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polfred
Regular Member


Date Joined Dec 2009
Total Posts : 62
   Posted 4/14/2010 8:08 PM (GMT -6)   
Hello everyone,
How soon should a PSA be done after radiation treatments? Hubby's was done on 3-26 2010. Results were undectable. I do not want to get to excited to soon.
 
Thanks
Jan
Age 59
PSA 9 on-08-09
Given antibiotics for 1 month/
PSA 10 on 10-09
Biopsy 11-18-09-Results 10 of 12 cores positive
CT and Bone scan negative
Diagnosed on 11-20-09
Lupron injection/ 7 dys of casodex on 11-20-09
Markers placed on 12-15-09
Planning scan scheduled 1-18-2010/ 8 wks radiation to follow
Treatments began 1-20-2010
Lupron injection-3-1-2010
Radiation treatments end (54)-3-26-2010
PSA undetectable/ 3-26-2010
 


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2243
   Posted 4/14/2010 8:34 PM (GMT -6)   
Jan,
Always be thankful for an undectable. Not sure what to tell you since I did not have lupron, but will have my first psa post rad at 6 weeks. The oncologist said to be happy for a downward trend and then a more important test would be at the 6 month mark. Hope that zero remains forever for your husband.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed, 61 yo 2010
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
2 pads per day, 1 depends but getting better,
 started ED tx 7/17, slow go
Post op dx of neuropathy
T2C left lateral and left posterior margins involved
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5
Starting IMRT on 1/18/10, Completed 39 tx at 72 gys on 3/12/10
Great family and friends
Michael


Galileo
Veteran Member


Date Joined Nov 2008
Total Posts : 697
   Posted 4/14/2010 8:45 PM (GMT -6)   
I agree with 60Michael. That's a great result, especially so quickly.
Galileo

Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T2c, NX MX, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) total dose 70.2 Gy, Jan-Mar 2007@ age 44
PSA 6/07 0.1, 9/07 and thereafter <0.1
http://pcabefore50.blogspot.com


polfred
Regular Member


Date Joined Dec 2009
Total Posts : 62
   Posted 4/14/2010 9:36 PM (GMT -6)   

Thanks guys. Hoping well all have zeros from now on.............................................................................................................................

Jan


Age 59
PSA 9 on-08-09
Given antibiotics for 1 month/
PSA 10 on 10-09
Biopsy 11-18-09-Results 10 of 12 cores positive
CT and Bone scan negative
Diagnosed on 11-20-09
Lupron injection/ 7 dys of casodex on 11-20-09
Markers placed on 12-15-09
Planning scan scheduled 1-18-2010/ 8 wks radiation to follow
Treatments began 1-20-2010
Lupron injection-3-1-2010
Radiation treatments end (54)-3-26-2010
PSA undetectable/ 3-26-2010
 


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2448
   Posted 4/14/2010 9:45 PM (GMT -6)   
Jan,

My doc ordered my first test 6 weeks following last treatment and then another 30 days beyond that.

Take the zero and run to the Zero Club bank.

Sonny
60 years old when diagnosed
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
Gleason Score (3+4) 7 in all positive cores
da Vinci 9/17/09
Post Surgery Pathology: GS 4+3=7
Stage: T3a
Tumor Volume 12.5%
positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT completed 1/15/10 35 treatments- 70Gy

2/24/10 FIRST POST RAD PSA 1.0---CARRRP --waiting for the next test.
3/22/10 Second Post RAD PSA 1.5 Dammmmnnn stubborn son of a gun


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/14/2010 10:07 PM (GMT -6)   
I had my first one 30 days post, and my second one at 3 months later.
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, 4/8 .04
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, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 4/15/2010 5:50 AM (GMT -6)   
In order to hit "nadir" psa levels(your lowest psa level) post radiations (I am talking currently external types of radiations) you might be looking at 6 months+ (mine took around 6 months-psa tested atleast once a month) and I had combined ADT3 drugs prior and after) or maybe longer, alot depends upon how much prostate cancer one started with. It takes time for the altered DNA chain in the PCa cells to mutate to whereby they don't reproduce and thus die off, while your normal cells return, this is why radiations are extended over a long period of time and given in smaller doseage exposures, so as not to ruin or kill off all your good cells along the process. I presume a heavy high doseage would be to critical to ruining cells that are non-cancerous, so radiation process is many times 34 sessions or so.
 
Also if one still has a prostate within them and had radiations, the possible event called radiation bounce exists, may happen in 1/3 of patients and what could happen is a sudden spike in psa level and pronounced jump, scares the crap out of the patients. The good news is it is not much later followed by big decline in psa...thus you know it was "bounce". Bounce is possible even 2 yrs.+ post radiations, so patients need to know and monitor for this possibility. Knowledge is power in PCa.  Bounce is in effect some sort of radiation induced prostatitis type of thing, is what they are saying....weird things with PCa and treatments.
 


Youth is wasted on the Young-(W.C. Fields)

Post Edited (zufus) : 4/15/2010 5:05:08 AM (GMT-6)

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