IGRT - 9 to go

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SubicSquid
Regular Member


Date Joined Oct 2009
Total Posts : 252
   Posted 7/13/2010 3:46 PM (GMT -6)   
Thirty treatments done and 9 to go.  Glad the end is in sight.  Still only urgency and fatigue problems.  Not hard to handle. Yesterday developed some skin irritation in upper groin area on both sides.    Like mild sunburn.  Tech and nurse said these are the two primary points where the radiation is entering. Not an uncommmon problem to get irritation in areas with skin folds.  Finish IGRT 7/26 and get my knee scoped on 8/9 to remove a bone fragment.  Then comes the debate about replacing the knee because of osteoarthritis.  The fun never stops!!!  At least my mind will be kept occupied with something other than PCa while awaiting the 90 day PSA after IGRT.  Squid.
*Age 63, PSA July 2009 5.66
*Diagnosed July 2009, Biopsy: 2 of 12 cores positive, Gleason 3 + 5 = 8
*MRI and Bone Scan Negative.
*open Surgery October 22, 2009
*Prostate, both nerve bundles, seminal vessels, and lymph nodes removed during surgery.
*Post surgery Biopsy, Gleason 4 + 3; 2 positive margins
*ED - Yes 
*30 day PSA (ultra-sensitive) .07
*90 day PSA (standard) <0.15
*01/10 - bladder neck stricture. opened during cysto exam. Cath #2 in for 5 days.
*03/01 - bladder neck stricture. Dilated during cysto exam. Cath #3 in place.
*03/11 - Bladder neck surgery. Cath #4 in place.
*03/15 - Cath #4 out. Great urine stream. Unfortunately, incontinence back to post surgery level.
*04/14 - Six month PSA .21.
*05/15 - Incontinence basically under control.  99% dry.  Wear pad daily at work "just in case".
*06/10 - Started IGRT.   39 treatments scheduled.
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 7/13/2010 5:38 PM (GMT -6)   
squid,

glad you are down to single digits now, people don't realize how long a 39 or 42 session radiation treatment is really like. seems endless when you are going through it, but soon you will cross that finish line too. you are doing great so far, be glad when this is behind 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 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 - 38 days, mapped  9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 ,Cath #11 - 21 days,  Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, Cath #17 - 39 days, 7/2 - Corr Surgery #6, 7/2 - Caths #18 & #19


Im_Patient
Veteran Member


Date Joined Aug 2009
Total Posts : 665
   Posted 7/13/2010 10:05 PM (GMT -6)   
Good to hear it's going well for you, Squid. I'm hoping mine goes as smoothly as yours. I see the folks for the setup next week.
Jeff
Gleason, 3+4; PSA, 7.9
Robotic Prostatectomy, March 2008 (Age 48 then), nerves both sides spared, post surgery analysis confirmed 3+4 Gleason,
pT2c, prostate 60.2g, margins: negative; perineural invasion: present; lymphatic invasion: present; 3 lymph nodes removed, clear; seminal vesicle invasion: absent; Gleason 4 comprises 5-10% of carcinoma
PSA consistently <0.1 since surgery until Oct 09: 0.1; retested Oct 09, <0.1,
Jan 10, 0.2
retest Feb 1 confirmed 0.2
CT scan, bone scan Feb 10 both clear
PSA after, 2010: March, 0.17; April, 0.17; May, 0.24; June, 0.31; July, 0.29
Starting salvage IGRT on August 4, plan 72Gy


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6945
   Posted 7/13/2010 10:20 PM (GMT -6)   
Squid,

As I got to the last few sessions I had a lot of new side-effects, but the biggest was realizing my hot technicians wouldn't be drawing pictures on my hip anymore - reality is sad. Have to say the cheerful way the girls worked made this an experience more than an ordeal. The rest is yet to be seen.

The day after the last I still got up and filled my water bottle for the "treatment". Was half way through getting ready to head out before I realized I was done.

Had to help my mom with the knee replacement. DaVinci and Radiation were easier. Do the rehab with a vengance, it won't make sense until later, but a year or two down the line, it will count.

Hope all goes well.

60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 7/14/2010 9:11 AM (GMT -6)   
Squid,
You can "see the barn and smell the oats" so your in the home stretch. Glad things are going pretty good for you. Yes that burning between my legs sounds like one of my side effects, and I still get that on a daily basis. Keep us posted on the finish line and good luck with the knee.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed, 61 yo 2010
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
2 pads per day, 1 depends but getting better,
 started ED tx 7/17, slow go
Post op dx of neuropathy
T2C left lateral and left posterior margins involved
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5 on 11/28/10
Starting IMRT on 1/18/10, Completed 39 tx at 70 gys on 3/12/10
6 week Post IMRT PSA .44 a drop from .5 but maybe more
Great family and friends
Michael

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