Length of time between PSA tests after treatment

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rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 5/8/2010 7:38 PM (GMT -6)   
I went in for my two year appointment and have a follow-up in 6 months.  I thought I would go to an annual check-up after two years.  I was a Gleason 8 so might be the reason for the 6 month interval.   I was wondering if any of you guys are on annual check-ups vs six months.  By the way, the 2 year PSA came back undetectable.  I didn't ask the doctor the for the exact decimal reading.  I was happy hearing the words undetectable.
 
Age 48 at diagnosis
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
22 month  PSA <.04
continent at 10 weeks (no pads!)
ED is still an issue


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/8/2010 7:53 PM (GMT -6)   
Congratulations on the undetectable!

I was also a Geason 8. I am continuing on 6 monthly PSA tests, but after my last appointment (19 months), my uro did not want to see me for another year.
Pre-op:
Age 63 at diagnosis, now 64.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Operation:
Non-nerve sparing RRP on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Post-op:
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
PSAs:
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
19-month: 0.09 (maybe)
ED:
After a learning curve, Bimix injections (0.2ml) worked well. From 14 months, occasional nocturnal erections. Have "graduated" to just the pump.


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6886
   Posted 5/8/2010 7:57 PM (GMT -6)   
Zero is good on this side of the fence. Keep it up!

I am a post-DaVinci 4+5, just 6 months out, but in discussions with the uro., I heard 6-month intervals for PSA tests forever.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 5/8/2010 8:01 PM (GMT -6)   
Rob, congratas on your 2 year zero. Hope you have many more of them. Your dr. is probably keeping your PSA schedule tighter being a Gleason 8.

I am about 18 months out, and I am still on 3 month test cycles.
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


daveshan
Regular Member


Date Joined Jan 2010
Total Posts : 363
   Posted 5/8/2010 10:28 PM (GMT -6)   
First congratulations on the zeros.

My stats are in my sig' Dr wants me on 3 month tests for a while. I would have insisted on them for the first year (at least) if she didn't. I doubt if I'll ever be comfortable with yearly tests.
Diagnosed 12-09 age 55
07-06 PSA 2.5
01-08 PSA 5.5 (PCP did not tell me of increase or schedule follow-up!!!!)
09-09 PSA 6.5 Sent for consult with Urologist
11-09 Consult, scheduled for biopsy, found out about PSA from '08 (yes I was pissed)
12-09 Biopsy, initial Gleason 9 (4+5) later reduced to 8 with tertiary 5, ain't much but I'll take it.
01-10 Bone Scan, "appears negative"
03-01-10 RRP in Durango CO by Dr Sejal Quale and Shandra Wilson, no naked eye evidence of spread, Vesicles and lymph nodes taken for microscopic exam.

03-16-10 Removal of cath' and pathology results of samples.
Multifocal carcinoma with areas of Gleason pattern 3, 4 and 5, Overall Gleason grade 4+4 with tertiary 5, Bilateral involving 21% of left lobe, 3% of right lobe, Invasion of left Seminal vesicle, 9 lymph nodes removed all negative, Tumor staging pT3b NO MX

04-23-10 PSA <0.04
05-03-10 1 week without pads


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 5/9/2010 5:39 AM (GMT -6)   
Rob, when my John had his surgery, the doctor said that the schedule he uses is: year 1: PSA test every 3 months, years 2-4: PSA test every 6 months; annually thereafter. When John's surgical path report came back, the surgeon decided to do a PSA test every 3 months for the first 2 years. In March, John graduated to a PSA test every 6 months with the next test due in September.

Some doctors are more cautious with PSA testing than others. There are a few here who would meet our surgeon's qualifications for more frequent PSA testing yet their own doctors are recommending more time between tests. Seems to be an individual thing based on the doctor and the pathology findings.
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!


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 5/9/2010 6:04 PM (GMT -6)   
Hi Rob,

Congrats on the zero. Six months interval and just did the PSA Friday at the 2 year mark. Will see the doc next Monday for results and future direction on HT.

Regards,
Don
Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
PSA 03/09 .38 six months post radiation and nine months into hormones
PSA 06/09 .36 or .30 depending on who did the test
PSA 09/09 .33 one year after IMRT and 16 months into hormone
PSA 03/10 .32 18 months after IMRT Still on hormones


Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2457
   Posted 5/9/2010 8:32 PM (GMT -6)   
Rob,
I was a Gleason 8 with clear margins. For the first year I was on 3 months intervals, after my last PSA (14 months) he put at 6 months intervals. I would like to keep it at 6 months even if I stay in the zero club. With Gleason 8 I want to stay on top of things.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm in circumference.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 5 months
2 months PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1
11 months PSA test 1/21/10 result 0.004
14 months PSA test 4/19/10 result 0.005


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 5/10/2010 5:27 AM (GMT -6)   
Thanks. Even if I were told 1 year, I would go in at the 6 month interval. Appreciate your postings.
 
Age 48 at diagnosis
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
22 month  PSA <.04
continent at 10 weeks (no pads!)
ED is still an issue


NY-Sooner
Regular Member


Date Joined Sep 2009
Total Posts : 462
   Posted 5/10/2010 7:06 AM (GMT -6)   
I am three years post op with a Gleason 6 and I get a psa test and exam by my uro every 6 months.  I even get a digital exam, which to me seems like a waste of time since I have nothing to feel.  My uro says psa test and digital every six months until 5 year mark, then after 5 years, we go to psa test once a year until 10 yr mark,,,after that we can assume you are cured.
 
Age 56, Biopsy 6/2007 - PSA 4.5, 2 of 12 with  <5% cancer Gleason 6
Surgery 9/2007 Strong Memorial,  Rochester  NY with Dr. Jean Joseph (1300 plus surgeries)
 Path - Negative margins, cancer in 20% examined tissue, Gleason 6
 Post Op - No ED issues, full erections without drugs,  used 5-7 pads a day for 3 months. Now dry except for stress leaks now and then.
 All post op psa's <.04

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