Good news and some questions

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BB_Fan
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Date Joined Jan 2010
Total Posts : 1011
   Posted 5/20/2010 5:08 PM (GMT -6)   
Confirmed today that lesion on my lower spine is not PCa, and I am going ahead with SRT. Major relief as you can imagine. Got this news at a meeting with my local radiation oncologist this morning and we discussed SRT treatments. By coincidence I had an appointment with another radiation oncologist in the afternoon for a second opinion.

Local guy wants to start treatment in one week and wants me to start hormone therapy right away, casodex and lupron. Second opinion Doc says to start HT rtght away (also casodex and lupron), but start 6-8 weeks before SRT. She says HT will be more effective particularly will my high gleason and doubling time. So the question for anyone who is, or was, in my situation, what course of action did you take or are you taking?

My last PSA almost 2 months ago was .31 with a doubling time of less than 6 months, so I feel like I need to start HT soon. Thanks, BB
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.


LuvMyDAD
Regular Member


Date Joined Dec 2009
Total Posts : 315
   Posted 5/20/2010 5:44 PM (GMT -6)   
Hey BB,
 
Okay the second doctor is referring to the same treatment my father is getting now at Sloan, he did  2 months of hormones before starting the radiation. The Rad-Onc also gave the same reasoning as the second doctor told you, that the hormones will make the radiation more effective.  It will break down the cancer cells and make them more vulnerable to the radiation. I think it sounds logical. I also know from reading Dana Jennings' blogs (the editor from the NY Times) he also did combination therapy.
Hope this helps!
 
Lynne 
Father diagnosed Nov. 9, 2009
Open radical prostatectomy Dec. 21, 2009, post op pathology report T3a, Gleason 7
5 week post op psa .55
Combination therapy, hormone and IMRT. 40 sessions 72gy.
Hoping and praying for a cured dad.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 5/20/2010 6:22 PM (GMT -6)   
Glad your test came back okay, that had to be a big relief
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


BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 5/20/2010 6:50 PM (GMT -6)   
Dave, you can imagine. Two months after BCF and I was floating on air. I makes you appreciate the fact that things can always be worse than than they are, and you need to count your blessings.

Thanks Lynne, just the feedback I'm looking for. Second opinion Doc was at Dana Farber. I would love to go there for treatment but don't know if I can handle the daily 90 minute commute. I Thought about Sloan, but it is even longer. How far does your Dad commute? Is he retired? Another issue with the long commute.
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.


English Alf
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Date Joined Oct 2009
Total Posts : 2215
   Posted 5/20/2010 11:54 PM (GMT -6)   
BB fan
So what is that lesion if it isn't PCa?

I am interested to read about so many people having HT at the same time as RT as my docs do not do it this way.

The sequence of treatments is done so that the RT is almost used as a diagnostic tool as well as a treatment, because at this stage they cannot be 100% sure where the prostate cells are that were producing the post-op PSA.

They feel that if the cells are in the prostate bed and RT is targetted at the prostate bed then the PSA will go down. If the PSA does not go down then it will mean that the cancer is somewhere else, and only then will they try HT.

If they do HT now it will make the PSA go down, but without being sure about where the cells were.

This suggests that they don't think HT makes RT more effective, but that it has its own effect which disguises the actual effect of the RT.

And they want to avoid giving HT unnecessarily given the side effects etc.

Alfred
Age at Dx 48 No Family history of Prostate Cancer
Married 25 years, and I cannot thank my wife enough for her support.
April 2009: PSA 8.6 DRE: negative. Tumour in 2 out of 12 cores. Gleason 3+3.
RALP (nerve-sparing) at AVL-NKI Hospital Amsterdam on 29th July 2009. Stay 1 night.
Partial erections on while catheter still in. Catheter out on 6th Aug 2009.
Dry at night after catheter came out
Post-op Gleason 3+4. Tumour mainly in left near neck of bladder.
Left Seminal Vesicle invaded, (=T3b!)
no perineraul invasion, no vascular invasion. clear margins,
Erection 100% on 15th Aug 2009, but lots of leaking
Stopped wearing pads on 21st Sept 2009
Pre-op style intercourse on 24th Oct 2009 !! No use of tablets, jabs, VED etc.
Nov 17th 2009 PSA = 0.1
Mar 17th 2010 PSA = 0.4!!! referred to radiation therapist
April 13th 2010 CT scan.
April 28th 2010 Started Radiation Therapy (66Gy - 33 sessions)


