Strum's Snipets from 'The Primer on PCa 2nd edition'~ #1 of 10 coming

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zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 12/2/2009 9:04 PM (GMT -6)   
Todays words from 'The Primer on PCa' (facts) on PCa for newbies and all of us:
 
(Per Dr. Strum):  'It is estimated that 50% of men over 50 and 70% of men over 70 have some form of prostate cancer. Some of these cancers are life threating, but the majority will grow so slowly as to never be a threat to life, so more men will die "with" prostate cancer than "of" it.'  (( Now in my words-of course that does not sooth us high risk folks and non-cured types, but atleast we know how the disease is in general ))
 
'Be aware that some medical specialists will steer you in the direction of their specialty and often will understate the risks involved with their treatment of choice'.shakehead
 
(Salvage Therapies)- 'In general, if an unfavorable outcome regarding cancer is encountered with local therapy such as RP or RT, there is usually some restorative treatment option or salvage therapy available. For example, following an RP, radiation treatment to the prostate bed can be used 'if local recurrence is documented to the be restricted to this area only'.  Similarly, following local RT failure, salvage RP or slavage cryo may be employed if the recurrence is confirmed to be local rather than systemic. Androgen deprivation therapy is another option for either local or systemic disease activity detected after any local therapy'.
 
'The goal of PC treatment, it is often said, is to be sure that the patient lives long enough to die of something else'.  smile
 
'If you are uncomfortable with your doctor, change doctors until you find one you trust, one who will take the time to examine you properly, answer your questions, and address all of your concerns, both physical and emotional. Perhaps write down your questions in advance of your next appointment(s)'.cool
 
((Now my own words- some of this was real basic and intended for the newbies or the ones starting on this journey of PCa, always need to start with the basics))
 
Hopefully the following coming Snipets might be useful to someone.yeah  

Post Edited (zufus) : 12/2/2009 7:12:56 PM (GMT-7)


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4269
   Posted 12/2/2009 9:08 PM (GMT -6)   
Keep them comming.
JT

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

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