What a strange disease.

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BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 12/10/2009 6:33 AM (GMT -6)   
I have just received my latest PSA at 28 months post surgery which came in at <0.01. While naturally pleased each positive PSa result causes me to dwell a little on the various courses of this disease. I am at times stunned by its twists and turns. My post surgery pathology was positive for focal extension. One pathologist said Gleason 4+4/8 and a second opinion on the pathology said 4+3/7, both reporting very substantial extent in both lobes of the gland including extensive perineural and vascular involvement. To be honest, although an eternal optimist, I was fully expecting to have a recurrence before I got this far (I have met with rad and medical doctors and have a course of action planned should that come to pass). Yet here I am so far so good. Then I begin to reflect on the journey of some of my brethren here on the forum and elsewhere. I see guys with Gleason 6 or 3+4/7 with low pre-treatment PSA and low volume tumour and wham, there is no relief or there is a quick relapse. This bloody disease just does not play fair.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)
PSA February 09 <0.01
PSA August 09 (2 year mark), <0.01
PSA December 09 <0.01

My Journey: www.yananow.net/Mentors/BillM2.htm


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 12/10/2009 8:15 AM (GMT -6)   
Hey Bill this is like you have stated and it is not just: snip/rad/seed + salvage and call it all history, might be and might not be.

Some adjectives put on this (LOL)- jungle, twilight zone, limbo land, dragon, beast, snipers, quicksand......

Like another brother herein says (quoted John McEnroe's tv ads): "you can't be serious"?
(kudos to the guy whom posted that one prior in a thread)

It must be totally unreal for the newbie guys coming here and seeing so much and so fast that it makes Calculus look like 2+2 and you can handle it after reading Chapter 1 and pitch the book.

STORYTIME on PCa patient from years ago now: this was years ago now, guy had a suspecious psa number and went to uro-doc basically religiously and all the normal tests, got biopsies and nothing found, next year came back and same thing re-biopsied and nothing found.....guess what not much later more tests and another biopsy and found with more than he wanted to know about and was a fairly high stage I remember (vaguely now). He did everything right as a patient and still met up with the dragon(fire breathing version too) and was literally blind sided by this. So if one looks like headed towards psa doubling and high velocity...get your armor ready and load the brain with ammo is probably worth while.

Peace on Earth

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/10/2009 10:12 AM (GMT -6)   
Billy,

Enjoyed the chat last night with you. So glad to wake up this morning and hear that you got your zero, congrats my friend.

Your point is one that I have tried to make before, PC has a mind and course of its own. Guys like me that shouldn't have had reaccurance quickly did, and guys with stats that would make you think they would, like yours, don't, (Which I am glad you are fine).

Its a fickled beast at 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
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, Cath #9 in 35 days, 12/7/9 - Cath #10 in place


creed_three
Veteran Member


Date Joined Jan 2007
Total Posts : 762
   Posted 12/10/2009 10:22 AM (GMT -6)   
Hi Bill,
This is great new to hear of you PSA. I think personally that it is a fair call though (You getting another all clear!) - but the unpredictable outcomes are perplexing as you say. Anyway, you are set for a good festive season, so go celebrate and have one for us!
Then, get out on that golf course, and start working on that swing! cheers, Lana
Creed_three (Lana) - with husband "CJ" now aged 52 yrs (49 years at diagnosis).
PSA (2002) 2.1. (2006) 3.5.  1 x 5% core of 12 positive at biopsy. Open Radical Prostatectomy with nerve sparing April 2007 Sydney, Australia. Gleeson 3 + 4 = 7. 2 small multifocal lesions. Contained. Undetectable <.1 PSA since: June 2007-0.01, Oct 2007-0.02, April 2008-0.02: Oct 2008-0.03, Nov, 2008-0.02, April 2009-0.03. Next PSA April 2010.


zachattack
Regular Member


Date Joined Dec 2009
Total Posts : 97
   Posted 12/10/2009 11:06 AM (GMT -6)   
Hi Bill

I was bummed out when I was dxed with pc.I had the surgery,thought all was good.Then at 6 months post they hit me with the fact that they did'nt get all of it . and now I get to go through 9 weeks of radiation.This disease has a mind of it's own! best of luck to you and your's.

Zach
age 55dx 12-2008,psa at biopsy 8.6
biopsy 12/12 gleason 3+4=7
da vinci surgery 6-09 by DR. John W. Scott (my hero)
Hospital 3 days cath 7days still leaking from cough(bad lungs)
still have ed may be the hormones.
9-09 psa 2.2 hormone inj
10-09 nuclear bone scan no results yet I will have gold markers placed 12-29-09
start rad 1-10-09
organ confined
extracapsular seminal vesicle involvement
lymph node involvement


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 12/10/2009 12:24 PM (GMT -6)   
Congrats for the zero, and for building a string of them. Also thanks for your thoughts as to the nature of this disease.
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
24 mts: PSA's: .04 each test since surgery, Bimix .3ml PRN or Trimix .15ml PRN


O Buddy Boy
Regular Member


Date Joined Oct 2009
Total Posts : 106
   Posted 12/10/2009 12:45 PM (GMT -6)   
Congrats with the Zero.