Hope and Prayer
Regular Member


Date Joined May 2010
Total Posts : 59
   Posted 5/21/2010 12:20 AM (GMT -6)   
BB,
BF is treating at Sloan as well and same treatment as Lynne's dad. HT started immediately after surgery (Jan 2010) and about 2 mos before radiation. He had a positive bone scan last week but told that it is probably degeneration or bone healing rather than new cancer cells. On Monday when we met with Dr. Scher at Sloan, we were told that 90% of PC cells are killed with HT and the other 10% with radiation. Is that true, I dont know?? I would like to think so. I think HT is good order of treatment as well as radiation after. Did they also run blood work? They ran PSA, acid phos and circulating tumor cell tests. PSA and acid phos still low. We are waiting for CTC results.
All the BEST!,
Christine
Boyfriend dx at age 44 with Stage 4 PC on 11/09. Gleason 4+5, 11 of 12 cores +; PSA 51.34
DaVinci surgery on 12/09

Gleason 4+5 confirmed. Lymph and vesicle invasion, right nerves spared.

HT: Casedox and Lupron started 1/10

PSA 1/13/10 23.15 2/8/10 .37 3/18/10 <.05 5/14/10 <.02

Bone metastasis

Radiation: 42 sessions ending 6/10


BB_Fan
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Date Joined Jan 2010
Total Posts : 1011
   Posted 5/21/2010 4:37 AM (GMT -6)   
Thanks Alf, I hear what your saying. If HT is your last bullit, why use it pre-maturely. However, there is a study that indicates RT and HT used in combination may be more effective in a cure. But in at least 50% of the cases it will not since PCa is no longer local. Others and I believe this includes Dr Meyer think that agressive treatment may drive the cancer into remission for some period of time even if no cure. I think, to a certain extent this is sillall a crap-shoot.

Would love to hear views/experiences of others.

Does anyone know how they approach this issue at John Hopkins or Anderson, HT with SRT or wait, or what Dr Strum's position is?

Christine, I was not offered acid pho (whatever that is) and CTC test by my local Docs. I will look into. Thanks for response.

Another question. Is radiation of the breast common before the start of HT?
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.

Post Edited (BB_Fan) : 5/21/2010 5:05:11 AM (GMT-6)


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 5/21/2010 9:23 AM (GMT -6)   

Hi BB,

I have not been down this trail of RT or HT, and so I don't speak from experience, but I continue to seek to learn more in broader areas of PC & PC treatments so as to offer solid advice to others.  So as to be credible in my offerings, I frequently try to offer hyperlinks to the resources I reference so that others may dig deeper if they so desire.  I try to "lead by example" in this area so that others might also follow this value-added approach, because it is troubling to read of "advice" which is sometimes offered which seems to be off-the-cuff and without any scientific or even common sense background.  Off my soap box...

In the May 2010 (the most recent) "PCRI Insights" Newsletter, there is an article titled "Nine Decisions Before Choosing Radiation Therapy After Prostatectomy".  You can find the Newsletter here:  http://www.prostate-cancer.org/pcricms/node/59

In the article, the author (PCRI Program Director) cites a paper by Choo as one of five recent published studies which provide guidelines in this area of post-RP RT, and Choo's paper (in specific) addresses the addition of HT to adjuvant RT for improved outcomes.  The article (about "Nine Decisions") identifies Decision #6 as:  "Adjuvant Radiation Therapy is Decided -- Should Hormone Therapy be Included?"   The article, under Decision #6 reads (I will copy/paste this short passage):

No large, randomized clinical trials have examined adding hormone therapy, also called Androgen Deprivation Therapy, to adjuvant or salvage radiation. Choo(7) reported on several small studies that showed benefit, including his own about 75 men who were treated with two years ADT after salvage radiation. After median follow-up of 6.4 years, freedom from PSA relapse was 91.5% at 5 years and 78.6% at 7 years. That is one of the highest success rates reported.

