Biopsy finally done

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compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 11/30/2009 1:29 PM (GMT -6)   
Hi. All went
 smoothly. Sedation is the way to go. I only had very light sedation.
 
I asked doc about doing more than 12 cores, but she wanted to do only 12.
 
I'm back at the motel. Still under the influence. However, it's wearing off. But and testicle are starting to ache. No big deal.
 
I'm  hoping things keep going smoothly. If so (no complications), I'll be home tomorrow.
 
I should have results by Tuesday next week or sooner Could be Friday.
 
Obviously I am very early in this journey. 
 
Mel

PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro!
 
History of BPH/prostatitis.
 
Awaiting results of my PCA-3 test which will determine whether a biopsy is in my immediate future. Just in: BAD NEWS: PCA-3 = 75.9! Cut-off is 35. Biopsy scheduled for 11/30


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 11/30/2009 1:33 PM (GMT -6)   
Compiler, congratulations on completing the first part of your journey. Now, the hard part - waiting for results. I know I speak for everyone here when I say that we hope the results are good and that your journey has ended. But, should the news be PCa, know that there are many good and kind souls here who will help you along the rest of your journey.

Rest up and relax.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (single small EPE in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Final Gleason 3+4 SA. PSA: 0.0 til July 2009. August 2009 PSA was 0.1, in September it was 0.3 Met with radiation oncologist, CT scan and bone scan clean. Third PSA on October 16 - PSA BACK TO UNDETECTABLE! Next PSA scheduled for early December. No radiation treatment at this time!


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 11/30/2009 1:48 PM (GMT -6)   
Glad you got that behind you. See, wasn't so bad. A 12 core sampling is a pretty typical first pass biopsy. The waiting part is what drives everyone crazy, so just keep busy on the rest of your life. Until you get the results, there is nothing you can possibly do about the subject.

If it comes back squeaky clean, that will be great. Sometimes they will come back with a lot of High Grade PIN, and if so, your dr. might want to do another one in a year (this happened to me), or if they see any suspicious "shadows", then they may want to do another one in a couple of monthsw (this happened to me after the 2nd one).

I hope you get the all clear signal from these results, and then you won't have to think about PC. Once you have it, you never get it completely out of your mind, no matter how well one is doing. So hoping the best for 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
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 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 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 11/30/2009 2:47 PM (GMT -6)   

Mel,

Will be hoping for good results on your test. But if not then rest assured you are in EXCELLENT HANDS on this forum. The support is overwhelming!

Larry


Age 55 / age at diagnosis 54, PSA 5.1
Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
Final Path report:
20% of the prostate Invovled
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear, Positive Margin Noted in Right Apex
 
First post Surgery PSA - 0


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 11/30/2009 2:56 PM (GMT -6)   
Mel- good going glad to hear that it went alright.

Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 11/30/2009 3:27 PM (GMT -6)   
Mel,

Good going, glad that's done. Now try to relax for the next week, will ya?

I was talking with Arletta today and she mentioned that you two had spoken. I told her your biopsy was today and she said she thought you were real nice but hoped she wouldn't have to meet you in person. She said she would say a prayer for you that the results came back clean.

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
Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Stage: T3a
Tumor Volume 12.5%
NERVES SPARED-positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT scheduled to begin Nov 30,2009 (74 days post surgery)


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 11/30/2009 3:34 PM (GMT -6)   
Sonny:
 
Yes, Arleeta was very  nice.
 
My biopsy comments so far: I am in some pain so I might take some  tylenol. So farnot real bad.
 
First pee was very slightly tinged and I think I passed a very small clot. Second pee was clear. I'm surprised.
 
Mel
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro!
 
History of BPH/prostatitis.
 
Awaiting results of my PCA-3 test which will determine whether a biopsy is in my immediate future. Just in: BAD NEWS: PCA-3 = 75.9! Cut-off is 35. Biopsy scheduled for 11/30


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 11/30/2009 4:15 PM (GMT -6)   
Mel: I just new that things would go well for you. Congrats.

Jeff T
Cajun Country
Jeff T Age 57

9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable

10th month PSA <0.01
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.


Zen9
Regular Member


Date Joined Oct 2009
Total Posts : 310
   Posted 11/30/2009 4:36 PM (GMT -6)   
Well done!
 
