Returning to the Scene of the Crime

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Veteran Member

Date Joined Nov 2009
Total Posts : 7269
   Posted 9/11/2010 9:30 AM (GMT -6)   
I had blood drawn a few days ago for a variety of tests as part of my routine physical. Last year my physical was hardly routine: it turned out to be the beginning of this life--changing nightmare (you can call it what you want, but let's face it, that's what it is).
Anyway, I'm a bit less nervous going into this physical. The PSA has always stood out as the one test to worry about, and last year my number finally came up (pun intended). So, what could possibly go wrong this time? My cholesterol tends to be a little high. I guess it could be higher? I guess one of those other multitude of tests could be suddenly high necessitating other tests and starting a new nightmare.
Gee...whatever happened to those fun physicals when we were younger (breathe in--breathe out-- everything normal-- nice seeing you -- see you next year --- goodbye!!).
Incidentally, the aforementioned tests did not include my PSA. That happens in 10-11 days. My routine physical is Wednesday!
PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (PSAf: 24%), PCA3 =75 .
Biopsy 11/30/09. Gleason 4+3. Stage: T1C. Current Age: 64
Surgery: Dr. Menon @Ford Hospital, 1/26/10.
Pathology Report: G 4+3. Nodes: Clear. PNI: yes. SVI: No. EPE: yes. Pos. Margin: Yes-- focal-- 1 spot .5mm. 100% continent by 3/10. ED- in progress. First post-op PSA on 3/10/10-: 0.01. PSA on 6/21/10--0.02. Next PSA late Sept.

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 9/11/2010 9:59 AM (GMT -6)   
i just had an annual physical with my long time GP. after all i went through in the past year, it was a piece of cake. we did not do a psa on purpose nor a dre. i have had all my psa done with same lab and had just had one done a few weeks before the exam. i am still waiting for my next one in november
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.

Regular Member

Date Joined Aug 2010
Total Posts : 64
   Posted 9/11/2010 11:06 AM (GMT -6)   
Interesting you should bring this up....we tend to think that because one bad thing has or hasn't happened as the case may be, nothing else will go wrong.

A friend had his second biopsy for PCa (24 needle) just a couple of days after my husband's 10 needle biopsy in July. This friend's PSA was higher than my husband's, his prostate was much larger and all the signs were that he had PCa and my husband didn't....

However, it was the exact opposite. My husband has prostate cancer, our friend apparently does not or it is presently undetectable. However, our friend's kidney function numbers were a little "off" and he was sent for more tests. Turns out he has a mass on his kidney, likely renal cancer and he is having a kidney removed on 9/28/10. In truth, his negative prostate biopsy permitted his likely kidney cancer to be discovered incidentally. His tumor is the size of a golf ball, he has no symptoms and the docs told him that often kidney tumors reach the size of a melon before discovery.

So follow-up on the suspicion of prostate cancer has probably saved our friend's life. So, yeah, the fun physicals are a thing of the past and it is OK to mourn them but we can be grateful that staying on top of things now hopefully allows for a long(er) future.
Husband DX @ 64; 7.5 year survivor colon cancer; father had PCa @ age 65
04/09 - PSA 3.06 - retest in 6 mo
10/09 - PSA 1.55 Free PSA 7.74% - retest in 6 mo
04/10 - PSA 4.26

Biopsy 7/10
R base - 3+3=6 10%
R mid & apex - benign
R anterior horn - 3+4=7 20%
L base - 3+4=7 90%
L mid - atypical small acinar prolif
L apex - 3+3=6 < 5%
L anterior horn - 4+3=7 60%
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