DiVinci with possible Radiation following

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Fallcrop
Regular Member


Date Joined Jul 2010
Total Posts : 21
   Posted 7/26/2010 2:21 PM (GMT -6)   
Hello all. I am new here but I would like to ask a question. I have had the Divinci surgey and my doctor is recommending I now do the Radiation Therapy w/ hormone supression. My post-op PSA was a 0.01. I would like to ask you with knowledge or experience about the side effects of these two combined. I had a doctor tell me that I was at a higher risk of never having an unassisted erection, possible permanent incontinence and bowel leakage. My doctor that performed the DiVinci surgery thinks I am progressing well and that I will have few problems, (he does not do the radiation therapy). I would greatly appreciate any and all feedback. Thanks.

Age: 52
PSA: 4.6  3/10/2010
Gleason: 4+3  3/25/2010
Divinci Surgery: 5/26/2010
PSA: 0.01  7/9/2010


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 7/26/2010 2:26 PM (GMT -6)   
There must be pieces missing to your puzzle here. What was your pathology report like post surgery? Based on the little bit of info you provided, it doesn't make sense that your doctor is wanting you to have radiation this soon? Especially since your first post surgery PSA was .01, basically as low as it can get.

Perhaps you could share the rest of your story.

I have been through both open surgery and salvage radiation, and you sure don't want to go the radiation route after surgery unless you absolutely need it.

Welcome here, though.

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: Aug 3
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, Cath #18 - 13 days, Cath #19 - 17 days, Total Blockage, Cath # 20 - 7/19


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 7/26/2010 2:32 PM (GMT -6)   
Purgatory is correct. Obviously your surgeon is basing his opinion on your port operative pathology result. Look at my history below in my signature. The obvious mitigating circumstance was the late stage 3 pathology.

But also look at my signature again, I am in remission after more than three years with that pathology, and I attribute adjuvant hormonal and radiation therapies for it. And my plumbing works fine. While on HT I had no erections, but all that came right back after stopping the therapy.

Just a thought to share...

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
RALP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 7/26/2010 2:41 PM (GMT -6)   
Tony, thats what I was suspecting, like some kind of stage 3 situation, margin problems, etc. Hopefully our new friend will post some additional info
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: Aug 3
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, Cath #18 - 13 days, Cath #19 - 17 days, Total Blockage, Cath # 20 - 7/19


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 7/26/2010 2:53 PM (GMT -6)   
Regal,
Surgery is definitely going to have more side effects in year one. As time moves on that shifts a bit with radiation. But more direct to the posters case, if I am right about the staging, that the surgeon is laying caution that adjuvant radiation can hinder normal recovery from surgery. And that is very true. As any good radiation oncologist will tell you, you are always at your healthiest before being treated with radiation. Meaning, if you have current surgical recovery issues, adding radiation before a complete heal could leave a patient with a permanent condition. It's rare, but possible.

But it was not the case for me, however, and I thank all things good for that...

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
RALP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino


Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 7/26/2010 3:06 PM (GMT -6)   
Fallcrop,

It would seem that there is a bunch of info missing and unanswered questions that you should ask your doc.

My PSA was never undetectable after surgery, but we didn't start having conversations about SRT until it hit .63. My signature shows my stats and outcome from the surgery report.

As far as side effects I can only address those of surgery and IMRT. I had no incontinence issues from surgery and still don't coming up on 1 year. ED is still something I am working on but I am beginning to see signs that things are improving, albeit very slowly. I had no issues with IMRT other than a little urgency and fatigue towards the end that passed in about 3 weeks following completion.

I am not on HT as of yet, but they did find a MET recently and I will begin radiation on it tomorrow.

Hope this helps somewhat. But what you really need at this point is to list all of those questions that have come up about WHY and WHY NOW.

