Got a call from our radiation oncologist tonight...

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Sephie
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Date Joined Jun 2008
Total Posts : 1804
   Posted 10/14/2009 7:05 PM (GMT -6)   
the abdominal/pelvic CT scan was fine. However, the radiologist reading the bone scan pointed out one hot spot - right clavicle (collarbone) area. Yikes! The rad onc said the hospital is recommending another bone scan (groan) but she truly believes it is not necessary and will speak with the urologist first thing in the morning. She kept telling me that with John's low PSA (0.3 in September with final test in the trilogy coming up at the end of this week), she would seriously doubt that the hot spot is cancer and believes that the urologist will agree with her another bone scan is not necessary.

I know that bone scans can detect any weakness in the bone - a fracture or arthritis, for example. I would also think that when PCa spreads to the bones, it's generally in the ribs, hips, pelvis.

Once again I'm asking for reassurances from my friends on HW!
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. Met with radiation oncologist and began process for salvage radiation. CT scan and bone scan done on October 8 (bone scan clean!).


zufus
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Date Joined Dec 2008
Total Posts : 3149
   Posted 10/14/2009 7:20 PM (GMT -6)   
Was the collar bone ever broken? Such things could show up darker or contrasting to normal bone appearances.
 "I wouldn't join a club that would have me as a member" (Groucho Marx)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/14/2009 7:27 PM (GMT -6)   
Sephie,

It's highly unlikely that the "hot spot" is remotely related to prostate cancer. That would be an unusual path at this point in John's journey. Hoping for the best for the both of you.

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% cancer, 1 pos margin
Post Surgery  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, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


Sephie
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Date Joined Jun 2008
Total Posts : 1804
   Posted 10/14/2009 7:31 PM (GMT -6)   
Zufus, no break but everyone in John's family has arthritis somewhere in their body.

David, I agree that it's highly unlikely. My hope is that the urologist and rad onc will agree that the spot is nothing, don't do another bone scan, and lets move forward with the RT.
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. Met with radiation oncologist and began process for salvage radiation. CT scan and bone scan done on October 8 (bone scan clean!).


Ed C. (Old67)
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Date Joined Jan 2009
Total Posts : 2461
   Posted 10/14/2009 7:33 PM (GMT -6)   
Sephie,
I sure hope the hot spot is nothing related to cancer. I doubt that with John's low PSA that PCa could have metastasized that far so soon. Stay positive. Best of wishes to both of you.
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


Sonny3
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Date Joined Aug 2009
Total Posts : 2448
   Posted 10/14/2009 7:38 PM (GMT -6)   
When I had my bone scan prior to my surgery I had 4 hot spots show up. Both of my knees, which show arthritis from prior surgeries, and both of my collar bones near the shoulder joint. When I asked the spots at the shoulder the reply was that it was some arthritis that I had not begun to feel as of yet. I just said Great, now I have that to look forward to.

I asked to Uro and the surgeon and they both agree about the shoulders.

I think it is wise to question, but I wouldn't ring the alarm bells just yet.

Hope this helps,

Sonny
61 years old
PSA 11/07 3.0
PSA 5/09 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

da Vinci 9/17/09 Dr. Mani Menon Henry Ford Medical Institute

Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Stage: T3a
Tumor Volume 12.5%
ALL NERVES SPARED
Margins: focally positive right posterior mid level
Perineural Invasion: present
Seminal Invasion: absent
Venous Invasion: absent
Angiolymphatic Invasion: absent
Left Internal iliac lymph node: reveals zero
Right Internal lymph node: reveals zero


John T
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Date Joined Nov 2008
Total Posts : 4269
   Posted 10/14/2009 9:05 PM (GMT -6)   
I think it is just poor medicine to give a bone scan to anyone that has a psa under 20, yet this is commonly done. It just increases costs and promotes unnecessary stress when old injuries show up as hot spots. The same goes for CT scans as a lymphnode tumor has to be 10mm for a CT scan to pick it up. At that point your PSA would definately be above 20. I guess that doctors feel they have to protect themselves or are simply not knowledgable in how PC works.
JohnT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT


goodlife
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Date Joined May 2009
Total Posts : 2692
   Posted 10/14/2009 9:43 PM (GMT -6)   
I had to have my right foot x-rayed after my scan because it showed a hot spot. I know exactly how you feel or Yikes as you put it.