The Choo report link is:  http://cancerresearchandtreatment.org/Synapse/Data/PDFData/0036CRT/crt-42-1.pdf

So, my observation is that the whole concept of adding HT to adjuvant RT is fairly new, but some notable benefit has been shown.  With that still new-but-promising preliminary result, it seems that the medical community is only now starting to try to figure out whether initiating HT concurrently with RT is best, or whether to start HT before starting RT is best...these are the two choices the two doctors are offering you.  I'm afraid that you won't find conclusive agreement on this question yet...the medical community is still wrestling with getting agreement on the addition of HT to RT.

I wish you the best...

Post Edited (Casey59) : 5/21/2010 10:06:16 AM (GMT-6)


LuvMyDAD
Regular Member


Date Joined Dec 2009
Total Posts : 315
   Posted 5/21/2010 2:13 PM (GMT -6)   
Hey BB,

No my dad is not retired. He works as a full time physician in Brooklyn. It is a commute to Manhattan everyday, but we requested the first
spot available for radiation which was 7 AM. That way he beats the traffic to and from the city. He does wake up at 5:30 because he has to
drink two glasses of water an hour before radiation. It takes about 40 minutes to get there. It's a struggle but as he says it, "everyday that passes I get closer to finishing."
It becomes routine eventually. How far are you from the center? BB, I know two people currently at Sloan right now that commute 2 hours everyday. I know it's hard but the time passes really quickly.
Father diagnosed Nov. 9, 2009
Open radical prostatectomy Dec. 21, 2009, post op pathology report T3a, Gleason 7
5 week post op psa .55
Combination therapy, hormone and IMRT. 40 sessions 72gy.
Hoping and praying for a cured dad.


Hope and Prayer
Regular Member


Date Joined May 2010
Total Posts : 59
   Posted 5/21/2010 4:21 PM (GMT -6)   
The testing at Sloan includes PSA, CEA, Acid Phosphatase. Whats nice is that as a patient, you are able to create an account and get your results online. We were told today that the circulating tumor count was zero and that this test was actually part of a clinical study at Sloan and not usually included in testing. There was no radiation of the breast before HT.
Boyfriend dx at age 44 with Stage 4 PC on 11/09. Gleason 4+5, 11 of 12 cores +; PSA 51.34
DaVinci surgery on 12/09

Gleason 4+5 confirmed. Lymph and vesicle invasion, right nerves spared.

HT: Casedox and Lupron started 1/10

PSA 1/13/10 23.15 2/8/10 .37 3/18/10 <.05 5/14/10 <.02

Bone metastasis

Radiation: 42 sessions ending 6/10


BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 5/21/2010 4:28 PM (GMT -6)   
My commute would only be 90 mins. Perhaps I should just grit my teeth and do it. Local radiation facility is only 15 mins from work. Decisions, decisions!!! Thanks for your response.
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.


LuvMyDAD
Regular Member


Date Joined Dec 2009
Total Posts : 315
   Posted 5/21/2010 6:23 PM (GMT -6)   
BB if I were you I would just "grit my teeth" and do it lol. I wouldn't take any chances when it comes to health and if you are able to go to Sloan (even though it is 90 minutes away) I wouldn't settle for less.

Hope and Prayer is your boyfriend by any chance Greek? I know its a long shot lol
Father diagnosed Nov. 9, 2009
Open radical prostatectomy Dec. 21, 2009, post op pathology report T3a, Gleason 7
5 week post op psa .55
Combination therapy, hormone and IMRT. 40 sessions 72gy.
Hoping and praying for a cured dad.


