Thanks all for your always valuable input.
I'll be doing the planning/ct scan/measuring session in about
3 weeks. I'm guessing that following that, my oncologist will decide and how many sessions and at what dosage. The treatment will be IMRT with IGRT
I would like to finish all my radiation sessions before the last week in June, for what is likely a very selfish reason:
It's summer time and my wife starts her two months of holidays from her school board job. Can't have this friggen prostate annoyance interfere with our fun times!
I asked my surgion doc about
a PSA and he said that if we did one ( 3 weeks ago, plus 3 weeks post surgery) and since I had already been on Casodex plus Lupron, he would guarantee a big zero. I'm now scheduled for the PSA on March 25th. about
9 weeks post surgery.
My start up radiation date would be around 14 weeks post surgery.
I'm also to continue HT for at least awhile. Got another 90 day Lupron dose during the Feb. 26. appointment. Did notice it was $ 200.00 cheaper at the hospital than the earlier Lupron, which was priced at $ 1166.00 but fully covered by our OHIP coverage.
Thanks to Buddha we live in Canada!
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 hormone 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 was on Friday Feb. 26 with Dr. Glenn Bauman in London.
Got another Lupron 90 day shot today and he wants to start IMRT soon. CT Scan plus measure scheduled in about 3 weeks.
First PSA test since surgery on March 30th.
Next appointment with the surgery Doc is April 13.
Post Edited (JB71) : 3/2/2010 8:18:42 AM (GMT-7)