Abnormal bone scan at low PSA

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BB_Fan
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Date Joined Jan 2010
Total Posts : 1011
   Posted 4/29/2010 9:44 PM (GMT -6)   
Things going from bad to worse for me. BCR one year after RP. Getting ready for SRT, and I have an abnormal bone scan also picked up on MRI. Lesion on the lower spine. Uro called me at 9:30 this evening to tell me. Don't quite know what to think. This come out of the blue. Gleason is 8, but PSA has to be less tha 1. Last test one month ago only .31. Uro is ordering another test. Has anyone had an abnormal bone scan at a low PSA level?
Dx with PC Dec 2008 at 56, PSA 3.4, Biopsy: T1c, Geason 7 (3+4)

Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa Junl 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05
psa Mar 10 .28 re-test two weeks later .31


pasayten
Regular Member


Date Joined Mar 2007
Total Posts : 448
   Posted 4/29/2010 10:11 PM (GMT -6)   
BB_Fan,
 
So sorry to hear of your BCR and bone scan indication.    I was googleing around and came across this 2005 article from the Journal Clinical Oncology:
 
 
Maybe it has some info that may help you or point to other sources of info.
 
This dang PCa is truly an evil beast...   I pray for strength and successful resolution to these latest battles.
 
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.
 


Sephie
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Date Joined Jun 2008
Total Posts : 1804
   Posted 4/30/2010 6:11 AM (GMT -6)   
BB, a spot on a bone scan is not uncommon...my husband's showed a spot on his right collarbone. A follow-up CT showed nothing. Bone scans will show every injury, spot of arthritis, etc. Don't know about the MRI though - what has your doctor recommended as the next step? Is "lesion" your word or the doctor's?
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!


BB_Fan
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Date Joined Jan 2010
Total Posts : 1011
   Posted 4/30/2010 6:41 AM (GMT -6)   
Hi Sephie, Dr used the term "lesion" to describe the spot of the scan/MRI. Said it was on the lower spine, typical spot of PCa spread to bone. Dr (Surgeon who did my LP) said that the lab recomended a further test. He mentioned it to me but I didn't write it down. His nurse is going to contact me today about it. I will discuss with radiation oncologist this morning.
Dx with PC Dec 2008 at 56, PSA 3.4, Biopsy: T1c, Geason 7 (3+4)

Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa Junl 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05
psa Mar 10 .28 re-test two weeks later .31


JoeyG
Regular Member


Date Joined Jul 2009
Total Posts : 162
   Posted 4/30/2010 7:09 AM (GMT -6)   
BB,

I assume you did not have a scan prior to surgery.

Nevertheless, as Sephie said, lesions are not always cancerous. Therefore, while I know its not going to be easy until you take the next test and get the results, at least try to have some faith.

Wishing you the best.

Joey G
Age -57; Diagnosed 10/05 PSA 13.4 GS 7 (4+3) Organ confined (T2B)
Cryoablation 4/06 Allegheny Hosp-Dr Ralph Miller (Cohen/Miller)
Post Cryo Nadir 8/06 0.2
Rising steadily to 0.7 4/09 :-(
Steady at 0.7 (7/09)
Doubled to 1.5 (2/10) YUCH!
Hoping to qualify for salvage cryo or radiation


BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 4/30/2010 7:19 AM (GMT -6)   
Thanks Joey will try. I think the thing that freaked me out the most was having my Dr call me at 9:30 at night. He's very busy, probably the best robotic surgeon in CT. If I want to ask him a question I have to go through his nursing staff or wait for a 6 month appt. No scans prior to surgery.
Dx with PC Dec 2008 at 56, PSA 3.4, Biopsy: T1c, Geason 7 (3+4)

Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa Junl 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05
psa Mar 10 .28 re-test two weeks later .31


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 4/30/2010 8:02 AM (GMT -6)   
BB, the fact that your doctor called you at night - while alarming (I know, I've been there) - does not necessarily indicate a serious problem. When my husband's "hot spot" was found on the bone scan, it was the rad onc we were working with whole called to tell us about it. Granted the spot was on his collarbone - a long way for PCa to travel with no other spots showing up along the way. She consulted with our uro/surgeon and they both agreed that it needed to be checked further - that's where the CT scan came in. Rad onc and urologist didn't feel bone scan was necessary but agreed to a pelvic CT and bone scan with contrast.

