Where are we now?

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Englishteacher
Regular Member


Date Joined Jan 2010
Total Posts : 28
   Posted 9/30/2010 2:23 PM (GMT -6)   
Just completed salvage radiation in July after  RP in Nov. 09.  PSA had gone from undetectable  to .1 docs recommended radiation.  We were hoping for undetectable PSA follow up after radiation. but alas it came in at .2   My radiologist had said if the PSA did not go down post rad we'd take another in 3 months when I see my uro again.  I'm told .2 qualifies as bio chemical recurrance. I guess my question is how significant is this end-of-the world-wise?  Does this mean a "cure" is no longer a possibility and does it mean it's all  kind of down hill from here.  Is a prognosis written in stone here or are there many variables and possibilities still.
.2 was a bummer.  The fellow travelers  here have been helpful in their advise and knowledge.  I'd appreciate your thoughts.

61 year old, sometimes happy, sometimes grumpy guy
Robotic RP 11/09
Otherwise good health
Gleason 8, T3a
Margins uninvolved
extraprostatic extension present,
Seminal vesticle invasion: absent
Apical and bladder neck margins-clear
One nerve bundle spared,
PSA 1/25/10 <.1
4/12/10 0.1
5.20/10 0.1
Bone scan, CT scan 4/10 neg
Salvage radiation June 2010
PSA 9/29/10 .2

60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 9/30/2010 2:46 PM (GMT -6)   
Seems to be a little early as this is just your 3 month psa. My six week did show a downward trend but my next test will be in Nov. I have gone from a .5 to .4 to .3 at my pysical last month. Hang in there.
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

Jakester
Regular Member


Date Joined Aug 2009
Total Posts : 285
   Posted 9/30/2010 3:04 PM (GMT -6)   
Mostly I've tracked similar to Michael, steady downward. My RO a couple weeks ago said this was pretty normal and the radiation will continue to kill for a year. Less than 3 months after finishing seems too early to draw any conclusions. This past week I've had some recurring signs that the radiation is still churning (evening urgency and minor bowel irritation).

Our best to you,
Jake
Dx 8/08 Pre-op psa 4.2, Age 60, 7 of 12 biopsies positive 3+3
DaVinci LRP 11/08, clear margins, - EPE, vascular or perineural. Gleason 3+4=7, 5-10% of 4.
3 month psa .1 2/09, 6 month .1 5/09, 9 month .2 8/09
broke ankle bones 6/09
9/21/09 Bone scan clear, psa still .2
01/05/10 psa .3, SRT 01/19/10 start 39 sessions 70.2gy, psa @ 6 weeks into IMRT .4
Post SRT psa @ 10 weeks (5/31/2010) .2, @20 weeks (8/20/10) .1 (getting close)

bsjoplin
Regular Member


Date Joined Feb 2010
Total Posts : 308
   Posted 10/1/2010 6:45 AM (GMT -6)   
same story from me: just have patience...this is too early to get the whole picture
my SRT was completed in late June. my 6wk PSA was .2, down from 0.4, and RO wants to see me in 6 additional months (Feb). that will show much better what's going on, but the process is not completed, even THEN!
Hang in there !!
bob
Age@dx: 55
5/05 PSA: 1.8 ;12/07 PSA: 3.7 ;7/08 PSA:4.7
8/08 Biopsy1: 3 of 6 irreg
11/08 PSA: 6.5; 12/08 Biopsy 2: of 12, 3 cancer, other 9 irreg; Gl:3+3=6.
1/22/09 RRP; 1/25/09 Released; 1/28/09 Pathology: Cancer on 10% of gland, lymph & SV were benign, Gl re-typed 3+4=7, stage T2c
2/13/09 PSA:0.1
3/9/09 back to work
6/09 PSA:0.1; 10/09 PSA:0.1; 2/10 PSA:0.3 ; 4/10 PSA:0.4 Referred to RO
5/4/10 First RT.;6/25/10 Final RT. ended up 36 treatments, 64.8 Gy.
8/10 PSA:0.2
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