Blood Values During IMRT?

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Regular Member

Date Joined Nov 2009
Total Posts : 210
   Posted 4/4/2010 10:12 AM (GMT -6)   
Is it normal for blood values to be quite low during radiation?
My fathers values have been lower than usual for a while, which I think we always assumed was due to his constant prostate bleeding, but that has slowed quite considerably.
He has had about 7 radiation treatment so far, and his values continue to drop a little bit each day.
So, for example, his current values:
HCT - 24.9 (normal being about 40 - 50)
Hemoglobin - 83 (normal about 160)
RBC - 2.4 (normal about 4 - 6?)

I noticed they've each dropped about 10 - 15% over the past week or two...

Father 65 y/o at diagnosis November 2009
Gleason 9 & 10, stage 3 - seminal vesicle involvement
Two TURPs mid Nov. 2009
Foley Catheter
Casodex for last two weeks of November '09, then Lupron.
Suprapubic Catheter March 18th, but blocked right away, back to Foley...
Started IMRT March 25th, Chemo on hold due to catheter bleeding issues, etc.

John T
Veteran Member

Date Joined Nov 2008
Total Posts : 4171
   Posted 4/4/2010 10:22 AM (GMT -6)   
This is something you should be discussing with your Rad doctor. It could be from a number of causes and only a medical doctor who has experience in your husband's case would have all the information.

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.


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