Might be interesting to SRT guys

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dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 1/21/2010 4:56 PM (GMT -6)   
Fellas:  As some of you know I just completed my SRT, I have been having some unrelated GI issues for sometime so my GI Doc. sent me for a CT of the Abdomen.  He knows my history so he decided to go ahead and have the pelvis done also and pass that on to my Onc. if anything happened to show up.
 
I filled out the Medical History portion of the paper that the Radiology Clinic gave me stating that I had just finished SRT so there would be no surprises to the Radiologist.
 
I had full pelvic radiation along with specific radiation to the base of the bladder.  Full pelvic radiation isn't really full pelvis, it targets the seminal vessels not the full pelvis, why they call it full pelvic I don't know.
 
I went and picked up a copy of my report a day after the CT and under the Pelvis area it states: "Calcifications are seen at the bladder base, the seminal vessels are atrophic."
 
It looks like the radiation hit its mark where it needed to.  While I laid on the table getting the radiation I used to wonder if it was really working or not.  I think I now have the answer.
 
Good luck to those of you going thru it right now and it will be over before you know it.
 
David 
 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-5.5
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HDRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
9/12/08- PSA <0.02 
12/05/08-PSA <0.02 Six months after surgery 
3/02/09-PSA <0.02 Nine months after surgery
5/02/09-PSA .10
8/17/09-PSA .21 Begin HT and set up for SRT to begin in 2 months.
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 1/21/2010 5:21 PM (GMT -6)   
David, that sounds like good news on your front. The jury is still out on my completed SRT as to whether it did the desired effect. I did not have the pelvic area radiated, other than some natural scattering, mine was concentrated in the prostate bed itself. Hope you continue to get good results from yours.

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


dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 1/21/2010 5:25 PM (GMT -6)   
Thanx David: mi casa su casa
 
David
 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-5.5
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HDRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
9/12/08- PSA <0.02 
12/05/08-PSA <0.02 Six months after surgery 
3/02/09-PSA <0.02 Nine months after surgery
5/02/09-PSA .10
8/17/09-PSA .21 Begin HT and set up for SRT to begin in 2 months.
 


Jakester
Regular Member


Date Joined Aug 2009
Total Posts : 285
   Posted 1/21/2010 7:43 PM (GMT -6)   
Thanks David, you gave me something to ask my radiation oncologist in my first visit tomorrow as to whether I'm getting my $ worth with a full pelvic. I haven't seen him since the initial consultation early December.

BTW, so far I'm making it to the gym for a brief workout each day as you recommended a few weeks back. Seems to be helping.

Good luck with the GI issues.

Jake
Diagnosed 8/2008 Pre-op psa 4.2, Age 60 at dx
7 of 12 biopsies positive 3+3
DaVinci LRP 11/08
Post Op pathology clear margins, confined to prostate, absent extraprostatic extension, vascular or perineural. Gleason 3+4=7, 5-10% of 4 and location in right mid-gland.
3 month psa .1 2/09, 6 month .1 5/09, 9 month .2 8/09
broke ankle bones 6/09
9/21/09 Bone scan clear, psa still .2
11/12/09 chest xray was clear, psa however up to .3,
01/05/10 psa still .3, radiation setup done with tats, 01/19/10 started 39 sessions 72gy


dkob131
Regular Member


Date Joined Apr 2008
Total Posts : 364
   Posted 1/22/2010 9:32 AM (GMT -6)   
Jake:  I always find that working out helps my mind as much or more than my body.  One other suggestion, at the end  of your radiation treatment the Rad. Onc. does a summary paper, its always a good idea to request a copy just so you have an idea how much radiation was given and where it was delivered.  Keep it in your files.
 
David
 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 PSA-5.5
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HDRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
9/12/08- PSA <0.02 
12/05/08-PSA <0.02 Six months after surgery 
3/02/09-PSA <0.02 Nine months after surgery
5/02/09-PSA .10
8/17/09-PSA .21 Begin HT and set up for SRT to begin in 2 months.
 


Jakester
Regular Member


Date Joined Aug 2009
Total Posts : 285
   Posted 1/22/2010 4:45 PM (GMT -6)   
David,

Thanks for the tip on picking up the summary report at the end. I don't know if this will help your GI problems but the radiation oncologist has me taking 1000 mg of fish oil three times per day and 4000 IU D3. His explanation was that this has been shown to help treat proctitis that may occur from radiation and he advises it as a preventive measure. I'm too early in the cycle to tell a difference.

Thanks again,
Jake
Diagnosed 8/2008 Pre-op psa 4.2, Age 60 at dx
7 of 12 biopsies positive 3+3
DaVinci LRP 11/08
Post Op pathology clear margins, confined to prostate, absent extraprostatic extension, vascular or perineural. Gleason 3+4=7, 5-10% of 4 and location in right mid-gland.
3 month psa .1 2/09, 6 month .1 5/09, 9 month .2 8/09
broke ankle bones 6/09
9/21/09 Bone scan clear, psa still .2
11/12/09 chest xray was clear, psa however up to .3,
01/05/10 psa still .3, radiation setup done with tats, 01/19/10 started 39 sessions 72gy

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