So long, 0 club, it's been nice being a member.

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Im_Patient
Veteran Member


Date Joined Aug 2009
Total Posts : 665
   Posted 2/22/2010 11:56 PM (GMT -6)   
Well, I enjoyed being in the 0 club for nearly 2 years... guess I have to leave.
Had a visit with my doc (surgeon / urologist) to go over the 0.2 reading. She says that because I have been undetectable for as long as I have, that this puts me in a lower risk category. However, the 0.2 most likely means that the cancer is back, and that we don't really know where it is. We will watch the PSA more closely now (she figured 2 month intervals). I asked if it would be OK to monitor it at 1-month intervals at least for a few months - she said that she would put in a standing order for tests monthly. I also requested the more sensitive 2-decimal assay, and she readily agreed to that as well. She says that she would not be eager to start radiation, but that would be the next step, if it rises (we did not discuss when / how much it would need to rise). I'm watching a few of you guys that are going through the SRT now, to see how it goes - side effects, etc. hoping I don't need to follow you.

I have done some research, it appears that the risk of metastasis is tied to PSA doubling time. Less than 3 months seems to be a real concern. I'll be breathing easier after a few months' worth of PSA readings that don't rise.

Better yet, if it goes back down...

Any comments or relevant experiences are welcomed.

Jeff
Gleason, 3+4; PSA, 7.9
Robotic Prostatectomy, March 2008 (Age 48 then), nerves both sides spared, post surgery analysis confirmed 3+4 Gleason,
pT2c, prostate 60.2g, margins: negative; perineural invasion: present; lymphatic invasion: present; 3 lymph nodes removed, clear; seminal vesicle invasion: absent; Gleason 4 comprises 5-10% of carcinoma
PSA consistently <0.1 since surgery until Oct 09, 0.1; retested Oct 09, <0.1,
Jan 10, 0.2
retest Feb 1 confirmed 0.2


Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1210
   Posted 2/23/2010 12:19 AM (GMT -6)   
Hi Jeff,
 
I'm sorry to hear that your PSA seams to be on the rise. I know how devastating this news is because I went thru the same scenario few month ago. However, In my case we (Onc, Uro  and myself) decided to attack the beast more aggressively when my PSA reached 0.1. It is my understanding that attacking the cancer early gives the best chance of a positive outcome. I think that you are wise to closely monitor your PSA level very closely so that it won't get to far into the higher numbers.
I'm wishing you all the best and a successful conclusion to 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


Radical
Veteran Member


Date Joined Mar 2009
Total Posts : 739
   Posted 2/23/2010 12:48 AM (GMT -6)   
Sorry to hear the News Jeff, but I really do think you have got it early and lets hope for a positive outcome.  We hate losing members from the Zero club, so whats say I put a
"RESERVED" sign on your bar stool at the club......................Cheers 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"


pasayten
Regular Member


Date Joined Mar 2007
Total Posts : 437
   Posted 2/23/2010 2:19 AM (GMT -6)   
Jeff,
 
Sorry to hear about your PSA rise...   As you can see,  I had a similar issue.   I would always insist on the more accurate PSA test with the extra decimals...     a 0.2 could well be  0.16 -> 0.24...  a 0.1 could be 0.06 -> 0.14...   pretty hard to track the small rises rises and doubling times with the less precise tests.
 
BCR (bio chemical reccurrence) after surgery is defined in the literature at a PSA of 0.2 or 0.4, depending on the rpaper/study.  Another metric being used as an indicator for possible SRT is to see a 3 time consecutive rise in the PSA.   That is what happened to me.  My uro suggested SRT at this time even though I was only at 0.13.  The oncologist agreed.  I am also one that tends to want to attack possibility of BCR PCa the sooner the better, so I opted for SRT after more research the next couple of months.
 
Some of the literature suggests that early SRT (especially before it gets to 0.5) can prove to be beneficial in certain cases where the pesky PCa cells are likely to still be localized in the original prostate bed.  Characteristics supporting this are slight positive margins and a non-detectable PSA initially after the RP.  Then followed by small but steady rises in the PSA.  My post op patholgy and rising PSA seemd to fit those charateristics, so I started 32 seesions of IMRT  SRT for a 64 gys total dosage.   I am today at 18 sessionscompleted with 14 to go...   No side effects yet except for a little fatique/drowsiness.
 
