This doesn't speak well for delayed diagnosis and treatments

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Purgatory
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Date Joined Oct 2008
Total Posts : 25393
   Posted 12/21/2010 9:46 PM (GMT -6)   
Not directly about PC, but is about cancer, and I think there's a lesson in this news story:
 

Cajun Jeff
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Date Joined Mar 2009
Total Posts : 4119
   Posted 12/21/2010 10:33 PM (GMT -6)   
Well it does not speak of prostate cancer at all but stresses early detection and treatment. That is in conflict about not wanting to push PSA test in my opinion. I think they are right. Why not find out early.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1% cancer core
10/08 Nerve-Sparing open radicalSurgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clea
r3 month: PSA <0.1
19th month: PSA <0.1
2 year PSA <0.1
Only issue at this time is ED but getting better

Squirm
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Date Joined Sep 2008
Total Posts : 744
   Posted 12/21/2010 10:53 PM (GMT -6)   
The US Health "Task Force" said no to mammograms before the age of 50. Then tried to sell it by saying it creates anxiety, useless biopsies and un-needed radiation exposure. I would think early detection and deciding what treatment is the key to all cancers.

Purgatory
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Date Joined Oct 2008
Total Posts : 25393
   Posted 12/21/2010 11:02 PM (GMT -6)   
I agree completely. I still believe in the old standard, of all men getting PSA tested starting at age 50, and earlier if they are African-American, or have a family history of prostate cancer. Once tested, and once diagnosed, then depending on the stats and other medical circumstances, the full range of treatments should be reviewed, patient by patient - ranging from AS, if appropriate, and including all the normal primary treatments we discuss here. I can't think of a single, good reason, not to test men for PC. Can't be cost, as we are talking about a simple blood test, not something expensive like a MRI, etc.

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

Squirm
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Date Joined Sep 2008
Total Posts : 744
   Posted 12/21/2010 11:12 PM (GMT -6)   
Hi David,
Since my dad died of aggressive prostate cancer several years ago, I started get tested at age 37 (I'm 43 now). My GP said I didn't need testing until 50 even though he knew my dad died of it! I receive Catalona's newsletter and it was recommended to get tested much earlier.

Yes, cost can't be a factor as it's just a easy blood test. And my GP doesn't even do the DRE's. (I'm not too fond of these healthcare gate keepers).

Purgatory
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Date Joined Oct 2008
Total Posts : 25393
   Posted 12/21/2010 11:45 PM (GMT -6)   
Squirm, I think you were a wise man for starting at age 37. My two boys promised to get a base line PSA no later than age 35 just to be on the safe side. Surprised your GP took that attitude. My GP doesnt like to take any risk or chances.
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

Steve n Dallas
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Date Joined Mar 2008
Total Posts : 4849
   Posted 12/22/2010 5:06 AM (GMT -6)   
For breast cancer, for example, about 82 percent of women in the U.K. and Denmark were alive five years after being diagnosed in 2007.
 
The math doesn't add up. 2007 was less then five years ago confused

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/22/2010 8:30 AM (GMT -6)   
Steve, they must believe in Time Travel over there, perhaps, lol. Nice accurate news reporting.
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

Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 12/22/2010 9:00 AM (GMT -6)   
Guys My son is now 34 and had his first PSA done last fall. Went for his yearly checkup and I told him. Ask the Dr to run a PSA and if your insurance does not pay I will pay for it. He told the Dr that he wanted a PSA the Dr wanted to know why. Son explained. Dr said not a problem and I will make sure your insurance coveres it. Dr also commented "your Dad is wise to have you do this." He now has a base line.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1% cancer core
10/08 Nerve-Sparing open radicalSurgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clea
r3 month: PSA <0.1
19th month: PSA <0.1
2 year PSA <0.1
Only issue at this time is ED but getting better

April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 12/22/2010 9:35 AM (GMT -6)   
Squirm,

I am glad you took it upon yourself to get the PSA, despite your GP not recommending it. I am surprised your GP won't do the DRE. Seems unusual. I have had 3 different GPs in the last 10-12 years and all of them did the DRE.

