Sloan-Kettering Video ( Prostate Cancer Conversation 9/15/09)

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fogball
Regular Member


Date Joined Mar 2006
Total Posts : 31
   Posted 4/19/2010 12:01 AM (GMT -6)   
 
 
   Excellent primer for new members @ http://www.mskcc.org/mskcc/html/95057.cfm

pasayten
Regular Member


Date Joined Mar 2007
Total Posts : 437
   Posted 4/19/2010 3:11 AM (GMT -6)   
Good info for long time members also... 
 
Thanks for the link!
 
pasayten 
After 3-4 years of annual PSA 4-6, biopsy recommended
3/13/2007 - 12 point biopsy - Left 0/6  Right 1/6 Gleason 3+3 T1c
4/24/2007 - DaVinci performed at Virginia Mason hospital in Seattle
5/2/2007 - Catheter Out! Final pathology of Gleason 6  T2c Nx Mx, approx 20% of prostate involved, positive margin, but only at 2 focal points.  
6/28/2007 9 weeks incontinance... Overnite, went from 4-6 soaked pads a day from prev 8 weeks to 2 barely wet pads a day.
7/12/2007 11 weeks post-op  Minimal leakage...  one small pad a day
7/18/2007 First Post-Op PSA...  0.01 !!! 
9/10/2007 Pad free and ED at 75% with 100mg Viagra generic
6/26/2008 2nd Post-OP PSA at 14 months...  0.02 
12/2/2008 3rd Post-OP PSA at 20 months...   0.03
10/30/2009 4th Post-OP PSA at 31 months...   0.13 (moved and diff lab)
11/3/2009 Retest at my original lab...  0.11  (followup with Doc sched 11/10)
11/10/2009 Discussion indicated biochemical reccurrence and need for salvage radiation treatment. 
1/21/2010 Another PSA test at 34 months...  0.14
1/26/2010 IMRT Salvage Radiation Treatment started
                  32 sessions for 64 gys total.
3/12/2010 Finished 32 sessions...  No side effects to date except a little
tiredness.  Slight changes in bowel movements the last week...  
4/8/2010  Pretty much all side effects (were minimal) are gone now and energy has returned.  Now just wait for the upcoming PSA test.
 


Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1210
   Posted 4/19/2010 8:25 PM (GMT -6)   
Hi Fogball,
 
Thanks  for the URL to this very well presented forum on prostate cancer. There really wasn't anything new to be learned by me above what I have already learned here at our forum from so many knowledgeable people, but it is certainly comforting and reassuring to hear these facts from the experts in their fields.
Very informative. Thanks.
All the best to you.
 
Magaboo

Born Sept 1936
PSA 7.9
-ve DRE
Gleason's Score 3+4=7, 2 of 8 positive
Open RP 28 Nov 06 (nerve sparing), Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06, Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; 3 days before Rad Start=0.1
Salvage RT completed (33 sessions - 66 Grays) on the 19th Dec., 08.
PSA in Jan., 09=0.05; July 09=<0.04; JAN 10=<0.04


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 4/19/2010 9:18 PM (GMT -6)   

I've quoted (paraphrased) from this webcast several times Dr Eastham's (surgeon) comment to new patients presenting with low risk case characteristics..."Let's see what it [PC] is going to do."  In other words, for low risk cases, in the short term lets monitor and don't rush into anything.  There may not be a need to treat it aggressively, and Active Surveillance may be the best choice.

It is refreshing to hear a surgeon say this...


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 4/19/2010 10:07 PM (GMT -6)   
Nice post... thank you!

Barry
Surgery: Da Vinci; July 31, 2007; 54 on surgery day;
Pathology: PSA: 4.3; Gleason: 3+3=6; T2a; Confined to Prostate;
Post RP PSAs: 09/'07 <0.04; 12/'07 <0.04; 03/'08 <0.04;
06/'08 <0.04; 12/'08 <0.04; 06/'09 =0.06; 09/'09 <0.04; 12/'09 =0.05;
Latest PSA 3/'10 <0.04

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