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bedamed
Regular Member


Date Joined Mar 2010
Total Posts : 31
   Posted 4/14/2010 3:53 AM (GMT -6)   
hey guys had the chance to have bone scan ct and mir done bone scan neg others show cancer may have gone to blader and genitals is this unusal
 
they advise ert for start  im bit confused rite now so please Excuse the spelling etc any one know how they treat penis  and testicle cancer plus prostate cancer
psa at 12.g gleason 4+4  bio positive waiting for scan age46


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 4/14/2010 6:07 AM (GMT -6)   
Oh, BD, sounds like your cancer has spread outside the immediate area. Please note that you probably don't have testicular cancer but rather have prostate cancer that has spread to another organ. It's like breast cancer that spreads to the bones - it's still breast cancer but is called metastatic breast cancer. In answer to your question about whether or not your situation is unusual, the answer is sadly no. While most prostate cancers are caught in the early stages (while it is still confined to the prostate area), some like yours are found in the more advanced stages requiring multiple lines of treatment.

If the cancer has indeed spread to the bladder or genital area, you will probably need hormone therapy. Has your doctor addressed the need for an oncologist?

There are a few guys here who are very knowledgeable about advanced PCa. Hopefully one of them will chime in soon with sound advice for you.

Please stay with us - the information you gather now from here as well as other sources will help you make an informed decision.
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!


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 4/14/2010 6:14 PM (GMT -6)   
Bumping this up to the top to see if anyone can help Bedamed.
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!


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 4/14/2010 7:00 PM (GMT -6)   
Bedamed,
I am unsure whether you mean HRT (Hormone Therapy) or EBRT (Radiation Therapy). If hormone therapy then prostate cells and this includes prostate cancer cells cannot survive without testosterone. The idea behind hormone therapy is to suppress the supply of testosterone and thus much of the cancer will wither and die leaving tissue other than that based on the prostate intact. Likewise radiation. Cancer cells are more liable than normal cells to be affected by radiation........I believe it has something to do with their altered DNA structure. By carefully measuring the dose required and delivering it to the right spots they can eliminate much of the cancer. Did the docs say the tumour was in the penis and testicles or did they say seminal vesicles. There is a vast difference in location. It would be wise to have a good radiation oncologist and specialist medical oncologist on your case. Whichever the treatment selected here's to it going well.
Bill


1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07
4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)
PSA February 09 <0.01
PSA August 09 (2 year mark), <0.01
PSA December 09 <0.01
        My Journey: http://www.yananow.net/Mentors/BillM2.htm
Never underestimate old people ............ you don't get to be old by being stupid.

Post Edited (BillyMac) : 4/14/2010 7:04:40 PM (GMT-6)

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