Best of luck to you,

Sonny
60 years old when diagnosed
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
Gleason Score (3+4) 7 in all positive cores
da Vinci 9/17/09
Post Surgery Pathology: GS 4+3=7
Stage: T3a
Tumor Volume 12.5%
positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT completed 1/15/10 35 treatments- 70Gy

2/24/10 FIRST POST RAD PSA 1.0---CARRRP --waiting for the next test.
3/22/10 Second Post RAD PSA 1.5 Dammmmnnn stubborn son of a gun
4/19/10 YAHOO PSA dropped to 1.2 Moving in the right direction.
5/7/10 PSA test 1.3 Sodium Fluoride PET Scan & CT SCAN -scheduled
5/20/10 PSA test 1.2 Holding off on future tests for 3 months- single lytic lesion found and scheduling radiation.
7/22/10 PSA test 1.3 - Begin radiation for MET on leg


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6894
   Posted 7/26/2010 3:16 PM (GMT -6)   
I'm also a DaVinci + immediate radiation case. And my post-op PSA has been "undetectable" all along. In my case, the Urologist/Surgeon insisted on the radiation because I was a post-op Gleason 4+5 with multiple extra-capsular extensions and positive margins. Given the possibility that some "got out", it appeared, and still does appear, to have been a valid choice. I likely won't ever know the answer to that.

So you do need to check your post-op pathology report to see if there was an upped Gleason, extension, or lymph node / seminal vesticles involvement. If you don't have a copy, ask for one -

And yes, my radiation has set me back in the incontinence dept. from one pad a day at the start back to 2 - 3 per day now six weeks after. ED was guaranteed from the surgery, so nothing to worsen there.

Also, is the doctor who did the surgery the one who suggests the radiation?

Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2457
   Posted 7/26/2010 4:35 PM (GMT -6)   
Fallcrop,
Your Gleason and post op PSA in itself doesn't warrant immediate radiation and HT. There must be other information in your pathology report that your doctor is basing his decision on. Please give us more info from your pathology report. Did you have positive margins? Extra prostatic extension?
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
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


BobCape
Regular Member


Date Joined Jun 2010
Total Posts : 416
   Posted 7/26/2010 6:07 PM (GMT -6)   
I can see why, if there were pos margins, and/or the gleason was higher when viewed post op through pathology, that they would suggest radiation. If you have good reason to believe that the cancer has escaped the prostate, then it makes sense that you'd want to radiate the prostate bed to stop it's spread and possibly save your life. My concern would be why the radiation AND the HT. Each of those two in and of themselves can cause problems, and unless your post op pathology was really crazy (bad), i'd be surprised that they would suggest having both. You post op pathology is what you need to see, and share here, if you want some experienced opinions by some very well studied patients (myself excluded).

I dont know what "regal" means about the "freeloaders".. I have seen very few people here state anything other than their most well intentioned opinions. So i'd take the comments of that user, both now and going forward, with a very big grain of something.
First ever PSA test Jan 2010 @ 51 years old. 4.0.
Digital exam in March 2010 showed 1 side hard, other soft.
Biopsy, positive in 3 of 12.
Davinci @ Boston Medical Center, May 17, 2010.
Was suggested prior to it was likely contained.
June 1 advised 3+-4 was really 4+3 per pathology. Pos margins.
Listed on patholgy as PT3, but with extraprostatic extension,
microscopic invasion of the bladder neck, PT3A is perhaps the case.
Catheter removed June 1.. 1 pad/day, doing ok. ED, but not in rush.
Sore as heck down there, but doing much walking with my wife.
To meet with my Uri (1st meeting since) June 17 - 1 mo point, to discuss.
BMC already has me setup to meet with radiology.
Felling a little better each day. Cant tell if my expectancy just went from 10-15 down to 5-7, the information out there appears to be all over the place. I WILL NOT radiate my insides to the point of being a veg for the sake of a few years. QOL is primary to me. Selfish I guess. I pray for all of you as I do for myself, but must remember that i've had a pretty good 50+ years, and know others who have lost their children to disease.. so I dont have the nerve to complain! Update 7/14/2010: When I tried changing this sig a few days after creating it, system was broken. My new rad oncologist are discussing IMRT.. though he says he can see why waiting a bit and watching the PSA on super sensitive basis might make sense. I am leaning towards IMRT.. thinking is my body is pretty strong now, i'm 51, and if I can rid my body of this while trying to minimize the side effects.. I dunno. No really Good answers. When I said I didnt want radiation to the point of being a veg.. I really meant there is a limit as to where I wish to go in order to realize only a small increase in life expectancy.. and not that I am an unreasonable person. I do, after all, have an obligation to my wife and kids.