Your heart comes up in your mouth, and you start thinking, Oh no, this must be it. Nine times out of 10, or maybe 99 out of 100 it is exactly as you said. Arthritis or old injury.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks due to anatomical issues with location of ureters with respect to bladder neck.  Try 3 tubes where no tubes are supposed to be for 2 weeks !
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 10/14/2009 9:46 PM (GMT -6)   
Sephie, I hope you're taking as much comfort from the above comments as I have.

Do let us know what happens when you speak to the urologist in the morning.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week.    


Worried Guy
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Date Joined Jul 2009
Total Posts : 3743
   Posted 10/15/2009 3:47 AM (GMT -6)   
I had a hot spot on the left side. The doc asked if I had been injured in any way. "No, but I had been shooting my shotgun 4 days before the scan. I'm left handed." The mark was exactly where the shotgun butt fit against my shoulder. A week or so later they redid the upper body scan and I was clear.
So, was John shooting anything?
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
Post Surgery Status:
Potency - 10/05 10 weeks, Still no activity
Incontinence - 8/20 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.)
9/17 2 months: Still 3 pads per day.
10/5 10 weeks: Still 3 pads per day. At this rate I'll be fine in 2012.
Post Surgery PSA - 9/3 6 weeks - 0.05


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/15/2009 7:20 AM (GMT -6)   
becky, these areas show up as a hot spot on the scans, never heard of anyone having a problem with them being called that before. Evey doctor does, and patients understand what they mean.. It is what it is. don't understand your concern about the term?
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% cancer, 1 pos margin
Post Surgery  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, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 10/15/2009 7:51 AM (GMT -6)   
Bone scans can be useful like JohnT said if the PSA is over 20, however bone scans are helpful for a base line too. Even with old injuries or arthritis down the road any new spot would be suspicious upon subsequent testing. So I am in favor of getting the scan done early even though it won't be useful until later on if the disease should progress. I had two hot spots on the 4th & 6th ribs which was of concern at the beginning, however with a current undectable PSA, it isn't anything to worry about. Also an X-Ray will help identify the type of hot spot. Building up of bone is old injury...bone reduction is something else. A good radiologist can distinguish between the two.
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
                 12 month Oct 2009 .09 


Sephie
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Date Joined Jun 2008
Total Posts : 1804
   Posted 10/15/2009 8:00 AM (GMT -6)   
As always, you are all a source of information and reason! I don't expect any issues with John's bone scan and agree that it's highly unlikely that this spot is in any way related to his PCa. So, hopefully after the urologist and rad onc speak this morning, they will agree to move on with the SRT. I know in my heart that the treatment will result in John's PSA returning to 0.0!

God is good ... all He asks is that we trust Him!

So, it's another day and it's off to work I go.
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. Met with radiation oncologist and began process for salvage radiation. CT scan and bone scan done on October 8 (bone scan clean!).


dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 10/15/2009 9:22 AM (GMT -6)   

Sephie:

I've attached a study of breast cancer metastisis bone scans.  It acts very similar to prostate cancer, the reason i haven't attached a prostate study is I haven't been able to find one in my searches.

I have a similar situation with a spot on my rib, it shows on bone scans and is in my marrow but won't show on CT's as a lesion(thats a good thing) they can't biopsy it until it forms a lesion becuse they don't know exactly where to biopsy.  I've been to University of Washington, M.D Anderson and a Oncology unit where I live to diagnose it and they all say the same thing.  There is no way it's prostate cancer with my PSA readings.  After reading the study I sent you, I feel much more sure they are correct(I'm with Zufus in this area, I know my body better than any of the doctors).  Single metastic sights very seldom show up, usually they are clusters or worse in both prostate and breast cancer. 

If you get time read the study it will help put your mind at ease I believe.

http://jnm.snmjournals.org/cgi/reprint/31/4/387.pdf

Good luck.

David


 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-5.5
 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.
 


qjenxu
Regular Member


Date Joined Sep 2009
Total Posts : 187
   Posted 10/15/2009 9:47 AM (GMT -6)   
Good luck Sephie!

Your John will be fine. we are waiting for your good news!

