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New Member

Date Joined Nov 2008
Total Posts : 6
   Posted 2/6/2010 3:08 PM (GMT -6)   
Diagnosed 2001 with a psa of 7, gleason 7. Seed ,radiation 2001 with psa 0.1 or less for 6 years then 2008 recurrence with psa"s of 0.16,0.23,0.20,0.30, 0.30,0.26 and 0.30 last week. My doc wants to continue "watchful waiting". Any suggestions or thoughts? Thanks, Ron.

DS Can
Regular Member

Date Joined May 2009
Total Posts : 195
   Posted 2/6/2010 3:31 PM (GMT -6)   


I see from checking your history that you were 62 in November of 2008.  This may be helpful information to others.   I'm sorry that I don't have any advice for you, but wish you the best.


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

Elite Member

Date Joined Oct 2008
Total Posts : 25355
   Posted 2/6/2010 3:36 PM (GMT -6)   
Ron, I think you make the list for having seeds the longest here of the men that have undertaking seeding. Could be wrong on that point. Not sure what to advise you in your situation, don't know what your options are. Hopefully Tudpock and JohnT in particular, will see your post and give you some direct advice, as both of them have been seeded.

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

John T
Veteran Member

Date Joined Nov 2008
Total Posts : 4170
   Posted 2/6/2010 6:11 PM (GMT -6)   
To me it just looks like normal psa variation. I've seen guys that have had psa rise to 5 or 6 only to drop again. A rise of 2 points above your nadir would be indicative of a reoccurrance. Don't forget you still have prostate tissue that is generating psa. Post this on Prostatepointers seedpods and you will hear from a lot of guys that have had their psa rise only to drop again.

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.


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