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LuvMyDAD
Regular Member


Date Joined Dec 2009
Total Posts : 315
   Posted 1/21/2010 11:24 AM (GMT -6)   
Okay so Dr. from Sloan just called us. The path report has been downgraded. Originally my dad was gleason 9, T3b, this was another hospital's rating. Now he is T3a gleason 7. Thankgod!!!!!!!
Okay now I can kind of move on with my life...
Just wanted to share with you guys!
LuvMyDAD
 

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 1/21/2010 11:27 AM (GMT -6)   
Luv,

That is a grade better on the staging and 2 better on the Gleason, very very happy for you and him, may that give you both encouragement for his 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
Post SRT PSA: 1/10 .12
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/10 - Corrective Surgery #4, and Caths #11 and #12 in at the same time


medved
Veteran Member


Date Joined Nov 2009
Total Posts : 1096
   Posted 1/21/2010 11:38 AM (GMT -6)   
Terrific news. As someone who lived through a long battle with my dad's prostate cancer, I am very happy for you.
Age 45.  Father died of p ca. 
My psa starting age 40: 1.4, 1.3, 1.43, 1.74, 1.7, 1.5
 


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 1/21/2010 11:42 AM (GMT -6)   
Now that is good news and something like that does not happen everyday. Good to hear and hopefully it will ease the anxiety.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margin slightly involved
2 pads per day, 1 depends but getting better,
8/5 1 depend at night only, now none
 started ED tx 7/17, slow go
Post op dx of neuropathy
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5
Starting IMRT on 1/18/10
Great family and friends
Michael


LuvMyDAD
Regular Member


Date Joined Dec 2009
Total Posts : 315
   Posted 1/21/2010 11:49 AM (GMT -6)   
Thank you guys! Its kind of funny, as soon as I heard, I signed on just to share with you guys! You all are amazing. I can see now some light at the end of the tunnel.
Uhh now maybe I can focus on this stupid bar exam, I have spend more time on yana and uptodate then on my law books lol.
Love you all,
Lynne

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 1/21/2010 11:56 AM (GMT -6)   
Lynne, I will fuss at you then for a change, get back to your law books and ace your bar exam, that is the best thing you can do for your dad right now, excel and make him proud.

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
Post SRT PSA: 1/10 .12
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/10 - Corrective Surgery #4, and Caths #11 and #12 in at the same time


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 1/21/2010 2:15 PM (GMT -6)   
Lynne,
You have every right to be thrilled with this new report. That is truly great news that deserves a celebration. Going from Gleason 9 to a 7 makes a lot of difference.
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 in circumference.
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


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 1/21/2010 3:46 PM (GMT -6)   
Lynne, This is just fantastic news not lets got on the books. Time to think about yourself. Dad want you to be successful. I know he must be very proud of you.

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.
15 months out injections Caveject (success)


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/21/2010 5:44 PM (GMT -6)   
Great news, glad to hear he was downgraded...
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, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN


Geebra
Regular Member


Date Joined May 2009
Total Posts : 476
   Posted 1/21/2010 6:07 PM (GMT -6)   
Wow! This is not just a downgrade, this is in a different park. G7 v G9 is significant, but subjective and therefore understandable. T3a v T3b is more binary - is there or is there not cancer in seminal vesicles.

Sloan is a very respectable place, so I wouldn't doubt their result. This is indeed a great news!

Very happy for you and your dad.

Greg
Father died from poorly differentiated PCa @ 78 - normal PSA and DRE
5 biopsies over 4 years negative while PSA going from 3.8 to 28
Dx Nov 2007, age 46, PSA 29, Gleason 4+4=8
Decided to participate in clinical trial at Duke - 6 rounds of chemo (Taxotere + Avastin)
PSA prior to treatment 1/8/2008 is 33.90, bounced on 1/31/2008 to 38.20, and down at the end of the treatment (4/24/2008) to 20.60
RRP at Duke (Dr. Moul) on 6/16/2008, Gleason downgraded 4+3=7, T3a N0MX, focal extraprostatic extension, two small positive margins
PSA undetectable for 8 months, then 2/6/2009 0.10, 4/26/2009 0.17, 5/22/2009 0.20, 6/11/2009 0.27
ADT (ongoing, duration TBD): Lupron started 6/22/2009
Salvage IMRT to prostate bed and pelvis - 72gy over 40 treatments finished 10/21/2009
PSA 6/25/2009 0.1, T=516, 7/23/2009 <0.05, T<10, 10/21/2009 <0.05, T<10


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 1/22/2010 7:37 AM (GMT -6)   
Luv, congratulations on this wonderful news! That's quite a downgrade from a G9 to a G7...really fabulous.

Now, on with life.
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. PSA: 0.0 til July 2009. August 2009- 0.1, September 0.3, October back to 0.0, December 0.0. Thank you God!


Jim B
Regular Member


Date Joined Mar 2009
Total Posts : 45
   Posted 1/22/2010 9:29 AM (GMT -6)   
Great news. Thank you so much for sharing.

Jim B
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; Apr 09-9.97; (start HT again) May 09 1.84; Aug 09 0.37; Oct 09 0.32; Dec 09 0.37
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
Bone scan in Nov 09 - NO CHANGE WOO HOO!


soulmate 101
Regular Member


Date Joined Jan 2010
Total Posts : 57
   Posted 1/22/2010 10:08 AM (GMT -6)   
I just found this forum and it is so wonderful to read this great news. Your relief is palpable.
Husband, age 57, diagnosed in December 09, Gleason 4+3 = 7 stage T2c, laparoscopic nerve sparing Da Vinci robotic radical prostatectomy 1/13/10, clear surgical margins no lymph node or seminal vesicle involvement.
Let the healing begin...


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 1/22/2010 12:46 PM (GMT -6)   
Wow! -- Two giant steps back from the edge of the cliff. Now the worry becomes much more intermittent -- psa test to psa test

Speaking of tests -- David was right on the mark. Give a big grin of relief and get back to those books.
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

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