Welcome new friend- Canadian Guy

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James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 12/13/2010 5:08 PM (GMT -6)   
In another thread, Canadian Guy said:
What do men know .... Most of us not to much . I am 58 living a very active life working and chasing my grandchildren to all the sports events possible. 1 1/2 years ago I decided to go to my doctor for a check up , I never had a sick day that I was not able to work in my life so why would I be chasing doctors for something that is not wrong with me . Chest x-ray and blood test was ordered a week later call from my doctors office wanting me to make another appointment being a heavy smoker since my teen years I was sure this was all about the years of abuse to my lungs. He informed me my psa was high {psa what is that }lol for the next year i went for blood test every 6 months and it was rising each time the last psa test was at 6 . My doctor did not seem to be very concerned at all most of my information on PC cam from a friend that had gone threw this a few years earlier . My friend advised me to insist a biopsy witch I had done and tested positive in 1 needle out of 8. So now I wait to get into see a prostate specialist to find out my options remember this all happened to a guy that never had a sick day in years and no symptoms of PC .

Welcome to the Forum. Hmmm, 1 of 8 positive, that's about as good as it gets in this bad world. You got plenty of time to decide what road you wish to go, so ask questions, sort thru the info and see what you end up with. Main thing, investigate the varous choices you have and don't let anyone doctor push you into his specialty without really knowing what you want to do.. I would suggest seeing a surgeon, a radiation oncologist and even a medical oncologist as well as someone who can give you specialized info on Watchful Waiting/Active Surveilance
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, next in Feb.
ED-total-Bimix 30cc

Radical
Veteran Member


Date Joined Mar 2009
Total Posts : 739
   Posted 12/13/2010 5:21 PM (GMT -6)   
Agreed Canadian Guy, 1 out of 8 positive, looking good, but we really need to know what the gleason score and percentage of that 1 positive sample was . That could change the state of play...........Cheers Kev
Age 52yrs [Gold Coast Qld, Australia]
6 out of 8 cores positive 3 X 60% / 3 X 10%
PSA 4 Gleason Score 3+4=7 Stage T1c
RP 24/12/08 Dr Philip Stricker [Sydney]
Upgrade Gleason Score 4+3=7 Gleason Differential 60%/40%
Stage T2c Three small foci total volume <10%
Margin status- Focal Involvement
Nil - EPE
ED- okay with Meds.
PSA at 2 yrs, no change remains 0.03
"Everyday in Every-way I Get Better'

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/13/2010 5:56 PM (GMT -6)   
Welcome, but remember, the biopsy is but an estimate of the fuller extent of any cancer. You still have plenty of time to explore all options, no need to rush into anything so serious as a primary treatment,

David in Sc
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 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

Canadian Guy
New Member


Date Joined Dec 2010
Total Posts : 11
   Posted 12/13/2010 7:29 PM (GMT -6)   
The only information I have at this time is my gleason score was 3+3 =6 . Like I said earlier my local doctor doesn't seem to be to much into this I am waiting to get my answers from the specialist in a week or so . Ok help me out here what questions should I be asking him ?

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 12/14/2010 10:18 AM (GMT -6)   
Well, you got the Gleason grade. You can ask what percentage of that positive core contained cancer and how 'different' was it from the rest. You can also ask why they only did 8 samples, rather than the more common 12 or 16. You also need to know where the cancer was found in the gland. Front, back, bottom, top, etc.
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, next in Feb.
ED-total-Bimix 30cc

Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1210
   Posted 12/14/2010 11:52 AM (GMT -6)   
Hi Canadian Guy and welcome to our little part of the world.
Another Canadian here (West Coast - Vancouver). 8 needles seems to be the norm here in Canada. I had 8, 2 of which were +ve (3+4). Do a lot of research (this site is a good place to start), don't panic, but do not ignore your condition either.
Wishing you luck in your new journey, ask lots of questions and keep us informed. We will do all we can to easy your burden a little.

Mag
Born 1936
PSA 7.9, Gleason Score 3+4=7, 2 of 8 positive
open RP Nov 06, T3a, Gleasons 3+4=7, Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06, Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; at SRT Start=0.1, Salvage RT completed (33 days-66Gy) 19 Dec 08
PSA: in Jan 09 =.05, all tests to date (Jul 10) <.04

Canadian Guy
New Member


Date Joined Dec 2010
Total Posts : 11
   Posted 12/22/2010 11:52 AM (GMT -6)   
I was in to see the Dr. yesterday he has ordered a new biopsy done at his clinic. He stated if the results stayed the same ... 3+3=6 and with 1 of 8 cores positive with less than 5% surface area he might just put me on a watch list . Now I ask is this a good idea?

Highwayman
Regular Member


Date Joined Sep 2010
Total Posts : 148
   Posted 12/22/2010 10:02 PM (GMT -6)   
Canadian Guy,
With a PSA of 6 and only one core at 5%. You may be a candidate for watchful waiting. My PSA ended up over ten when my doctor said the #s were at the point. It is a decision only each man and his partner can make. Read Dr Patric Walsh's book. Some Guy's want it out Now. You have some time to make your decision. don't let anybody rush you.
best of luck and I hope you and yours have a good holiday together.
Mike
Age 48 w/diagnosed
10/06 PSA 3.0
11/06 PSA FREE %13.2
10/07 PSA 3.4
12/07 Biopsy-neg
1/09 PSA 4.6
6/09 psa 5.8
2/10 psa 8.7
7/10 PSA 10.8
8/2010 3rd biopsy GG 3+3=6, one of eight cores -2%
Lap 10/22/10 Dr. Troxel
Path- Neg Margins, Gleason 6, Nerves spared, 85 gm
Cath out Nov 2, Dec 2nd 2 pads/day
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