Good for us SRT guys

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Regular Member

Date Joined Apr 2008
Total Posts : 364
   Posted 9/29/2009 9:48 AM (GMT -6)   
 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HDRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
9/12/08- PSA <0.02 
12/05/08-PSA <0.02 Six months after surgery 
3/02/09-PSA <0.02 Nine months after surgery
5/02/09-PSA .10
8/17/09-PSA .21 Begin HT and set up for SRT to begin in 2 months.

Elite Member

Date Joined Oct 2008
Total Posts : 25355
   Posted 9/29/2009 10:04 AM (GMT -6)   
David, thanks. Pretty good and balanced article. Especially since I am starting SRT next Monday.
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  38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, mapping on 9/21/9, 9/24 - mtg & procedure? with uro/surg, IMRT starts 10/5/9

Veteran Member

Date Joined Jul 2008
Total Posts : 966
   Posted 9/29/2009 10:19 AM (GMT -6)   
Thanks David, good article to read.

Unfortunately this statement:

"...In 2009, an estimated 192,000 American men will have newly diagnosed prostate cancer. Approximately one-third (about 64,000 men) will choose radical prostatectomy as their primary treatment, according to the National Cancer Institute. Large studies have shown that one-third of those men, about 21,000 patients, will experience a rising PSA a recurrence of their cancer within five to 10 years, says Dr. Peterson...."

1/3 of surgery guys will experience a recurrence of the disease. That doesn't bode well with me. Just a year ago when I had my surgery, the suggested success rate was given to be around 98% and only a 10% chance of recurrence. What happened during this last year that suddenly changed the numbers around? It seems to me, the success rates for BT is better than this, as far as recurrence goes. Maybe Tudpock or JohnT will chime in on recurrence percentage with BT.
You are beating back cancer, so hold your head up with dignity
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

Regular Member

Date Joined Aug 2009
Total Posts : 372
   Posted 9/29/2009 11:41 AM (GMT -6)   

I haven't read the article yet, but of the 1/3 of the 1/3 that undergo surgery, how many of those have extenuating pathology statistics such as extra-prostaic extension, lymph node involvement, positive margins, aggressive Gleasons, high PSA's,etc. which, if not favorable pre or post surgery, could factor in the reoccurence? A blanket pronouncement like that doesn't do anybody any good............the 98% prediction rate has to do with plugging in factors to the nomograms, as I understand it


Age 56 (biopsy & surgery)
PSA at Diagnosis-3.9
Biposy 8/19/08--4 of 12 cores positive; 5% involvement, Gleason 6 (3+3)
Surgery 1/26/09-DaVinci Robotic Prostatectomy at Presbyterian Medical Center/HUP-Phila, PA
Dr. David Lee
Pathology Report- Adenocarcinoma, no capsular involvement, seminal vesicles clear, lymph nodes clear, negative margins, Gleason 7 (3+4), Stage T2C, Prostate 61.8 grams, gland involvement 2-10%
Catheter removed after 8 days, totally dry at 3 months. ED issues continue, Viagra (via ADC) nightly (100mgs), VED use in earnest at 6 months. "Ball Park Frank" plumping at this point.
3 month PSA--<0.1
6 month PSA--<0.1

Veteran Member

Date Joined Jun 2008
Total Posts : 1804
   Posted 9/29/2009 12:44 PM (GMT -6)   
As the wife of a man getting ready to begin SRT after prostatectomy, I found the article very hopeful and shared it with my John, who also liked what he read.  Maybe we're naive but I'd prefer to keep it that way.  Without hope, we have nothing.
First radiation oncologist appointment is tomorrow (Wednesday) at 2:30 pm Eastern ... will keep you guys posted on how that visit goes.
Hope you're all doing well.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (extraprostectic extension in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Gleason 3+4 (no change from biopsy). PSA results: April 2008 0.1; May 2008 0.0; August 2008 0.0; November 0.0; February 2009 0.0; May 2009 0.0; August 2009 0.1; September 2009 0.3. Appointment with two radiation oncologists on September 29 and October 2.

Veteran Member

Date Joined Sep 2008
Total Posts : 744
   Posted 9/29/2009 2:02 PM (GMT -6)   
I think IMRT has really helped to cement the lower side effects with radiation treatment.
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