Cancer Treatment Facilities

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BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 1/30/2010 1:33 PM (GMT -6)   
Hi all, I am a new member. Surgery March 08. Went very well. Results good organ contained, but Gleason upgraded from 7 to 8. First two PSA's good, .01. 9 month went up to .07, retest was .05. Must wait for further tests of course, but I am starting to think about the possibility that I will need further treatment. I had surgery at Hartford Hospital and I am seeing my surgeon for follow-up care. Hartford Hospial has a cancer treatment facility, the Grey Cancer Cancer, but I was wondering if it is worthwhile going to a national center for excellance. Locally there is Yale, Dana Farber, Sloan, and MIT. Any thoughts or experiences would be appreciated.
Dx with PC Dec 2008, PSA 3.4, Biopsy: T1c, Geason 7

LARP March 2009
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa April 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 1/30/2010 2:42 PM (GMT -6)   
BB welcome aboard. I dont know the answer to your question, but Lordy you seem to have some great choices. I go to a local clinic 25 minutes from home and it is part of a regional hospital located in another city. They have all the equipment of the Hospital such as IGRT &IMRT. I like the short drive to and from. My best to you and your family.
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


Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1210
   Posted 1/30/2010 3:09 PM (GMT -6)   
Hi BB_Fan,
 
Thus far your numbers are still quite low and there is hope that they might stay in that low range. I waited until my PSA reached 0.1 before having further treatment. You are fortunate to have such famous centers within your reach, but it is my opinion that it is more important to pick a very experienced Oncologist than a location. If it become necessary, I would choose the most experienced Doctor at a location that is within my reach.
Wishing you all the best in your journey.
 
Magaboo

Born Sept 1936
PSA 7.9
-ve DRE
Gleason's Score 3+4=7, 2 of 8 positive
Open RP 28 Nov 06 (nerve sparing), Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06, Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; 3 days before Rad Start=0.1
Salvage RT completed (33 sessions - 66 Grays) on the 19th Dec., 08.
PSA in Jan., 09=0.05; July 09=<0.04; JAN 10=<0.04


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 1/30/2010 4:00 PM (GMT -6)   
I agree with Mag in his post. You want the radiation oncologist with the most experience dealing with prostate cancer recurrance you have resources and ability to obtain. The actual delivery is done by techs, and most facilities have top notch hardware. The most important part is the mapping and planning done by the oncologist, that will determine where, when, and how much radiation you will need and get.

Just like surgeons, its all about the experience.

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


DS Can
Regular Member


Date Joined May 2009
Total Posts : 195
   Posted 1/30/2010 4:17 PM (GMT -6)   

Welcome BB_Fan,

I'm hoping that you'll be staying in the Zero Club for a long time and that you won't have need for any further treatment.

Dan


PSA 01/07 1.2, PSA 01/08 1.9, PSA 01/09 2.5
BIOPSY 02/24/09  PCa DX age 52
Right: 3+3=6, 3/6 cores 10% involved,PNI-Y
Left:  3+3=6, 1/7 cores <5% involved,PNI-N
LARP 04/09/09 nerve sparing. Final pathology:
GS 3+4=7, Margins uninvolved, 2 lymph nodes negative
Catheter out 04/17,1st no-pad day 05/03
Followup PSA 05/28/09,08/20/09,12/08/09 <0.1
 
 


medved
Veteran Member


Date Joined Nov 2009
Total Posts : 1096
   Posted 1/30/2010 5:56 PM (GMT -6)   
As others have said, hopefully you won't need further treatment. However, if there does come a time when you want/need to consider salvage radiation treatment, Dana Farber would be a very good choice. You could contact Dr. Anthony V. D'Amico there. Best wishes.
Age 45.  Father died of p ca. 
My psa starting age 40: 1.4, 1.3, 1.43, 1.74, 1.7, 1.5
 


BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 1/30/2010 10:04 PM (GMT -6)   
Thanks for the advice. Greatly appreciated. Hopefully won't need additional treatment. I think I will look into Dana Faber, as well as Grey. I guess I am pretty lucky to be located near several very good facilities. I am 90 minuts from Boston and 60 minutes from New Haven.
Dx with PC Dec 2008, PSA 3.4, Biopsy: T1c, Geason 7

LARP March 2009
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa April 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05

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