Met another interesting couple at the rad clinic. I realize that for most men, PC is slow moving, and most will die of something else other than PC, the stats are overwhelming. I realize that if a man lives to be old enough, most will have traces of PC. I think we all accept that as fact.
One of my concerns since being here a bit over a year, is that lots of remarks are made about "how much time a person has", and don't rush, etc. etc. In most cases I believe that may be safe advice. But look at this case I learned about today at the clinic.
Got this all from the guy's wife while he was being zapped. He was age 67 when dx with PC, all she remembered was Gleason 7, Stage2, didnt remember his PSA. He had open Surgery locally right away. Within 6 months, had reoccurance. He did the same 39 rounds of IMRT as salvage. He seemed ok while waiting for the radiation to settle down and to get some new readings on PSA, but complained all the time about bone pain.
He is 69 now (hate to say this, looked like 90), he is now Stage 4 and they are doing 10 treatments of Rad on him right now only as pain relief, as his wife said that it has metasisied to his hips and halfway up his spine. Not sure who his uro or rad oncl are, weren't local names I was familiar with. She said they are now giving him a year at best.
Point of the story, not all PC is slow. If Zufas sees this post, I will give him credit for one of his tenents, that there are varieties within PC, and this must be one potent variant. Felt so sorry for the wife, and for the man as well.
What I learned from my own URO and the Rad Oncologists I have met with, that any portion of Type 4 cancer cells in the mix can cause unpredicible results. We have guys here that are Gleason 7 like me, both in 4+3 and 3+4 formats, some have done great years after.
I like what is getting to be a current line of thinking according to my uro, that any Gleason 7 should be treated as if it were an 8, to be on the safe side. We sure need better testing, this is proof of that first hand. Outside of a miracle, I don''t think this new brother I met is going to make it.
I repeat this story, just to be a learning tool, not to scare anyone. Knowledge is strength, even if we don't like the news.
Just don't shoot the messenger.
David in SC
57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.33rd Biopsy
: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3Open RP:
11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09Path Rpt
: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marginPost Surgery PSA
: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16Latest:
7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped 9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sessions/72 gys.