Color Doppler question --- John T. others?

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Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 6/14/2010 9:08 PM (GMT -6)   
On April 24, 2010, (a doubly significant day, as it was also my 68th birthday) John T. posted in a thread:  "After 3 negative biopseis I would get a color doppler biopsy from Dr Duke Bahn, Fred lee or Doug Chin."
 
I've a friend (63) who has just been DX'd as a six with three cores of 12 involved.  I've advised him to get a second read of his slides.
 
Would a color doppler ultra sound at this point give him any more information to work with regarding a decision on active survellance or treatment, and if treatment, what treatment?
 
Also, where might doctors Bahn, Lee and/or Chin, be found.
 
Many thanks,
 
Sheldon  AKA   Sleepless  
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
 
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
 
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
PSA on Jan 8 less than 0.02
PSA on April 9 less than 0.02 
 
  


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4268
   Posted 6/14/2010 10:13 PM (GMT -6)   
Sheldon,
Color doppler can give some very useful information: it can accurrately estimate the size of the tumor or tumors and give a pricise location. This is important in identifying if the tumor is close to the margin, seminal vesciles, nevers, ect. In some cases it can also identify agressiveness, as more agressive tumors have higher blood flows. If used in AS it is a baseline in which changes can be seen without futher biopsies.
Fred Lee is in Rochester MI, Duke Bahn in Ventura Ca and Doug Chin in Los Angeles. The Dattoli Cancer center in Sarasota Fla also does Color Doppler. Just Google any of the above for contact information.
JT

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


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 6/14/2010 10:29 PM (GMT -6)   
Thanks JohnT. Very helpful.

Love your "JohnT" by the way. My grandfather's brother was JohnT --- which the family pronounced: Jaunty. Great guy. Obviously a JohnT trait.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
 
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
 
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
PSA on Jan 8 less than 0.02
PSA on April 9 less than 0.02 
 
  

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