New Numbers, how do they look?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

JB71
Regular Member


Date Joined Nov 2009
Total Posts : 206
   Posted 3/26/2010 12:03 PM (GMT -6)   
Did a bunch of tests last week, got the results from the doc's secretary (by being nice to her) even though I do not have an appointment with the doctor untill next week, so I can not, untill then, ask him what they might mean.
 
Can anyone help out in the meantime so I can sleep?
 
PSA: <0.03.  I guess this is good but keep in mind that I have been on Lupron since Mid-November and it's only 9 weeks since open surgery.
 
TESTOSTERONE:  0.6
 
FREE TESTOSTERONE:  1.2
 
HIGH SENSITIVITY CRP:  8.3
 
25 HYDROXY VITAMIN D:  68
 
GLUCOSE SERUM FASTING: 5.8
 
Thank You, thank you !
 
Jerry.

ps. I'm scheduled for IMRT starting April 26.

.


Age, only 71.
July 2009, PSA 9.1, free ratio 0.16
September GLEASON 4+4=8, T2A
Prostate 44cc.
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 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.
====================================
Pathology Report:
 
Gleason Score: cannot be determined due to hormone therapy effects. ???????
Extraprostatic Extension:
present, left radial, multifocal
present, left basal, multifocal
Resection Margins:
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 15)
 
First PSA test since surgery on March 25th.
 
Next appointment with the surgery Doc is April 13.
 
Started a Facebook page for bikers with prostate issues at:
 
IMRT to start approx. April 26.
 
.

Post Edited (JB71) : 3/26/2010 12:46:32 PM (GMT-6)


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 3/26/2010 2:40 PM (GMT -6)   
JB, can't comment on the other test results but 0.03 for your first PSA...this is excellent. There is no such thing as a true zero for PSA...anything less than 0.1 is considered a zero. You are well below that threshold - congratulations!
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (solitary focus of extraprostatic extension). Perineural tumor infiltration present. Apex margin, bladder neck and SVs 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, March 2010 0.0. Next PSA in 6 months. Thank you God!


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/26/2010 2:49 PM (GMT -6)   
Jerry, that is an excellent PSA number, way down low near zero, can't see how you could improve much upon that. And you are still suppose to be having the radiation?

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, no problem post SRT
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  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days


medved
Veteran Member


Date Joined Nov 2009
Total Posts : 1096
   Posted 3/26/2010 3:50 PM (GMT -6)   
The Vit. D level looks good.

It is not really a CaP issue (at least in any direct way), but the hs-CRP result might cause your doc to consider recommending a statin, depending on some other numbers. I suggest you ask your doctor about that (probably your urologist would have no idea, but ask your internal medicine doc, or a cardiologist if you have one). There's some research suggesting that statins are helpful against CaP as well -- though the studies (so far as I know) have been only retrospective.
Age 45.  Father died of p ca. 
My psa starting age 40: 1.4, 1.3, 1.43, 1.74, 1.7, 1.5
 


JB71
Regular Member


Date Joined Nov 2009
Total Posts : 206
   Posted 3/27/2010 7:37 AM (GMT -6)   
Purgatory & Medved:

Yes, I'm still scheduled to start IMRT end April. I am concerned though that the Lupron has an effect on lowering my PSA. Been on it since November, 60 days before surgery.

Statins: I have been on Zocor 80mg. for at least 10 years.
Currently my LDL & HDL are within range but the triglycerites are at 2.68 so a bit over the tops of 2.30
.

New Topic Post Reply Printable Version
Forum Information
Currently it is Saturday, June 23, 2018 5:03 PM (GMT -6)
There are a total of 2,974,589 posts in 326,193 threads.
View Active Threads


Who's Online
This forum has 161291 registered members. Please welcome our newest member, Nanaof14.
391 Guest(s), 4 Registered Member(s) are currently online.  Details
DBwithUC, Kent M., RobertC, Girlie