In answer to your original question about abnormal bone scan with low PSA the answer is yes - my husband's bone scan was done when his PSA read .3 and they found the spot at that point.

Let us know how your discussion with the rad onc goes. .
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 : 25393
   Posted 4/30/2010 8:02 AM (GMT -6)   
BB, no, you do not have good news there. But, until they know what that "lesion" really is all about, its not a done deal. I had to deal with a suspicious lung lesion at the same time as my open surgery, but I had to wait another 6 months in recovery before they would deal with it. When it was all said and done, not only did the lesion has nothing to do with my PC, it was totally benign and posed no future problem.

With your PSA so very low, it doesnt make sense that its directly related to your PC, but PC is so fickled, its possible that it is. I am sure you will relieved to have that tested further to give you some piece of mind.

I know how I would be feeling if it were me, so I feel for you, brother.

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, 4/8 .04, next one:  July
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- 27 days, Cath #15 - 26 days, Cath #16 - 4/23 put in


STW
Regular Member


Date Joined Jun 2009
Total Posts : 292
   Posted 4/30/2010 10:44 AM (GMT -6)   
This is why I told the docs about places I knew they'd likely see a hot spot - arthritic knee, busted arm, bad shoulder, etc. I only wanted them to tell me things I didn't already know.
Diagnosed at 54
PSA 8.7 Biopsy 1/7/09
4 of 6 cores positive, one at 90%
Gleason 3+4=7 Neg bone scan 1/15/09
One shot Lupron Depot 1/27/09 Tax Season
RP 4/29/09
Neg lymph nodes, postive seminal vesicle, 1 positive margin
Gleason 3+4=7 with tertiary 5 T3b
Catheter out at 2 weeks no nighttime incontinence Pad free week 5
PSA 6/6/09 <0.1; 9/10/09 <0.1; 3/11/10 <0.1


John T
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Date Joined Nov 2008
Total Posts : 4269
   Posted 4/30/2010 11:31 AM (GMT -6)   
bone scans are notoriously innaccurate. They have about a 40% rate in picking up mets unless it is really massive and have a lot of false positives. With a psa of under 40 there is only a 1 in 200 chance that the scan will pick up anything. Because of the high rate of false positives the shouldn't be given for psa less than 20. I don't know what futher steps can be taken to verify it, maybe a biopsy of the bone.
I would get a 2nd opinion from an medical oncologist specializing is PC before you start any treatments.
JohnT

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.

JohnT


BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 4/30/2010 3:03 PM (GMT -6)   
Met with radiation oncologist this AM. SRT on hold for now. He wants to see the scan and MRI, and talk it over with surgeon and medical oncologist. With all my other stats (high gleason, quick recurrence and rapid PSADT) he said the lesion was probable cancer. He talked about a biopsy if diagnosis was inconclusive and was setting up a CAT scan. Next steps may be IMRT for the tumor, if that is what it is, and then HT.

I will get a second opinion. I had the MRI and bone scan sent to a medical oncologist I saw at Dana Farber.
Dx with PC Dec 2008 at 56, PSA 3.4, Biopsy: T1c, Geason 7 (3+4)

Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa Junl 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05
psa Mar 10 .28 re-test two weeks later .31


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/30/2010 3:16 PM (GMT -6)   
BB, that sounds to me like a good plan you got in place from this point on. Please keep us posted, and I hope only for the best for you.

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, 4/8 .04, next one:  July
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- 27 days, Cath #15 - 26 days, Cath #16 - 4/23 put in


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 4/30/2010 3:17 PM (GMT -6)   
BB, maybe I'm naive but I'm surprised at this news. I think your decision to send the test results to Dana Farber is a very smart thing to do. I'm stunned by what your rad onc said especially since he hadn't yet seen the results of the MRI or bone scan - that's quite a statement to make. Regardless, I hope you hear from Dana Farber real soon and I hope the news is good.
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!


BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 4/30/2010 4:16 PM (GMT -6)   
Sephie, Purg and others: Thanks for your support. The weather in New England is going to be fabulous this week-end, mid to high 70's. I'm going to the shore for the week-end with my wife, try to forget about MRI's and scans, and perhaps take on swin in the LI sound. Hope you folks enjoy your week-end where ever you are. Signing off. BB
Dx with PC Dec 2008 at 56, PSA 3.4, Biopsy: T1c, Geason 7 (3+4)

Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa Junl 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05
psa Mar 10 .28 re-test two weeks later .31


gold horse
Regular Member


Date Joined Nov 2009
Total Posts : 360
   Posted 5/1/2010 7:48 PM (GMT -6)   

BB I have a question.Did you have a bone scan before surgery?

I had a hot spot on my bone scane before surgery and it turned t

o be nothing. I wish your luck.
DIAGN=46 YEARS
GLEASON=3+3
FATHER HAD PC,THEN I THEN MY BROTHER STILL HAS TWO BROTHER PC FREE.
MARRIED,TWO CHILDREN.AGE 13 AND 8.
LAPROSCOPY SURGERY 6/2005
PATOLOGY REPORT.
GLEASON=3+3
TUMOR VOLUME=5%
LYMPHOVASCULAR INVASION=NEG
PERINEURAL INVASION=POSI
TUMOR MULTICENTRICITY=NEG
EXTRAPROSTATIC INVASION=NEG
SEMINAL VESICLES BOTH=CLEAN
MARGIN ALL=NEG
PT2ANXMX
DEVELOP SCART TISSUE AND NEEDED A SECOND SURGERY BECAUSE COULD NOT URINATE,
PSA 6/05=0.04,0.04,0.04,6/06,0.04,0.04,0.04,6/07,0.04,0.04,0.04,6/08,0.04,0.04,1/09
0.04,10/09,0.04
 


kak
Regular Member


Date Joined May 2009
Total Posts : 85
   Posted 5/1/2010 8:24 PM (GMT -6)   
Hi: Just wanted to let you know I am in the same way. I Had radiation 2years ago, Gleason was 8, PSA 80 something. Have been on lupron since before radiation. PSA was below 1 until last may, PSA started going up added casodex. PSA went down momentarily and than started to rise again. Went for bone scan in December, lesion on right femor. No symptoms. Going for another bone scan in MAY. Hopefully lesion will show is nothing, Oncologist said if bone scan still shows something will do a bone I think he called it biopsy. Know where your coming from, sorry you have to deal with this. Is scary, but nothing I can do. Have tried to accept what comes of it comes of it. I am also 55 .
AGe 54 diagnosed March of 2007
PSA 107

Gleason 8

Stage T2 or T3 (weren't sure was out of prostate capsule)

Bone scan march 2007 and Aug 2008 both clear

ct 2007 clear

started casadex/lupron March of 2007 (casadex only for 4 months)(lupron for 2 yrs)

Aug 2007 had 37 treatments (also radiated lymph nodes)

psa spr 07-107,went down to .34 by Dec 08, March 09 0.7, May 1.54,
Added casodex, PSA Aug 1.19, Psa Dec 09 5.65
Going for Bone scan and Ct Scan, than decide what to do with rising psa


BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 5/2/2010 8:00 PM (GMT -6)   
Kak. sorry that we are in the same boat. It's a crappy thng for young guys like us. Don't know if I could wait for 5 months to know for sure. Where do you o for treatment?

Had a nice get-away this week-end Spent a couple of great days on the beach. Took couple of quick drips in the ocean. Spent some time with family and friends.

Well tomorrow the games begin again.
Dx with PC Dec 2008 at 56, PSA 3.4, Biopsy: T1c, Geason 7 (3+4)

Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa Junl 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05
psa Mar 10 .28 re-test two weeks later .31


kak
Regular Member


Date Joined May 2009
Total Posts : 85
   Posted 5/2/2010 10:52 PM (GMT -6)   
Hi: For Treatment I am on hormone therapy lupron/casodex, but PSA is still climbing. Basically I have a referral for a chemo oncologist, but have been waiting for 5 months and it will probably be another at least 2 months I am not a priority and chemo is a treatment for pain , mostly it sounds like. I was told at this stage they will just treat as I cannot be cured. I had radiation so surgery is no longer an option. at first it was really hard, but what can I do so I decided to live each day, day by day fight with all I have and go on. I try not to think about it a lot. I was told if it has spread and there is pain they can possibly treat with spot radiation and maybe chemo down the road. It's a tough thing, but I am in good spirits and every day new things are found for treatment and I plan to be around , as long as I can, and maybe I will be the one they test the new cure on. Hang in there, live each day to the fullest, love your family and enjoy them. I just became a Grandpa for the first time and I plan to be able to take the little guy fishing when he's old enough.
AGe 54 diagnosed March of 2007
PSA 107

