bone scan and CT negative...doc strongly recommends hormone and radiation therapies....

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Veteran Member

Date Joined Feb 2010
Total Posts : 3771
   Posted 2/20/2010 1:41 AM (GMT -6)   
no more bad news was great news today....what a huge relief to hear that bone scan and CT were both negative :-).

my doctor, an open RP surgeon, strongly recommends a combination of hormone and radiation therapies because he feels that there's a 50% chance that any RP surgery would have to be followed by radiation because of microscopic spread of cancer.

my prostate is not enlarged but 12 of 12 cores are positive for cancer, three of which have a gleason of 3+4 and the rest are 3+3.

so the plan is lupron, seeds and then IMRT for five weeks. the doctor says with my numbers he has never seen a return of cancer after this treatment. he also said that if he were in my shoes he would undergo the exact same treatment without hesitation. the doctor was upbeat and optimistic, and believe me he's not one to blow smoke just to make you feel better.

four of us attended the consultation and we are all sold on this course of treatment.

the next step is the radiation oncologist. I feel that 90% of the weight of the world has been lifted off my shoulders even tho treatment has not yet begun.

thank you all for the support. i will keep you posted.

ed r.

Veteran Member

Date Joined Mar 2009
Total Posts : 739
   Posted 2/20/2010 1:58 AM (GMT -6)   
Good on ya, Ed ............stay positive mate, your looking good.....................Kev
Age 51yrs
6 out of 8 cores positive 3 X 60% / 3 X 10%
PSA 4 Gleason Score 3+4=7 Stage T1c
Robotic Surgery 24/12/08
Upgrade Gleason Score 4+3=7 Gleason Differential 60%/40%
Stage T2c Three small foci total volume <10%
Neg Margins and Nodes
Nil - Extraprostatic Extentions
Dry less than 1 week. ED- okay with Meds.
PSA at 12mths no change remains 0.03
"Everyday in Everyway I get better"

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4069
   Posted 2/20/2010 9:31 AM (GMT -6)   
Ed, Sounds like a plan. Making the decision can be difficult glad you get there. Keep us posted.

Jeff T
Jeff T Age 57

9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable

10th month PSA <0.01
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.
15 months out injections Caveject (success)

Ed C. (Old67)
Veteran Member

Date Joined Jan 2009
Total Posts : 2457
   Posted 2/20/2010 9:44 AM (GMT -6)   
Making a decision on treatment is the hardest thing to do. Having a course of action takes a load off your back. Here is wishing you the best from one Ed to another.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm in circumference.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1
11.5 months test 1/21/10 result 0.004

Regular Member

Date Joined Oct 2009
Total Posts : 420
   Posted 2/20/2010 10:00 AM (GMT -6)   
Ed -
Glad you have a plan in you can move forward. Also sounds like you went to a great doc. I'm already on a similar path of treatment ( no lupron or other hormones in my case) and have had no serious you won't either.  Regards,

Age -67 PSA - 4.5

Biopsy  (9/4/09) - Positive in 5 of 8 cores. In those 5 cores, 5 of 11 samples were positive. Gleason 3+3=6. Stage – T1C  Ct and Bone scans negative.


BT performed on 12/11/09. 84 seeds of Palladium 103. Surgery at 7:30 - Home at 12:30 same day with no catheter. Blood in urine for a week. Side effects as expected -  some burning, frequency, urgency.   Resumed daily  1 ½ mile walk after 3 days. Side effects have subsided some in the last week.


BT followed with 25 IGRT treatments beginning Feb 15 (4500 Gy's). 


John T
Veteran Member

Date Joined Nov 2008
Total Posts : 4171
   Posted 2/20/2010 11:51 AM (GMT -6)   
Ask your doctor to consider Casodex and proscar instead of lupron. You will get the same effect in shrinking the prostate and tumor with about 20% of the side affects of Lupron. I went through the exact same treatment and have had no side affects. My radiologist also wanted to give me Lupron, but after a consult with my oncologist he was convinced that Casodex would be better and accomplish the same thing.

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.


James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 2/20/2010 3:12 PM (GMT -6)   
ed r., always glad to hear great news. Glad you have a plan and are feeling settled about it. Once you make a decision, it's time to begin getting ready for it. Increase you level of activity, get to exercising, each improvement will make your treatment and recovery easier..
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
32 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN

Veteran Member

Date Joined Feb 2010
Total Posts : 3771
   Posted 2/21/2010 10:08 AM (GMT -6)   
thank you all for the support and encouragement, as well as the suggestions. i asked a friend of mine who underwent a double mastectomy eight years ago "when did you start feeling better?" and she said "when they told me i wasn't going to die".

that seems to have worked for me too along with all the footwork i've done (meetings, talking, prayer, exercise). i've finally gotten my footing but i'm not kidding myself about the challenges still ahead....hell i haven't even started treatment yet.

call me a reluctant warrior but i am getting my game face on. with your support i believe i can do this. i'll keep you posted.

ed r.

Regular Member

Date Joined Mar 2007
Total Posts : 460
   Posted 2/21/2010 10:16 AM (GMT -6)   
Good news F8 the hardest part is deciding on the treatment and feeling you made the right choice.  Sounds like that is what you did.  Good luck with your treatments.
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 salvage radiation treatments on January 18th. 

Elite Member

Date Joined Oct 2008
Total Posts : 25356
   Posted 2/21/2010 11:12 AM (GMT -6)   

Having a plan in place that you and your drs believe in is half the battle, and usually a big mind relief. You will be joining what is now a growing number of brothers having the "seeds". When I first came to HW, that was a rare thing.

We are here for you all the way. Please keep us posted.

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, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days

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