Hope and Prayer
Regular Member


Date Joined May 2010
Total Posts : 59
   Posted 5/22/2010 5:20 PM (GMT -6)   
Lynne- Yes he is! He is in the 8am slot. He does remember your family. He recalls your sister coming in from Chicago recently?

BB-- I hope you can get to Sloan. 90 mins is a bit of a hike but worth it. I feel that Dr. Scher and Dr. Zelefsky are experts in this field and will give you the best treatment. What I like about Sloan is that everything seems to be immediate. Blood test results are posted in about 2 hours, scans are read in a day or less and you get an appt within days if something positive shows up. From the time we got a (false) positive bone scan last Thursday, we knew what was going on by Monday.
Boyfriend dx at age 44 with Stage 4 PC on 11/09. Gleason 4+5, 11 of 12 cores +; PSA 51.34
DaVinci surgery on 12/09

Gleason 4+5 confirmed. Lymph and vesicle invasion, right nerves spared.

HT: Casedox and Lupron started 1/10

PSA 1/13/10 23.15 2/8/10 .37 3/18/10 <.05 5/14/10 <.02

Bone metastasis

Radiation: 42 sessions ending 6/10


LuvMyDAD
Regular Member


Date Joined Dec 2009
Total Posts : 315
   Posted 5/22/2010 5:46 PM (GMT -6)   
Hey Hope I am the daughter from Chicago unless he met my sister from Cleveland, but I remember meeting him too :) Going this week to NY to keep my dad company for radiation. Yes, my mom sees your bf every morning (or at least used to) I think he switched slots. How are things going with him? I hope all is well.
Father diagnosed Nov. 9, 2009
Open radical prostatectomy Dec. 21, 2009, post op pathology report T3a, Gleason 7
5 week post op psa .55
Combination therapy, hormone and IMRT. 40 sessions 72gy.
Hoping and praying for a cured dad.


BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 5/22/2010 6:04 PM (GMT -6)   
Christine/Lynne, thanks for your posts. Actually I am 90 mins from Dana Farber (northeastern CT). Sloan is 3 hours by car, train and subway. I hope/expect treatment at Dana Farber will be similiar to Sloan. It has been 2 months since my BCF and I still haven't moved on to my next phase of treatment. It was over two weeks since the false positive on my bone scan until it was resolved. 2.5 very difficult weeks for me. I will probably move my primary treatment to Boston, although I would like to stay local (Hartford for me). Problem is that in Hartford there is no coordination of treatment each Doc does there own thing. Therefore everything takes longer, and I need to drive a lot of it.
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.


Hope and Prayer
Regular Member


Date Joined May 2010
Total Posts : 59
   Posted 5/22/2010 11:13 PM (GMT -6)   
BB- I feel awful that you and your family had to wait that long for resolution! BF could not even wait a few days for results. I would had to commit him if he waited 2 weeks! I truly hope that Dana Farber gives you the same treatment as Sloan and I think they would since they also specialize in cancer treatment. From the little research I did on them, it sounds like their Link Center operates like Sloan. Having the doctors work together is key.

Alfred- I ready your msg and you make very good sense. How do you know if there are PC cells if HT masks the results? I would like to read more about that. Is it in Dr. Myers book? Just ordered it and waiting for it to come in. Also, would PET scans tell you where the cancer cells are or are they really that effective?

Lynne-- Peter did meet you, your sister, brother and Mom. He commented how wonderful it was that family was always there with your Dad every morning. They moved him to 9am last week to do additional scans and tests due to a positive bone scan last week. Thankfully it looks to be all good news and will be back to 8am. He finishes radiation next Monday!! I hope your Dad is fairing well with his treatment and hope to meet you. Will try and go with him next week. Also, I read the article that you posted about MDV3100. We spoke to Dr. Scher about that. He told us that they are going to Phase 3 with that trial but there is a new one starting in July with a refined (and better) version based on their findings of the first trial. Thankfully, your Dad or Peter are not refractory but is good news for everyone that may need it in the future.
Boyfriend dx at age 44 with Stage 4 PC on 11/09. Gleason 4+5, 11 of 12 cores +; PSA 51.34
DaVinci surgery on 12/09

Gleason 4+5 confirmed. Lymph and vesicle invasion, right nerves spared.

