PCa Should Not Be Considered An Old Man's Disease...

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Regular Member

Date Joined Jul 2009
Total Posts : 162
   Posted 9/10/2009 1:39 PM (GMT -6)   
I have membership right now on three boards and as with all of you, have read my fill of stories; some sad, some happy, some in-between. However, what has shocked me is the amount of men who were first diagnosed with PCa in their 40's.
We have those who say "what a waste the psa test is" and "pca is over-treated." I say NOT! In fact, I believe the age of a man's first psa test should be at 40. If for anything else, getting regular psa tests beginning at 40 will set the trend line that will help to diagnose the possibility of PCa, not when it hits the golden number 4, but when its velocity suggests that there may be a problem.
The earlier psa testing and trends are established, the more lives will be saved. AND...for those of us who were diagnosed in our early to mid-50's.....I know for a fact that many of us would have been diagnosed in our later 40''s, if such trending was done. Diagnosing early provides opportunities for possible nerve sparing surgeries and eliminating to a good degree the need for both surgery and radiation.
Age -57; Diagnosed 10/05 PSA 13.4 GS 9 Organ confined (T2B)
Cryoablation 4/06 Allegheny Hosp-Dr Ralph Miller (Cohen/Miller)
Post Cryo Nadir 8/06 0.2
Rising steadily to 0.7 4/09 :-(
Steady at 0.7 (7/09) (Pomegranate???)
Looking to take next steps soon
Hoping to qualify for salvage cryo or radiation

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 9/10/2009 2:29 PM (GMT -6)   
I agree with you Joey, it's called preventative medicine, every man should have that base line PSA test done by age 40 in my opinion, perhaps as early as 35 if one has it in their family directly, or if they are African-American. It's not going to hurt anyone to have the test, and it's not that expensive. At that point, if there is nothing to worry about, then great, but if there is a problem, early detection is always the best thing with every type of cancer I am familiar with.

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

Regular Member

Date Joined Jan 2009
Total Posts : 30
   Posted 9/10/2009 3:05 PM (GMT -6)   
My 51 year old husband with advanced prostate cancer is not an old man - and got the news the cancer was spread just a few months after his 50th birthday - yearly testing may have saved his life - a test at 45 was aok but a few years were skipped and an agressive variety took over.

Regular Member

Date Joined Jun 2009
Total Posts : 292
   Posted 9/10/2009 3:54 PM (GMT -6)   
I too was surprised at how young many on these boards are. However, I suspect part of their seemingly high presence is sample bias. That is, the younger you are (in general) the more likely you will be to find and use a resource such as this.

Having said that - My father was diagnosed at 52. I turned 54 in the middle of my diagnostic visits to the doctor. My younger brothers started getting checked in their early 40's and the doctors thought they were nuts. My father's first words to me on my diagnoses were, "tell your brothers." No one in my family is waiting until they are the "right" age.
Diagnosed at 54
PSA 8.7
Biopsy 1/7/09
4 of 6 cores positive, one at 90%
Gleason 3+4=7
Neg bone scan 1/15/09
One shot Lupron Depot 1/27/09
Tax Season
RP 4/29/09
Neg lymph nodes, postive seminal vesicle, 1 positive margin
Gleason 3+4=7 with tertiary 5
Catheter out at 2 weeks no nighttime incontinence
Pad free week 5
PSA 6/6/09 <0.1

Forum Moderator

Date Joined Sep 2008
Total Posts : 4274
   Posted 9/10/2009 4:02 PM (GMT -6)   

Joey...I agree 100%


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"!

Regular Member

Date Joined Jul 2009
Total Posts : 384
   Posted 9/10/2009 4:07 PM (GMT -6)   
Excellent point Joey, I do not consider myself an old man at 54. When ever I read of a man younger then me fighting the battle with this cancer I can not help but be moved by their stories.

Father treated for Prostate Cancer in 1997 with Proton Beam - Still doing well.
My Stats
Age at diagnosis 54, PSA 5.1
Biopsy 04/08 12 cores, 5 positive
Gleason 3 Cores at 4+3=7, 2 Cores at 3+4=7
Perineural Invasion Noted on biopsy

Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
Post Surgery - Dr. Spared 100% of Nerves on the left side.
Estimated that 50 - 70% of the nerves were spared on the right side.
Final Path report
20% of the prostate Invovled
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear
Positive Margin 1.8 cm in length Noted in Right Apex

Veteran Member

Date Joined Aug 2009
Total Posts : 2448
   Posted 9/10/2009 4:15 PM (GMT -6)   
I agree whole heartedly. This cancer doesn't care about age. Maybe the only thing that really happens is that the odds go up more with age.

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.

Veteran Member

Date Joined Feb 2008
Total Posts : 655
   Posted 9/10/2009 4:22 PM (GMT -6)   
Greetings, Joey.  I was a young 55 when diagnosed and my doc says my son needs to start getting tested at 35.  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

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