Dan
Here are some of my stats:
Age:54
Father diagnosed with PC at age 72 - wasn't contained to prostate when found in 1992.
My PSA rose from 3.2 to 5.1 over the course of 1.5 years with Free PSA at 25% for the last two tests.
DRE showed no evidence of tumor but Uro thought my prostate was a little large for someone my age
PCa diagnosed 4/6/10 after biopsy on 4/1/10
1 out of 12 biopsy samples was positive with 5% of biopsy sample cancerous
Gleason 3+4
Da Vinci surgery on 6/1/10
Pathology report shows cancer confined to prostate and all other tissue clean
PSA tested on 7/15/10: Zero Club membership card issued (trial membership with 90 day renewal)

Pocketman
Regular Member


Date Joined Aug 2010
Total Posts : 121
   Posted 12/22/2010 9:56 AM (GMT -6)   
corvetteman3 said...
Guys My son is now 34 and had his first PSA done last fall. Went for his yearly checkup and I told him. Ask the Dr to run a PSA and if your insurance does not pay I will pay for it. He told the Dr that he wanted a PSA the Dr wanted to know why. Son explained. Dr said not a problem and I will make sure your insurance coveres it. Dr also commented "your Dad is wise to have you do this." He now has a base line.

Cajun Jeff


Good idea. My son is 31 and a patient of the same doctor that detected my elevated PSA.

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7084
   Posted 12/22/2010 11:29 AM (GMT -6)   
Steve,
 
I suspect that:
For breast cancer, for example, about 82 percent of women in the U.K. and Denmark were alive five years after being diagnosed in 2007.
 
Might  have been meant to say:
For breast cancer, for example, in 2007 about 82 percent of women in the U.K. and Denmark were alive five years after being diagnosed.
 
Just a thought, since the data was said to be up through 2007 ??

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/22/2010 11:55 AM (GMT -6)   
That explanation makes more sense, 142, perhaps that was what was meant
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

Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2362
   Posted 12/22/2010 12:28 PM (GMT -6)   
I had regular PSAs and DREs beginning at age 40.  For purposes of full disclosure I do not have a family history of prostate cancer nor am I of African descent.  The PSAs were all low until the spike that initiated the biopsies, that diagnosed the PCa, that started the treatment.  I have never had any urological problems prior to the PCa.

PSA quadrupled in one year (0.6 to 2.6)
DRE negative 1 of 12 biopsies positive (< 5%)
open RRP surgery June 2006 at age 57
Organ-confined to small area Gleason 5
Bilateral nerve-sparing prostate weight 34 grams
PSAs < 0.1

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/22/2010 12:33 PM (GMT -6)   
My situation was the same as yours, Tim, with the exception that I started PSA testing and DRE's at age 50 per my GP's request. And the rest was history.
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

Rolerbe
Regular Member


Date Joined Dec 2008
Total Posts : 235
   Posted 12/22/2010 2:17 PM (GMT -6)   
April6th said...
Squirm,

I am glad you took it upon yourself to get the PSA, despite your GP not recommending it. I am surprised your GP won't do the DRE. Seems unusual. I have had 3 different GPs in the last 10-12 years and all of them did the DRE.

Dan
 
Particularly as it is a 'chargeable procedure'.  Took me a while to figure out why every MD wanted to 'feel for themselves' in the couple of months it took to decide on treatment after Dx -- $75 for a 10 second squeeze.

age 52
RALP 10/08
One nerve spared
Gleason 7
Pre op PSA 8.2 -- first PSA ever taken on age 50 physical
Post op PSA's <0.01
Most recent PSA 0.02 (12/10)

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 12/22/2010 2:24 PM (GMT -6)   
Have you seen the TV commercial where the Doc mentions that they don't like doing DRE's anymore then we like receiving them smhair

Rolerbe
Regular Member


Date Joined Dec 2008
Total Posts : 235
   Posted 12/22/2010 2:30 PM (GMT -6)   
BTW, not a single MD felt anything on any of my many DRE's.
age 52
RALP 10/08
One nerve spared
Gleason 7
Pre op PSA 8.2 -- first PSA ever taken on age 50 physical
Post op PSA's <0.01
Most recent PSA 0.02 (12/10)

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/22/2010 4:13 PM (GMT -6)   
Steve, I believe you, sure its not much fun for the doc to stick his fingers where he does.

Rolerbe, just like you, I always had negative DRE's.
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

Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 744
   Posted 12/22/2010 6:22 PM (GMT -6)   
My previous GP use to do the DRE when I got the PSA results back. Earlier this month I had my blood drawn for my PSA. Today I went to my GP to get my PSA result (0.7) and have him check me out for the flu. Still no DRE from him. I figure I'll press him for the DRE when I turn 45.

Although, I've read the best person to do the DRE isn't a GP, but a urologist. I've also read (Berkeley Health Newsletter) some positions are better then others. Standing up and bending forward isn't as good as laying on your side.

Post Edited (Squirm) : 12/22/2010 4:29:19 PM (GMT-7)

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