Well I'm back from being measured/CT scanned to get ready for the adjuvant radiation.
It's a very simple proceedure and the two ladies ( I wanted to ask if they were yet out of high school) were fun and very sociable.
BUT . . . . . . . they had allready booked me for my first treatment for April 5th. I'm NOT READY !
So I called my oncologist from there but, of course, I forgot, it's Spring Break and he is out of town with his family untill next Monday. So I cancelled the April 5th. appointment ! I NEED MORE TIME. (incontenence is a *****)
Someone told me the other day that the time period between diapers and Depends can be very short)
I am starting to think towards adjuvant (part because of your responses) and will consider (with the Docs approval) to start the first week in May.
Even though someone had me scheduled, no one could/would tell me the number of procedures and the amount of each exposure.
I understand from some sources, that adjuvant uses less radiation over a shorter period of time, i.e. 32/33 times with a slightly lower dosage. This should help with the potential fatigue problem because I really do want to drive the 130 mile trip. No, that doesn't sound right, I mean, I want to sleep in my own bed every night in my home, with my wife.
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. ( march 20)
First PSA test since surgery on March 25th.
Next appointment with the surgery Doc is April 13.