Fallcrop
Regular Member


Date Joined Jul 2010
Total Posts : 21
   Posted 7/26/2010 8:56 PM (GMT -6)   
First I want to Thank everyone for their input. Second, I am not very medical and just learning about all this so I am not sure how to answer some of the questions. But I will add more information. After the biopsy results were returned, they thought the cancer was all contained within the prostate. The biopsy showed 4 of the 12 sections positive. The doctor that did my biopsy (and later told me all the horror side effects) is not the doctor that did my surgery, I chose another surgeon that had much more experience. After the surgery, my prostate cancer surgeon told me that the pathology report showed the cancer was more advanced and there was some growth on the outside of my prostate. He also said that my cancer was very aggressive and the 0.01 could possibly multiply in a short time frame. He is recommeding the radiation to stop the possible regrowth.
Now for my Radiation Oncologist. He told me that he thought the radiation treatment would do better by adding the hormone treatment and according to a Johns Hopkins report posted in Prostate Disorders on June 9, 2010, he could be right. Link; http://www.johnshopkinshealthalerts.com/alerts/prostate_disorders.
ED, I had no problems pre-surgery. At almost 2 months post surgery, I am having ED as predicted. My surgeon prescribed first Viagra then Cialis, with which I can achieve maybe a 50% erection. For my incontinence, I used one pad per day and using none now. I hope this information helps. Thanks again everyone.
Age: 52
PSA: 4.6  3/10/2010
Gleason: 4+3  3/25/2010
Divinci Surgery: 5/26/2010
PSA: 0.01  7/9/2010


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6894
   Posted 7/26/2010 9:30 PM (GMT -6)   
Your post-op pathology report will also report a Gleason score. That is important. Is it higher, lower than your biopsy?
The "growth outside" is what we mean when talking about "EPE" or Extra Prostatic Extension, as well as Extra Capsular Extension.
You need to get a copy of the pathology report, and a copy of the surgery report. My pathology report told me a lot of bad things, the surgical report was incomprehensible.

I think that the advice from the surgeon to have radiation carries more weight than the opinion of the doctor who diagnosed you, but that would be my non-professional opinion.

John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4188
   Posted 7/26/2010 10:06 PM (GMT -6)   

Please read the article just posted by fogball. It contains most of the information you seek and is well documented.

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


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 7/26/2010 10:45 PM (GMT -6)   
John T said...
Please read the article just posted by fogball. It contains most of the information you seek and is well documented.

JT


John,
I missed that post can you link it?

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
RALP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino


hawkfan75
Regular Member


Date Joined Jan 2007
Total Posts : 165
   Posted 7/27/2010 12:39 AM (GMT -6)   
Fallcrop
 
After looking at your last post, your situation is very similar to mine, except I was 57 at diagnosis.  I'm now 2.5 years post surgery, 2 years post radiation, and 1+ years from my last hormone injection.  PSA last week - undetectable.  I haven't had the success with ED as others - my surgeon said that the radiation probably would destroy the nerves he spared.  However, my long range outlook is excellent, and I'll take that to the bank!  Hormones are still wearing off - ocasional "warm" flashes, so perhaps there is hope for the ED.  Do your research, as it looks like you're doing, and don't fear the additional radiation.  It's great that you have a secondary treatment option available.  Life is good!
Age 57 at diagnosis (2006),  PSA 4.7 (up from 3.2 one year previous)
Biopsy November 8, 2006 1 of 10 cores positive 5% LEFT Side Gleason 3+3
Robotic surgery January 19, 2007
Post Surgery Pathology Stage T3a, Gleason 3+4, positive margins and capsular penetration RIGHT Side
Post Surgery PSA:  March 5, 2007:  0.01    5 month PSA  0.08
Adjuvant therapy began June 26, 2007 with Zoladex injection
Radiation began August 23, 2007, ended October 8
First post radiation PSA, December 18, 2007:  0;  March 2008 - still 0;  July 2008 - 0; Sept. 2008 - 0;  Dec 2008 - 0;  March 2009 - 0;  Final Zoladex injection!;  March 2010 - 0!  
 