Anyway,   google and poke around for more info...   as well as reading the posts on this forum.   And once again,  sorry to hear that you may have to leave the zero club for awhile...   I had to...   I pray that we can all be in the zero club and stay there!!!
 
pasayten
After 3-4 years of annual PSA 4-6, biopsy recommended
3/13/2007 - 12 point biopsy - Left 0/6  Right 1/6 Gleason 3+3 T1c
4/24/2007 - DaVinci performed at Virginia Mason hospital in Seattle
5/2/2007 - Catheter Out! Final pathology of Gleason 6  T2c Nx Mx, approx 20% of prostate involved, positive margin, but only at 2 focal points.  
6/28/2007 9 weeks incontinance... Overnite, went from 4-6 soaked pads a day from prev 8 weeks to 2 barely wet pads a day.
7/12/2007 11 weeks post-op  Minimal leakage...  one small pad a day
7/18/2007 First Post-Op PSA...  0.01 !!! 
9/10/2007 Pad free and ED at 75% with 100mg Viagra generic
6/26/2008 2nd Post-OP PSA at 14 months...  0.02 
12/2/2008 3rd Post-OP PSA at 20 months...   0.03
10/30/2009 4th Post-OP PSA at 31 months...   0.13 (moved and diff lab)
11/3/2009 Retest at my original lab...  0.11  (followup with Doc sched 11/10)
11/10/2009 Discussion indicated biochemical reccurrence and need for salvage radiation treatment. 
1/21/2010 Another PSA test at 34 months...  0.14
1/26/2010 IMRT Salvage Radiation Treatment started
                  32 sessions for 64 gys total.
2/20/2010 17 down and 15 to go...  No side effects to date except a little
tiredness.  Sometimes feel like a slight sunburn on the inside for a few hours after treatment.
 


pasayten
Regular Member


Date Joined Mar 2007
Total Posts : 437
   Posted 2/23/2010 2:46 AM (GMT -6)   

deer hunter
Regular Member


Date Joined Jan 2010
Total Posts : 246
   Posted 2/23/2010 6:23 AM (GMT -6)   
Jeff i 'm sorry you had to leave the zero club unfornately i was never in it do all the readingyou can to help you make the descion on what you need to do. We are here behind you and here to support what ever you decide. go to the web sites and read
Thoughs are with you
Deerhunter

In This Together Wife
Regular Member


Date Joined Dec 2009
Total Posts : 135
   Posted 2/23/2010 7:19 AM (GMT -6)   
Jeff,
Bummer--I am so thankful that you aware of what's going on and informed so you can make the best decision.  Keep us posted.
Rest well,
CareBear
(Bear's stats) Age 49
 8-4-09    Family Practioner for back pain  PSA 4.9
8-20-09  Consult with urologist                PSA 4.89
9-2-09    Biopsy          3 cores positive 7% 3+3 (6) gleason
11-13-09 DaVinci
11-23-09 Cath removed  Path report cancer contained neg. margins
Feb 2010 wil be followup PSA


keysailfisher
Regular Member


Date Joined Dec 2009
Total Posts : 346
   Posted 2/23/2010 8:02 AM (GMT -6)   
Sorry to here about the psa, sounds like you and your Doc are on top of things.
 
Best wishes,
Neal
age 45
psa 3.09
Biopsy results 12/9
Left side base 3+3=6 21% 2/2 cores positive
Left side mid  3+3=6 100% 2/2 cores positive
Left side apex 3+4=7 88% 2/2 cores positive
Right side - 0/6
CT & Bone scan negative
Davinci Feb. 5th 2010/ cath removal 2/16
 
Gleason-3+4=7
Extent of tumor-Bilateral
Extraprostatic Extension-Absent
Seminal Vesicles-Negative for tumor
Surgical Margins-Rt apical margin focally positive
lymphovascular invasion-Suspicious in areas of capsular involvement
Regional lymph nodes-One node negative
Stage-T2c NO Mx
Incontinence-yes


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 2/23/2010 8:08 AM (GMT -6)   
Jeff,
Sorry to hear the news but hopefully you caught it quickly or perhaps it will go back down. As you can see I was in the zero club less than 3 months so your stats are more positive than mine. The radiation is not so bad but I had some pre-existing conditions which have made it slightly uncomfortable. But shoot I still exercise, just have to stay close to a restroom and I am in bed by 9;30 each night. 13 more to go out of 39. Take care.
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


Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 2/23/2010 8:34 AM (GMT -6)   
Hi Jeff,
Sorry to hear about the rising PSA. As some of the members will agree, SRT started sooner will sometimes provide optimum results when the tumor burden is low as in my case. I had 37 treatments of IMRT with little side effects.
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C
4/16/08- Started Bi-mix injections 
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable
03/02/09- 1 yr. post-op PSA .09 Undetectable
05/13/09   PSA .18 (ouch)
Started IMRT June 13, 2009
Completed 37 treatments July 31, 2009 (66.6gy)
11/23/09 Post IMRT PSA .18
2/12/10   Post IMRT PSA 0.00


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/23/2010 8:41 AM (GMT -6)   
Jeff, sorry for the news. I only lasted in the zero club for my very first post surgery PSA reading, been out of it ever since. I do think having the back to back reading's your doctor suggested is a good idea. You are already at a higher rate then any of my doctors would have been comfortable. If you have recurrance, and on the surface it appears you do, then the earlier you do the salvage radiation begins, the better the chance it has of being effective. But that is between you and your doctor of course.

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


Im_Patient
Veteran Member


Date Joined Aug 2009
Total Posts : 665
   Posted 2/23/2010 11:04 AM (GMT -6)   
Thanks for your posts, guys (and gals). It helps to know what others are going through. One of the things that I haven't researched enough, and I forgot to ask my doc about - I suspect that with negative margins, like I had, and lymphatic invasion (within the prostate), the most likely place for cancer to be developing would not be in the prostate bed, but in the nearest lymph nodes (at least that is what my reasoning tells me). If that is the case, how close are they, and how likely is SRT to be able to kill that off? Is SRT only likely to be successful if the cells of concern are near the prostate location?

I am reluctant to dive into radiation because I have colitis, which at present is pretty well under control, but I suspect it might flare up with the SRT. However, I'll probably do it anyway if the PSA rises much more, and it gives me the best chance at a cure.

Thanks also, pasayten, for the links.
Gleason, 3+4; PSA, 7.9
Robotic Prostatectomy, March 2008 (Age 48 then), nerves both sides spared, post surgery analysis confirmed 3+4 Gleason,
pT2c, prostate 60.2g, margins: negative; perineural invasion: present; lymphatic invasion: present; 3 lymph nodes removed, clear; seminal vesicle invasion: absent; Gleason 4 comprises 5-10% of carcinoma
PSA consistently <0.1 since surgery until Oct 09, 0.1; retested Oct 09, <0.1,
Jan 10, 0.2
retest Feb 1 confirmed 0.2


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 2/23/2010 11:21 AM (GMT -6)   
Jeff, let's pray that it's a fluke and will go back down with retesting.
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


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 2/23/2010 1:24 PM (GMT -6)   
Jeff: That really sucks, my hart sank when I read you post. I just hate this PC. Hope it is a fulke but it not on to the next step. I will pray for you as I do for so many of my PC friends here on HW.

Another Jeff
Jeff T
Cajun Country
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)


defender3
Regular Member


Date Joined Nov 2009
Total Posts : 98
   Posted 2/23/2010 2:10 PM (GMT -6)   
Praying for you Jeff. Sounds like you have a good doctor and caught this early so you can begin salavge quickly.

gold horse
Regular Member


Date Joined Nov 2009
Total Posts : 360
   Posted 2/23/2010 4:32 PM (GMT -6)   
Hi Jeff it hurt when psa star to go up let pray it is a fluck in the reading.
DIAGN=46 YEARS
GLEASON=3+3
FATHER HAD PC,THEN I THEN MY BROTHER STILL HAS TWO BROTHER PC FREE.
MARRIED,TWO CHILDREN.AGE 13 AND 8.
LAPROSCOPY SURGERY 6/2005
PATOLOGY REPORT.
GLEASON=3+3
TUMOR VOLUME=5%
LYMPHOVASCULAR INVASION=NEG
PERINEURAL INVASION=POSI
TUMOR MULTICENTRICITY=NEG
EXTRAPROSTATIC INVASION=NEG
SEMINAL VESICLES BOTH=CLEAN
MARGIN ALL=NEG
PT2ANXMX
DEVELOP SCART TISSUE AND NEEDED A SECOND SURGERY BECAUSE COULD NOT URINATE,
PSA 6/05=0.04,0.04,0.04,6/06,0.04,0.04,0.04,6/07,0.04,0.04,0.04,6/08,0.04,0.04,1/09
0.04,10/09,0.04
 