"Prostate Cancer disease not play by the rules."

That is what the senior doc at my clinic told me post-op as he made his rounds. He could not stress it enough.

Just gotta sit back and enjoy life as it comes.

Took this cancer to teach me the lesson. S'pose everything has a silver lining, just hope there are no PCa cells in it.

OBB
55 yo
Dx:9/29/09
DRE: Susp
PSA: 3.5
Gleason: 3+4/7
6/12 Cores Positive; Sextants were 1%, 3%, 8%, 15%, 12%, 0%
RALP: 10/09/09
PATH:
Margins: Clear
Lymph Nodes: Clear
Seminal Vesicles: Clear
Gleason: No increase from biopsy 3+4/7
Some perineural and capsule invasion.
T2c,NO,MX
Incontinence: Minor. 1 light pad a day. Some days don't need it.
ED: Natural with encouragement. 20mg Cialis and pump just makes things more fun.


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4269
   Posted 12/10/2009 12:53 PM (GMT -6)   
Billy,
How right you are; 50% of positive margins don't ever have a reoccurrance and some clear margins do. Go figure. Just because you have a accurrate pathology after surgery doen't mean that you can act upon the information. You have to wait just like everyone else and see what the psa does.
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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/10/2009 2:32 PM (GMT -6)   
John, I think it's that "waiting" under either scenerio that is so cruel in the PC world. Like you say, a "bad" situation may prove good, while a "good" situation may prove bad. There is really no rhyme or reason with a lot of what goes on in PC.

That's why any of our decisions and/or advice are so difficult to make or give. Just about the time you think you have something figured out with PC, a trend perhaps, a consistency, poof, an exception or example can be found to that finding.

Guess we do what we already do, keep learning, keep digging, keep sharing, keep supporting, and hope for the best, not only for ourselves, but for all our PC brothers, present and future.

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, Cath #9 in 35 days, 12/7/9 - Cath #10 in place


Herophilus
Veteran Member


Date Joined Sep 2009
Total Posts : 664
   Posted 12/10/2009 2:44 PM (GMT -6)   

Yes congrats with the Zero!!! However, it is very striking and to me… an affirmation actually, of how individuals on this site are pulling for each other, that is evidenced in the very fact that you had thoughts/and shared those thoughts, for and with us.  Thank you very much!!! BTW had my first post op psa pulled today. I looked very closely at the blood as it entered the tube and didn’t see any PSA but I’m not really sure what I was looking for.  I hope to be applying for an application to the club.

Jack


Age 51, PSA 08/31/2009= 6.8, DRE Neg.
Biopsy 9/24/09 =10 of 12 positive. Gleason 6. 75% of one core.
da Vinci at Wash U, Barnes on 11/02/09
Pathology Changed Gleason to 4 + 3 = 7. Gleason 7 present in all 4 quadrants
All(4)periprostatic Lymph Nodes Negative, All(10)pelvic Lymph Nodes negative
Seminal Vesicles tumor free. No prostate extension


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4269
   Posted 12/10/2009 3:12 PM (GMT -6)   
Billy,
The following study may explain some of this. It catagorized positive and negative margins with risk catagories. If you are in a low risk group having a positive margin means little. It is much more predictive in an intermediate and high risk group. Again this points to the differnce in agressive vs non agressive PC. If you have non agressive PC your chance of living a long time is high regardless of the treatment or the margins.
http://prostatecancerinfolink.net/2009/12/10/7398/

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


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/10/2009 3:36 PM (GMT -6)   
Hero, i am rooting for your first post PSA score. We need you in the club.

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, Cath #9 in 35 days, 12/7/9 - Cath #10 in place


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2461
   Posted 12/10/2009 9:07 PM (GMT -6)   
Billy,
Congratulations and thanks for posting your insight into this unpredictable disease. I have similar pathology report to yours and hope to follow your footsteps.
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
8 months PSA test 10/9/09 result <0.1


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 12/10/2009 9:16 PM (GMT -6)   
Great news Billy

Mika
age at dx 54 now 57
psa at dx 4.3
got the bad news 1/29/07
open surgery Duke Medical Center 5-29-07
never more than 2 pads
ED is getting better
the shots work great, still can't give them to myself
two years of zero's


Jim B
Regular Member


Date Joined Mar 2009
Total Posts : 45
   Posted 12/10/2009 11:52 PM (GMT -6)   
Billy,

Congrats on your sting of zeros. I'm always happy to see the surgery guys get their chance to join that club.
Dx age 48 PSA 11.58
Biopsy Nov 04
4 of 6 specimens positive
gleason 4+5=9
Perineural invasion at two locations
40 radiation treatments Jan-Mar 05
PSA May 05 0.07
Aug 05 0.15
Feb 06 0.92
Oct 06 0.55
Sep 07 0.42
Mar 08 1.13
Aug 08 2.26
Nov 08 3.98
Jan 09 5.81
Mar 09 9.02
Bone scan in Nov 08- one spot in pelvic region 1.9cm with SUV of 11
Bone scan in Mar 09-two spots. Original now 2.5cm with SUV of 22 and 2nd spot less than 1cm with SUV of 7.8


