Hi there, Dick:
Started with Casodec and a 90 day Lupron back in November.
Just got back from my first visit with the radiation oncologist.
My surgery was on Jan. 20th, so today is 5 weeks +2 days. The path. report indicates more work needs to be done, that's the reason for todays appointment.
External beam radiation PLUS ongoing HT (Lupron) for another 90 days AT LEAST. Got my second Lupron today.
Initual measuring/ct scan is sheduled for three weeks from now. I can start 7 weeks of 5 X per week, starting the following week.
Here is the catch: (according to my doc) my current incontinance is rather bad, but ever so slowly getting better. He claims that: "At whatever level of my inconcenance on THE DAY of my first radiation, it will always (for life) stay that way. Ouch!
So he suggested we wait and see how I'm coming along and then perhaps postpone the start of radiation for up to 8 weeks. I'm hoping for only about
4 weeks delay so I'll be finished by Mid-June. The hospital is 75 miles from my home so that ads up to a lot of mileage. Hope (depending on weather) to do some of the trips on my Goldwing.
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
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
Radialogist appointment is on Friday Feb. 26 with
Dr. Glenn Bauman in London.
First PSA test since surgery on March 30th.
Next appointment with the surgery Doc is April 13.