After reading my pathalogy report (please, see my signature) following
open surgery on January 20th.,
by Dr. J. Chin, he has made an appointment for me with a Radition Oncologist for Feb. 26.
I have absolutely no idea as what to expect or ask from him. Does a radiation doctor automatically recommend
a radiation treatment ? If so, are there options ? What kind ? WHEN ?
When I was first diagnosed, all I could think of was, get the operation and get rid of the cancer. But that might not be, in my case.
Will some of you, PLEASE, have a look at my path. report and educate me as to what I should consider next.
Age, only 71.
July 2009, PSA 9.1, free ratio 0.16
September GLEASON 4+4=8, T2A
Calcium: 2.46 (range: 2.20 - 2.65 mmol/L)
25 Hydroxy Vitamin D: 102 (range: sufficiency:
76 - 250 nmol/L)
Bone Scan: Negative
CT Scan scheduled for Dec. 1st. Negative.
Started Casodex 50mg. on Nov. 6, first pill of 30.
Got Lupron 22.5mg ( 90 day ) on November 19.
No real side effects as of Dec. 15 except dry skin and hair but getting quite 'porky' in the belt area even though now I go to the gym, three times a week. Also I dont have a need to shave anymore so now I can save my 'shaving' allowance and direct it to my stash of Depends !
Christmas Day got my first hot flashes. Thanks Santa!
Open surgery scheduled for Jan. 22 by Dr. J. Chen
at London (Ontario) Health Sciences Centre.
Open surgery done on Jan. 20th. by Dr. J. Chin at London's University Hospital.
Cath removel scheduled for Feb. 8th. Yes, I know,
that will be 19 days. Dr. is out of country until then.
Gleason Score: cannot be determined due to therapy effects.
present, left radial, multifocal
present, left basal, multifocal
Apical: involved by invasive carcinoma, multifocal
Bladder Neck: involved by invasive carcinoma, unifocal on left side.Other: non-tumoural prostatic present at resection margin.
Perineural Invasion: present.
Seminal Vesicle Invasion: absent
Lymphovascular Invasion: absent
Lymph Node Status: no malignancy in regional lymph nodes
Additional path. findings:
high grade prostatic intraepithelial neoplasia
Pathology Stage: yp T3a NO MX
Now waiting for an appointment with a radialigist
Need to get this over with ASAP so this season
I can continue with motorcycling, sailing and enjoying life, TOGETHER with my wife, Debbie
who has been the most supportive wife possible.