Now chill and forget about all this cancer stuff.  cool   You're a math professor, right?  Spend the next week solving the Riemann Hypothesis....
 
Zen9
No family history of PC.  PSA reading in 2000 was around 3.0 .  Annual PSA readings gradually rose; no one said anything to me until my PSA reached 4.0 in September 2007, at which point my internist advised me to see a urologist.   
 
Urologist advised a repeat PSA reading in six months = 4.0 .  Diagnosed May 2008 at age 56 as a result of 12 core biopsy.  Biopsy report by Bostwick Laboratories = Gleason 3 + 3.
 
Interviewed two urologists - the one who did the biopsy and another - the latter had the biopsy slides re-examined = Gleason 3 + 3.
 
Then went to M. D. Anderson Cancer Center in Houston in July 2008 and met with a urologist and a radiologist.  Biopsy slides re-examined yet again, this time by MDA's internal pathology department = Gleason 3 + 4. 
 
Chose da Vinci surgery over proton beam therapy; surgery performed at M. D. Anderson Cancer Center on August 15, 2008.  Post-operative pathology report = four tumors, carcinoma contained in prostate, clean (negative) margins, lymph nodes clear, seminal vesicles clear.  Gleason = 4 + 3.
 
Minor temporary incontinence; current extent of ED uncertain due to lack of sexual partner; refused treatments for ED as being pointless under the circumstances.
 
PSA readings:
 
November 2008 = <0.1 ["undetectable"]
June 2009 = <0.1   
 
 


Rolerbe
Regular Member


Date Joined Dec 2008
Total Posts : 235
   Posted 11/30/2009 5:12 PM (GMT -6)   
My 'waiting' experience was different than the norm, but definitely not better.  I saw the biopsy as merely a nuiscance to show that the high PSA was an anomaly.  Couldn't possibly be anything serious.  Not to me.  Totally forgot about it in fact.  Nothing floored me more than the phone call from the Uro with the results.  I was totally unprepared. :-(

51 YO
PSA at Dx: 8.2
DaVinci RALP: 10/31/08 -- Great MD in New Haven, CT
Negative margins, no extra-capsular involvement
One nerve spared
PSA at 0 for just over a year now.
 
 


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 11/30/2009 6:00 PM (GMT -6)   
Mel,
Be sure you are in the shower the first time you jack off. It looked like the "Psycho" bathtub scene when I did it. They said a little blood - Ha! It was a slaughter. It feels the same, just looks awful. My wife would have shot me if I had left her with that mess! LOL Best to take care of it yourself. It will go away over a few weeks. It gets browner and thinner as time goes on.
Paul
46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
One year PSA - undectable!

ED Website: www.FrankTalk.org - frank discussions of Erectile Dysfunction - check it out.


grouchytx
Regular Member


Date Joined Oct 2009
Total Posts : 32
   Posted 11/30/2009 6:26 PM (GMT -6)   
I am glad it went well. As stated by others......patience.
Age: 63
 
Gleason: 8 (5+3) Biopsys ranged from 90% to 100%
Refused surgery and hormone therapy. Doctor really made an argument for benefits of hormone therapy, I could not accept the consequences.
 
28 IMRT treatments.  Originally scheduled to get seed implants but doc decided that due to my prognosis High Dose Rate Brachythrapy was a better path to attempt.
 
PSA: 13
 
Let the chips fall where they may.


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 11/30/2009 7:15 PM (GMT -6)   
Good news! As far as those buckets of unused worry, treat them like Thanksgiving leftovers`-- stuff them in the back of the freezer until you forget what they are.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 11/30/2009 8:14 PM (GMT -6)   

 

    Oh Paul, the story I could tell.....totally spaced out on that front after. My girlfriend ended up making Dr's appointment and the whole nine yards........uhmp, still not lived that one down! She's still here though.. smilewinkgrin


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 11/30/2009 8:21 PM (GMT -6)   
Happy you have it behind you. Now the waiting game begins. As for the sex stuff, I was so stressed I could not get an erection after diagnosed. I guess they removed the bloody semen when my prostate was removed!
 
Age 49
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
12 month  PSA <.04 (low as the machine will go)
continent at 10 weeks (no pads!)
ED is still an issue but getting better

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