
Thanks mj....I remembered I read this earlier and some other subsequent articles as well. I still take the side to disagree as some other doctors have noted in the article as well.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month Apr 2009 .06
                   9 month Jul  2009 .08


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/10/2009 1:33 PM (GMT -6)   
I am with you, Les. The 1 in 35 is still worth testing for. We are not talking about some expensivie MRI test, or color dopplar scan, we are talking about a simple blood test that is normally part of most men's blood work up when they have an exam. I still wonder what the real motivation is for trying to villanize a simple test. And you are correct, perhaps one day, there will be a sure test, that will determine whether the pc is indolent and harmless in the lifetime of the patient, or an agressive s.o.b. that needs to be treated. Until then, I wouldn't want to make the call for who gets tested or not tested.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out after 38 days

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