Urologist visit today.

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maldugs
Veteran Member


Date Joined Jun 2007
Total Posts : 789
   Posted 1/27/2010 3:34 AM (GMT -6)   
Hi everyone,saw my Uro today, he said he was quite happy with the PSA staying at 0.6 after being 0.5 for 2 1/2 years, he also was happy with no doubling time or sharp rise. In his opinion said he would be very surprised if the cells sending the PSA had moved out of the pelvic area, were probably lying dormant in a lymph node close to the prostate site.

The team is happy to monitor me at the moment, and I am to see my Oncologist on 2nd August, they said they have lot's of weapons, (HT and chemo) that may come into play at a later date if necessary, but said they have one patient who has been 0.7 for 6 years, and feel I might be the same.. so on with life we go. yeah

Best regards to all, Mal.
age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7 right side tumour adenocarcinoma stage T2a
RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck,are free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.

Post op PSA 0.5 26th Sept. Totally dry since catheter removed
PSA 23rd Oct.0.5 seeing Radiation Onocologist 31st Oct.
Started radiation treatment on 5th Dec, to continue until 24 Jan. 08.
Finished treatment, next PSA on 30th April.
PSA 30th April 0.4
PSA 30th July 0.5
PSA 27th Oct 0.4 (I am now 68)
PSA 11th March 09 0.5
PSA 3rd August 09 0.6
PSA 25th November 0.6 (I am now 69)
PSA 18th Jan 09 0.6


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4833
   Posted 1/27/2010 6:40 AM (GMT -6)   
Great News...
Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


skeener
Regular Member


Date Joined Dec 2009
Total Posts : 214
   Posted 1/27/2010 7:20 AM (GMT -6)   
Nice to check the forum in the am and read this kind of news.
 
Here's hoping you have years and years of favourable readings!!
 
Skeener 


Age:  63 
Biopsy: May 09 showed 2 of 12 cores positive for prostate cancer -- 1 at 5% and 1 at 25%.  Cancer indicated as non aggressive.  Gleason Score: 3+3.
RRP on Oct 23/09 in London, Ontario.  Excellent surgeon. 
7 Weeks Post Op -  The fears I had about bad things about the operation and recovery did not materialise except of course ED!!.  Otherwise, everything went very smoothly.  Incontinence not a problem.  Wear a pad when out just in case. Pain was never a problem.
Pathology:  Unremarkable 
First followup PSA and Visit: Feb 07/10.      


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 1/27/2010 9:30 AM (GMT -6)   
mal, that is great news about it staying steady, to me: the number sounds high, but i guess the point is that it is not climbing or trying to double anytime soon, so that is a different set of circumstances. hope this is one holding pattern that you stay in for years to come.
perhaps you can get back to relaxing and enjoying the things you love to do, but still keep a trained eye on that annoying psa.

my best to 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
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


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 1/27/2010 10:55 AM (GMT 0)   
Mal, thanks for the update----glad to know you are steady in the course of your journey. Wishing you a lifetime of them..
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


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2229
   Posted 1/27/2010 10:56 AM (GMT -6)   
Great Mal and I hope that number continues to be your forever PSA.
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


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4235
   Posted 1/27/2010 12:52 PM (GMT -6)   
Mal,
50% of extra capsular extensions never progress, so the odds are with you.
Great news,
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


geon
Regular Member


Date Joined Oct 2007
Total Posts : 103
   Posted 1/27/2010 1:57 PM (GMT -6)   
Mal.
Hope this news helps you a little more comfortable.  Great news! Just stay on top of it. Best wishes and prayers.
Marc
66 years old 01252010; healthy; active,
married 43 years, good strong erections before surgery.
DaVinci Prostate Removal February 5, 2007
2/12 samples malignant.
Catheter removal 2/13.
Viagra 25mg every other day from 2/14 to 5/12. no help.
Incontinence almost gone after three months.
No pads, occasional  dribble.
Lavitra every other day 5/12 to 7/22. no help.
Muse 1000mcg - no help (50% at best). little help.
Cialis twice a week 7/25/07 to 11/6/08. no help.
Vacuum pump - Huge erections but not useable.
Trimix injections started.  0.09cc is great! 10/08/07.  Still good at 0.10CC and stimulation.
First drug induced erection 10/8/07....Wow!
Natural erections - 0 as of 2/5/07.
PSA's, many to date undetectable.  Thank God!
Total ED...Since 2/5/07  URO took me off oral drugs 11/2008.
Geon


Jerry1
Regular Member


Date Joined Mar 2007
Total Posts : 460
   Posted 1/28/2010 11:25 AM (GMT -6)   
 
Mal,
 
Comforting news that your PSA is holding steady.
 
Jerry1
Age 70
DX 8/13/08 , PSA 4.0, Biopsy 14 samples 1 positive 12% of sample,
Gleason Score 4+4 =8  Bone scan and MRI negative
Da Vince surgery on Oct 17, 08 Florida Hospital Dr Vipul Patel
Post Gleason report  4+4 = 8 Lymph nodes on both sides negative
margins Negative  Stage II (pt2a) 
Cath out on October 29th left in longer due to small leak.
11/19/08 dry no more pads
12/2/08 first PSA <0.1
 3/6/09 6 Month PSA 0.0
6/3/09 9 month  PSA 0.1
7/14/09  PSA still 0.1
10/15/09 PSA 0.3
10/26/09 surgery to remove 3 clips in bladder neck  
11/16/09 PSA 0.3
12/14/09 PSA 0.4 
12/28/09 PSA 0.5
Start radiation treatments ib January 18th. 


larryandangieohio
Regular Member


Date Joined Jan 2010
Total Posts : 44
   Posted 1/29/2010 1:30 PM (GMT -6)   
Great news Mal ... CONGRATS!!!!! Since I'd due to have my post PSA I've been watching checked next week, I'm excited to see others getting good results!

Age:58  PSA 8/06 8.74,  10/09 7.46,  12/22 6.50 Needle Biopsy  11/10/09: 16/16 cores positive 2 - 85% of tissue,

Gleason score 7 (3+4 with tertiary pattern 5). CT,Bone, and PET scans all negative.

Da Vinci laparoscopic prostatectomy performed on Jan. 07, 2010 at IU Simon Cancer Center…  Indianapolis, IN  Prostate size: 42 g Gleason score (primary + secondary):  4 + 3 = 7

Primary pattern (%):4, 60%  Secondary pattern (%): 3, 35%   Tertiary pattern (if present) (%): 5, 5%

Histologic type: Adenocarcinoma   Variant histology present: No   Multifocality: Yes

Extraprostatic extension: Yes   Seminal vesicle invasion: No   Cancer at surgical margin:No  

Bladder neck involvement: No    Lymph-vascular invasion: No    Perineural invasion: Yes

Catheter removed Jan-19-10  Dry Nights 2 pads/day  Baseline PSA checkup appt 2/3/10

 

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