Im_Patient
Veteran Member


Date Joined Aug 2009
Total Posts : 665
   Posted 3/3/2010 5:28 PM (GMT -6)   
Got my March 1 reading today, PSA is 0.17 (from now on I will have the 2-decimal readings).
I don't get back in the zero club, but at least it's not rising.
I'm breathing a little easier until next month. No planned action for now.
Jeff
Gleason, 3+4; PSA, 7.9
Robotic Prostatectomy, March 2008 (Age 48 then), nerves both sides spared, post surgery analysis confirmed 3+4 Gleason,
pT2c, prostate 60.2g, margins: negative; perineural invasion: present; lymphatic invasion: present; 3 lymph nodes removed, clear; seminal vesicle invasion: absent; Gleason 4 comprises 5-10% of carcinoma
PSA consistently <0.1 since surgery until Oct 09, 0.1; retested Oct 09, <0.1,
Jan 10, 0.2
retest Feb 1 confirmed 0.2
CT scan, bone scan Feb 10 both clear


skeener
Regular Member


Date Joined Dec 2009
Total Posts : 214
   Posted 3/3/2010 5:48 PM (GMT -6)   
Nice to hear there is no increase this time!!  Hope this trend continues!!
 
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 11/10 - 0.0.
 
Next PSA May
Next doctor's visit in 6 months      


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 3/3/2010 6:29 PM (GMT -6)   
Thanks for the report Jeff. Glad to see that it did not go up again.

Cajun Jeff
AGE:58, 57dx. PSA 5.4
Biopsy: 9/08 Gleason 3+4=7
open RP: 10?08 Nerve sparing. Path Report : GS 3+3=6 Stg pt2c margins clear
Cath for 10 day. Dry day after removal of Cath
PSA @ 3 months <0.1
6 months <0.1
9 months <0.1
12 months <0.1
16 months <0.1

ED Started VED at 3 months, pills followed VCL none did much, tried MUSE at 9 months (YUCK) Hated it. 15 months out injections Caveject (succecc)


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 3/3/2010 7:16 PM (GMT -6)   
Good to hear that Jeff and hope that trend continues for you. Thanks for updating us and keeping us posted.
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


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 3/4/2010 5:32 AM (GMT -6)   
Jeff,
Thanks for the follow up. Only labs without second decimal place capability say it doesn't matter and merely causes needless PSA anxiety. As if the difference between 0.1 and 0.2 didn't give you (and most of the guys here) anxiety.
You made the right decision to go somewhere where they have the necessary resolution. You are now far better informed than before. Congratulations.

Jeff, too (the Leaking one.)
Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 6=3+3. Bone and C/T scans neg.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%.
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day (Try cutting down on fluids. Bad idea. I know.)
12/11 5 months: Still 3 pads per day. 400-450ml/day
2/26/10 7 months: Still 3 pads but leak is now 320 ml (5 day avg.)
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04, 1/14 6 months - 0.05.


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 3/4/2010 6:21 AM (GMT -6)   
Jeff, good news indeed. PSA does go down - see my husband's story in my signature.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (single small EPE in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Final Gleason 3+4. PSA: 0.0 til July 2009. August 2009- 0.1, September 0.3, October back to 0.0, December 0.0. Thank you God!


livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 3/6/2010 9:25 AM (GMT -6)   
Jeff thanks for sharing your journey with us. I too had to leave the club recently due to a slight increase in PSA. I bet with yours taking two years that it will not be to difficult to get it back down. You are correct in the doubling time being the measure. If your psa stays around the .2 mark at your next testing I would doubt that the doctor will do anything other than keep watching. I know this is tough news for you and your family. Stay positive because I firmly believe and healthy attitude is at least half the battle.

peace and love
dale
My PSA at diagnosis was 16.3
age 47 (current)

http://www.caringbridge.org/visit/dalechildress

My gleason score from prostate was 4+5=9 and from the lymph nodes (3 positive) was 4+4=8
I had 44 IMRT's
Casodex
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11

PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .016
PSA Mar 30th, 2009 is .02
PSA July 28th 2009 is .01
PSA OCt 15th 2009 is .11
PSA Jan 15th 2010 is .13

Testosterone keeps rising, the current number is 156, up from 57 in May

T level dropped to 37 Mar 30th, 2009
cancer in 4 of 6 cores
92%
80%
37%
28%

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