Radical
Veteran Member


Date Joined Mar 2009
Total Posts : 739
   Posted 12/11/2009 1:15 AM (GMT -6)   
On ya Bill, looks like us 4+3 guys are doing just fine, lets keep it that way......Cheers Kev.
Age 51yrs
6 out of 8 cores positive 3 X 60% / 3 X 10%
PSA 4
Gleason Score 3+4=7
Stage T1c
Robotic Surgery 24/12/08
Upgrade Gleason Score 4+3=7 Gleason Differential 60%/40%
Stage T2c
Three small foci total volume <10%
Neg Margins and Nodes
Nil - Extraprostatic Extentions
Dry less than 1 week.
ED- okay with Meds.
PSA at 12mths remains 0.03
"Everyday in Everyway I get better"


STW
Regular Member


Date Joined Jun 2009
Total Posts : 292
   Posted 12/11/2009 12:33 PM (GMT -6)   
Just to reiterate how unfair it can be. My father went almost 35 years after surgery to PCa recurrence. Five years and 10 years are not magic numbers.
Diagnosed at 54
PSA 8.7 Biopsy 1/7/09
4 of 6 cores positive, one at 90%
Gleason 3+4=7 Neg bone scan 1/15/09
One shot Lupron Depot 1/27/09 Tax Season
RP 4/29/09
Neg lymph nodes, postive seminal vesicle, 1 positive margin
Gleason 3+4=7 with tertiary 5
Catheter out at 2 weeks no nighttime incontinence Pad free week 5
PSA 6/6/09 <0.1 PSA 9/10/09 <0.1


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 12/11/2009 5:21 PM (GMT -6)   
STW said...
Just to reiterate how unfair it can be. My father went almost 35 years after surgery to PCa recurrence. Five years and 10 years are not magic numbers.


shocked Wow!! That is the longest interval to relapse I have ever heard of or read about.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/11/2009 7:27 PM (GMT -6)   
Same here, Billy, I would have been so amazed to have made it 35 years after the fact, I barely made it 6 months.
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, Cath #9 in 35 days, 12/7/9 - Cath #10 in place


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7270
   Posted 12/11/2009 10:02 PM (GMT -6)   

Question for Jim B:

 

What does SUV mean?

Also, when they found those pelvic spots, can't they radiate just those spots?

 

Mel


63 years old
PSA-- 3/08--2.90;  8/09--4.01; 11/09--4.19 (Free PSA 24%), this after 45 days on cipro! DREs have always been normal.
 
History of BPH/prostatitis.
 
PCA-3 test: 75.9 (bad news, guaranteeing I have to do....):
 
Biopsy on 11/30/09
 
Biopsy Report—Prostate Cancer

5 out of 12 positive

Gleason 4+3. More specifically:

2 cores were 3+3 (one 5% and the other 30%) on one side. On the other side:

2 cores are 4+3 (5%)--

1 core 3+4 (30%)

no peri-neural invasion

prostate is 45 grams

Stage: T1C

 Latest: Have set up an appointment at Umich with surgeon, radiation guy, general medical oncologist on Monday, 12/14. Trying to also set up appointment with Dr. Menon at Ford Hospital. Looking at another reading of the slides.


Jim B
Regular Member


Date Joined Mar 2009
Total Posts : 45
   Posted 12/11/2009 11:54 PM (GMT -6)   
Hi Mel,

Standardized Uptake Value (SUV) as I understand it is a semi quantitative way to assess the activity in a given spot on a PET Bone Scan. They say that an SUV of 2.5 or higher is typically indicative of metastatic lesion.

They actually can radiate those spots and we probably will at some point. The drawback, however, is that to get at those spots they have to radiate through the bowels. I didn't tolerate that very well with the initial radiation and since I right now can't say for sure I have any pain associated with the spot, we are kind of just waiting. I've been really happy with the fact that since I went back on the lupron the spots have not grown any more. I don't know if the lupron has anything to do with that or just clean living.

By the way, I really do wish you all the luck in the world with your treatment. The last couple of weeks I lurked around the forum much more than normal and I am impressed with your tenacity in finding out as much information as you possibly can. Just remember, once you make your decision, it is your decision and never look back. You are making the best decision for you based on all of your education so be confident that you really are doing what is best for you. Once again, good luck.
Dx age 48 PSA 11.58
Biopsy Nov 04
4 of 6 specimens positive
gleason 4+5=9
Perineural invasion at two locations
40 radiation treatments Jan-Mar 05
PSA May 05 0.07
Aug 05 0.15
Feb 06 0.92
Oct 06 0.55
Sep 07 0.42
Mar 08 1.13
Aug 08 2.26
Nov 08 3.98
Jan 09 5.81
Mar 09 9.02
Bone scan in Nov 08- one spot in pelvic region 1.9cm with SUV of 11
Bone scan in Mar 09-two spots. Original now 2.5cm with SUV of 22 and 2nd spot less than 1cm with SUV of 7.8

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