Gleason 8

Stage T2 or T3 (weren't sure was out of prostate capsule)

Bone scan march 2007 and Aug 2008 both clear

ct 2007 clear

started casadex/lupron March of 2007 (casadex only for 4 months)(lupron for 2 yrs)

Aug 2007 had 37 treatments (also radiated lymph nodes)

psa spr 07-107,went down to .34 by Dec 08, March 09 0.7, May 1.54,
Added casodex, PSA Aug 1.19, Psa Dec 09 5.65
Going for Bone scan and Ct Scan, than decide what to do with rising psa


BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 5/3/2010 5:38 PM (GMT -6)   
kak. glad to hear that you are holding up well, and congatulations on your new grandson. Things just seem to be happening quickly now. I have to slow down and relax. Had a nice week-end.

Have not heard from the doctor yet, but received the lab report in the mail. I'm hoping for the best.
Dx with PC Dec 2008 at 56, PSA 3.4, Biopsy: T1c, Geason 7 (3+4)

Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa Junl 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05
psa Mar 10 .28 re-test two weeks later .31


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 5/18/2010 4:36 PM (GMT -6)   

BB_Fan,

I re-vitalized an old thread to ask this question.  Your case seems to have some atypical characteristics and it has got me curious.  I hope that you don't mind me asking a few questions, but this is for my own understanding and learning.

I was surprised (as I know you were) to hear of your rising PSA post-surgery.  The clinical data provided in your signature did not give much of an indicator that this would happen.  Two pieces of clinical data not included in your signature are a) the number of biopsy samples taken and the number with cancer, and b) the percentage of cancer in each sample.

Would you mind sharing this info for learning purposes?

thanks...

Another BB-Fan. 

I happen to be a college hoops fan (not so much the pros); how about you?  I've been to seven Final Fours...lots of fun, and an exciting environment.


BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 5/19/2010 1:36 PM (GMT -6)   
Casey, rising PSA was a bit of a shock to me, particularly one year after surgery and a nadir of <.01. My biopsy did not send up any danger signals. 8 cores were taken, 4 from each side. PCa was found in 30% of 4 cores from one side. Pathology report indicated that tumor volume was only 9%. I will add this to my signiture.

I am actually more of an NBA fan, and big into fanstasy hoops (we should set-up a PCa fantasy basketball league next year). I do live just a few miles from UCONN in CT. I see a lot of the mens and woman's basketball games and follow the teams.
Dx with PC Dec 2008 at 56, PSA 3.4, Biopsy: T1c, Geason 7 (3+4)

Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa Junl 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05
psa Mar 10 .28 re-test two weeks later .31
Aril 10 MRI and Bone Scan show lesion on lower spine, no SRT


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 5/19/2010 9:23 PM (GMT -6)   
Thanks for the added info...as I said, I'm just curious to understand more about some of the before & after situations. If you would have told me 1 core cancerous with 5%, I would have been shocked. I would still say that while you are not a statistical outlier, you are on one side of the curve. Wishing you the best with your next phase...

UConn's Coach Calhoun is a PC brother, you know. I saw him win the big dance in 1999 in St. Pete at the Tropicana Dome (baseball field!), and again in 2004 in San Antonio (best city to host Final Four with the Riverwalk).

take care...

BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 5/19/2010 9:32 PM (GMT -6)   
Mets detectible on a bone scan with a PSA of 20 or less is only 1%.
Dx with PC Dec 2008 at 56, PSA 3.4
 
Biopsy: T1c, Geason 7 (3+4) - 8 cores taken with 4 positive for PCa, 30% of all 4 cores.

Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive - tumor volume 9%
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa Jun 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05
psa Mar 10 .28 re-test two weeks later .31

Aril 10 MRI and Bone Scan show lesion on lower spine, SRT on hold pending further testing.


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 5/19/2010 9:58 PM (GMT -6)   
yup...that's out there on the edge

I will be following your case with interest and best wishes...
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