As if my disease level were not depressing enough , it appears as if I have developed chronic radiation proctitis. It began a few months ago (about 6 monthhs after the completion of my salvage IMRT) as just a smear of blood on the tissue post BM, and has recently progressed into a significant amount of blood several times a week. Seeing my onc to begin HT next week and this will obviously be addressed. Anyone have experience with this problem?
11/08/08 annual checkup (3 yrs late) PSA 8.04 from previously 2.7 in 11/05
1/23/09 biopsy 12 cores positive, 10 cores Gleason 7, 2 cores Gleason 8 70% tumor
2/06/09 cat +bone scans clean ..
3/26/09 RRP surgery Post op path .. upgraded to Gleason 9 (5+4), seminal vesicles involved, several positive margins, 2 of 9 lymph nodes positive.
4/4/09 Dr. advising wait for significant rise in PSA and start hormonal treatment.
1st post op at 4 weeks PSA .6 urologist concerned
will retest in one month
8/15/09 bone and pelvic scans redone .. clean PSA .65
onc/radiologist recommending starting radiation treatments and 6 month shot of Lupron .. decided against this gameplan
9/11/09 consulting with med/onc today .. not impressed
My urologist now suggesting prostascint scan
Prostascint test done at U of Penna indicates cancer still confined to prostate bed.
PSA at .7
Gonna need a bigger boat .. found a good rad oncologist
10/21/09 Rad onc suggesting clinical trial of samarium 153 followed by IMRT
2/1/10 Samarium trial completed PSA 1.0
2/1/10 began IMRT 39 treatments 70 Gy
3/25/10 finished IMRT
4/28/10 PSA .93
7/23/10 PSA 1.2