Jennifer

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3743
   Posted 10/15/2009 11:38 AM (GMT -6)   
When my Uro sat with me and discussed the hot spot in my shoulder I could see it plain as day. Clearly something was very wrong. I'm not a big guy and don't have a lot of extra meat on these bones. I had taken one shot with the Mossberg 500 3" and that was enough to do it. That one shot resulted in an extra trip to the hospital and a full week of worry. My PSA was in the low 20's so I was petrified that it had spread.

May your spot be as easy to diagnose.
Jeff
(By the way, the shot was for a friend of mine who repairs violins. He wanted a slow motion video of a violin being destroyed by the blast. Something along the lines of: "We can repair anything." He owes me big time.)
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
Post Surgery Status:
Potency - 10/05 10 weeks, Still no activity
Incontinence - 8/20 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.)
9/17 2 months: Still 3 pads per day.
10/5 10 weeks: Still 3 pads per day. At this rate I'll be fine in 2012.
Post Surgery PSA - 9/3 6 weeks - 0.05


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 10/15/2009 1:46 PM (GMT -6)   
Update on where we are with John's bone scan:  the urologist and rad onc think the "spot" on the bone scan is nothing but have agreed to follow the hospital's recommendation that John have a CT scan of his chest.  Neither believes it will show anything but want to cover all the bases.  CT scan is scheduled for Tuesday, October 21 at 11:00 am.  Will post once we know the results of that test.
 
 
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. Met with radiation oncologist and began process for salvage radiation. CT scan and bone scan done on October 8 (bone scan clean!).


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/15/2009 3:48 PM (GMT -6)   
Sephie,

Hoping only good things for both John and you. It should come back fine too, its just the waiting game again to know.

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% cancer, 1 pos margin
Post Surgery  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, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 10/15/2009 7:01 PM (GMT -6)   
David, yes, the waiting game can be agony. But, based on what our doctors have said, we are not worried about the results. Besides, worrying won't solve anything.

Our rad onc - and she does consider herself our doctor, not just John's - was very clear last night on the phone that she does not see this spot on the bone scan as anything to worry about and the urologist agreed with her.

Now, my hope (besides a clean CT on Tueday) is that she'll have the results of that test Tuesday afternoon and can start the treatment process. We'll have the results of John's third PSA to confirm whether we have a recurrence going on here. Now, wouldn't it be something if his PSA comes back lower than 0.3 and we have to wait again for another test (that would be a nice surprise but we're not expecting it).

Good night my friends.
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. Met with radiation oncologist and began process for salvage radiation. CT scan and bone scan done on October 8 (bone scan clean!).


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/15/2009 7:48 PM (GMT -6)   
Sephie,

It seems rare that the PSA goes back down in these re-occurance situation, but it is possible. I kept thinking some of my post ones would reverse themselves, due to testing errors, etc. All we can do is hope for the best for you John, and if he has to start the SRT route, you guys are well prepared.

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% cancer, 1 pos margin
Post Surgery  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, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 10/16/2009 8:04 AM (GMT -6)   
David, I was being (half) facetious when I mentioned the possibility of John's PSA going down ... but the way things have been going, after all the testing and anxiety these past couple of months, it wouldn't surprise me if his PSA is down (I don't expect it to be).

We are fully prepared to start the SRT process and, if at all possible, would like to get it all done before Christmas but, it will be what it will be.

Enjoy the weekend, my friend ... hope your days get a bit brighter and easier.

Sephie
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. Met with radiation oncologist and began process for salvage radiation. CT scan and bone scan done on October 8 (bone scan clean!).


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 10/16/2009 8:17 AM (GMT -6)   
Sorry, Sephie, lol, I tend to be one to take everything literally, not always getting the obvious in situations. But miracles can and do happen despite our frail human logic.

I should be through with mine by the end of American Thanksgiving, in fact the day after. Since my wife is a nurse, we never have holidays on the actual day, so ours will be postponed till after, which might make me more interested.

With my surgery last November 14th, I do not remember a single thing about last Thanksgiving, and if it weren't for a few pictures taken, wouldn't hardly remember Christmas last year.

This year, I want to be well enough to enjoy Christmas with my family.

Once your John starts his SRT, assuming that is still the case, the sooner he get through his next hurdle. Hoping for the best.

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% cancer, 1 pos margin
Post Surgery  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, 8/9 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl.agree to start radiation, mapping on 9/21/9, 9/24 - mtg with uro/surg, 9/29- pre-op, 10/1 - 3rd corr. surgery - suprapubic cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.

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