 


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 7/27/2010 5:29 AM (GMT -6)   
Fall, you've received some very good advice here. The fact that the cancer was "more advanced' than originally thought in and of itself doesn't necessarily mean anything unless you have the complete pathology. Cancer outside the gland is not uncommon. As someone else pointed, that is usually referred to as EPE (extraprostectic extension). However, that by itself does not necessitate radiation and HT as adjuvant therapies. You need to find out your exact stage: IIIa, IIIb, etc. as there can be significant difference between the two. If the cancer was found outside the prostate capsule, was it a single extension or multiple extensions? This would be stage IIIa. Stage IIIb means that the cancer was found further away from the capsule such as the seminal vesicles or bladder neck. Also the Gleason score is an important factor in considering adjuvant therapy so you need to get this information which is stated on the surgical pathology report. While I'm not doubting the doctor's recommendation about radiation and HT, it is important that you participate in the decision and not just "go along" with what you are being told.

Once you get that information, come back and share it with us and we'll do our best to help you understand it. I know it's all overwhelming but be assured that all of us have been where you are. We will help you as best we can (keeping in mind that we are not doctors).
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!


Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3631
   Posted 7/27/2010 9:02 AM (GMT -6)   
Radiation treatments for you might very well be inevitable..But it is very important that the HEALING from the surgery is allowed to progress undisturbed for as long as possible..

I would question the need for radiation or HT until your PSA starts moving up from undetectable..

I would question your U-doc why he thinks early radiation with a PSA of .01 is so important. Waiting until and IF it goes up to .05 or .1 should not make any difference with the final outcome..So nail him down on that point...The longer you heal, the better you will tolerate the radiation....
Age today: 68. Married, 6', 215 pounds, active, no health issues.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA at age 66 9.0 DRE "normal", BPH, Finesteride. (Proscar)
PSA at age 67 4.5 DRE "normal" second biopsy, negative.
PSA at age 67.5 5.6, DRE "normal" U-doc worried..
PSA at age 68, 7.0, third biopsy positive for cancer in 4 cores, 3 cores Gleason 6, one core Gleason 9. Finesteride discontinued, still no urinary symptoms, never had any..From age 55 to 65 I had no health insurance.

I have a date with the robo surgeon on Sept 3 but I'm keeping my options open. I'm also looking at seeds combined with IGRT which seems to be having good results with high-risk patients..


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 7/27/2010 9:19 AM (GMT -6)   
Fairwind,
There is solid study evidence that adjuvant therapy (before a PSA rise) is more effective than salvage therapy (after PSA rises) in certain high risk cases. Typically in stage 3b or stage 4 cases.

Tony
Disease:
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
RALP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.

Status:
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas

Blog : www.caringbridge.org/visit/tonycrispino


Dave7
Regular Member


Date Joined Jul 2006
Total Posts : 201
   Posted 7/27/2010 10:18 AM (GMT -6)   
Who's fogball?
Age:54
PSA 5/22/06: 5.6
DaVinci surgery: 9/14/06
Gleason: 3+3
Organ confined, clean margins.
Both nerve bundles spared.


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6894
   Posted 7/27/2010 10:36 AM (GMT -6)   
Here is another link for an article on adjunct vs. salvage radiation posted a few weeks ago in another thread - it is a good read.

Fallcrop
Regular Member


Date Joined Jul 2010
Total Posts : 21
   Posted 7/28/2010 5:06 AM (GMT -6)   
My doctor is a few hours away. I will see about getting a copy of the pathology report and the surgery report my next trip there. You all have given me lots of information for thought and questions I need to get answered. I thank all of you and will post more when I have it available.

Age: 52
PSA: 4.6  3/10/2010
Gleason: 4+3  3/25/2010
Divinci Surgery: 5/26/2010
PSA: 0.01  7/9/2010

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