Well, I hadn't said nothing up til now, but it looks like I MAY be approaching a statistical reoccurance. Here's the details, from 2 seperate series of tests, one from my GP, the other from my Uro.
GP PSA Results
10/07- .008- first test after RRP
My Uro had:
Now, I know that I still need some more data points, but the one in Nov. is gonna be a biggie, right? Only problem is the that one will be from a different lab than what he used until now. I can get my GP to test again Jan. 4, if needed.
I am like most here, I suppose, if it doesn't concern my immediate situation, I don't pay close attention to others threads, so have some catching up to do, I suppose. I know it's been said numerous times before, but I'd like to gather some info for my use.
Here's my questions.
What's the current thinking about
the breakover point to determine reoccurance? .1, .15, .2?
Should I call and get my Uro test sooner, or wait until Nov.?
Do I read that the GP's tests indicate a doubling factor of a year?
What does that mean, if anything, as far as how quickly I should be working on this?
Does doubling time have a scale for when adjutant hormone therapy can/should be combined with SRT, or is that even anything to consider when/IF I reach the reoccurance point?
Here's the section from my post surgical path. report that mentions margins, etc:
Margins: Probable microscopic involvement of the left apical margin:
Remaining margins clear.
Extraprostatic extensdion: Not identified
Seminal Vessel invasion: None
Regional lymph nodes: See A above
Distant metastasis: Cannot be assessed
Perineural invasion: Microscopic intraprostatis perineural invasion is present (see guide to sections)
Venous invasion: None identified
Lymphatic invasion: None identified
Does anything in this path report, knowing the psa results for 3 years, predict a reoccurance?
What do you grizzled guru's suggest as my next few months course of action be?
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing
open RRP, Path: pT2c, 110 gms., all clear except:
Probable microscopic involvement of the left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh
ED continues: Bimix .30cc & Trimix .15cc PRN
Post Edited (James C.) : 11/8/2010 1:57:11 PM (GMT-7)