HT: Casedox and Lupron started 1/10

PSA 1/13/10 23.15 2/8/10 .37 3/18/10 <.05 5/14/10 <.02

Bone metastasis

Radiation: 42 sessions ending 6/10


English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2215
   Posted 5/23/2010 2:32 AM (GMT -6)   
Scans are unlikely to show up post RP PCa at this stage with a PSA of 0.4.

Last Monday I saw my RT doc and she said that what PCa there is will be microscopic. And no scan can see things that small. The catch 22 is thus that if you wait till things are big enough to show up in scans they are then too big and extensive to be treatable with RT.

My commute to Amsterdam and back seems quite reasonable compared to some of you guys/dads/BFs. I am usually back home 4 hours after setting off. My record time has been 3.5 hours so far. Even so several nurses have asked why I'm travelling so far for RT. (The hospital is part of the Dutch National Cancer Institue and reckoned to be the best in Holland when it comes to oncology, it was also the only place I could travel to that did da Vinci surgery, so it was the best chopice in my opinion. The uro-surgeon's department is just across the hospital lobby from the RT department. There is very good coordination and my surgeon and RT doc have even run uro workshops together.)

How strange for people to met someone else's relatives at RT. I have yet to meet anyone I know, I think it might be a bit of a shock if I did. But you do get to start a sort of friendship with the other patients that you keep bumping into at the same time. I don't get seen at the same time every day, but neither do they and what with there being 9 RT machines in the two corridors you see a lot of folk walking around.

I'm surprised the guys are getting scheduled at 7am. My centre doesn't do any RT on prostate cancer patients before 10am as they like to do it on guys with an empty bowel and reckon that most men have had a BM by 10. (I fall into that category, but all but one of my sessions have been in the afternoon)

Sunshine here at last so I'm off for a walk that I can enjoy rather than simply going out because I have to take exercise.

Alfred
Age at Dx 48 No Family history of Prostate Cancer
Married 25 years, and I cannot thank my wife enough for her support.
April 2009: PSA 8.6 DRE: negative. Tumour in 2 out of 12 cores. Gleason 3+3.
RALP (nerve-sparing) at AVL-NKI Hospital Amsterdam on 29th July 2009. Stay 1 night.
Partial erections on while catheter still in. Catheter out on 6th Aug 2009.
Dry at night after catheter came out
Post-op Gleason 3+4. Tumour mainly in left near neck of bladder.
Left Seminal Vesicle invaded, (=T3b!)
no perineraul invasion, no vascular invasion. clear margins,
Erection 100% on 15th Aug 2009, but lots of leaking of urine
Stopped wearing pads on 21st Sept 2009
Pre-op style intercourse on 24th Oct 2009 !! No use of tablets, jabs, VED etc. but...
Nov 17th 2009 PSA = 0.1
Can still get erections okay, and almost no leaking of urine, but since December 2009 I don't have orgasms, instead I just have intense pain in place where prostate used to be.
Mar 17th 2010 PSA = 0.4!!! referred to radiation therapist
April 13th 2010 CT scan.
April 28th 2010 Started Radiation Therapy (66Gy - 33 sessions)


BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 5/23/2010 5:21 AM (GMT -6)   
Alf/Christine: I believe that HT with RT is recommended mostly for high risk individuals gleason 8-10. Alf, since you are a (3+4) perhaps that is why your Docs just considered RT.

Alf, I never answered your question in earlier post. Lesion was a hemanggioma. I understand that this is a tangle of blood vessels. You will often see these on babies. They will have a red lump on face or head that will generally go away as they grow. My daughter had one under her eye lid.
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.


ASR
New Member


Date Joined Apr 2010
Total Posts : 9
   Posted 5/23/2010 9:01 AM (GMT -6)   
BB, I think you should settle for the best especialy considering that your last attempt to beat the beast was partially unsuccessful. 90 miles is tough but managable.
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