T3b Post-op. Treatment Plan is Set. My wife and I met this week with a medical oncologist/hematologist and with a radiation oncologist. Both agree that I need to begin ASAP treatment with Adjunct Combination Therapy. The positive margins and perineural invasion are too dangerous to wait for PSAs to rise. I agree. My Urologist will administer the Lupron. He wants to start with a 1-month injection to test my tolerance, then increase it to a 12-week dose. This will be relatively short-term, 6 months. IMRT will begin 2 months after the Lupron start, with preliminary work starting just after Thanksgiving. Anticipating about 35 treatments.
I feel some relief knowing what is coming, and have hopes that this aggressive treatment approach will put a stop to this thing for a long time. And so, on with life!
All the best.
Age 67 at diagnosis. Treated for coronary artery disease (CAD) since 1998, and under control with medications.
2/6/09 Routine physical, with DRE and PSA Test. PSA 4.02. Referred to Uro
4/20/09 TRUS w/needle biopsy
4/23/09 Diagnosis PCa with Gleason 4+3 in 2/2 cores, Gleason 3+3 in 5/10 cores.
CT scan and Bone Scan both negative. Stage T2C.
8/27/09 DaVinci RP at WakeMed Cary NC with Dr. Tortora. Discharged 8/28.
9/8/09 Catheder removed. Path post-surgery confirms PCa, with Gleason 3+3 with scattering of 4. Positive margins in L & R posterior, R and L seminal vesicles, with perineural invasion. Stage T3b.
9/30/09 PSA Post-Op <0.01. Met w/Uro/Surgeon to review surgery and path report. Referred to Prostate Oncologist and Radiation Oncologist. Appointments set for 10/8.
10/8/09 Met w/ both oncologists. Adjunct Combination Therapy to begin ASAP.
Initial incontinence pretty bad, starting w/6 Depends pants/day. Gradually getting better, with dramatic reduction in leakage around 9/20. Currently on 1 pad during the day and one at night (for security). Actually totally dry at night. (Pressure off the bladder neck?)
“I’d rather die while I’m living, than live while I’m dead.” (Jimmy Buffett. Changes in Latitude, Changes in Attitude.)