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compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 1/6/2011 12:10 PM (GMT -6)   
0.13
 
Not good.
 
I will be seeing the Ford Team tomorrow.
 
I think it will be SRT time, but maybe they will go one more reading?
 
Mel
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. 9/21/10--0.06

Zen9
Regular Member


Date Joined Oct 2009
Total Posts : 314
   Posted 1/6/2011 12:15 PM (GMT -6)   

Mel,

My guess is that they will go for at least one more reading.

But you will be in my thoughts and meditations.

Zen9


knotreel
Veteran Member


Date Joined Jan 2006
Total Posts : 654
   Posted 1/6/2011 12:35 PM (GMT -6)   
Sorry to hear that. I was hoping you were wrong about the increases and it would go in the other direction. I hope the next round will be a sucess. Sadly, it seems that this happens all too often but forutunately you still have some big bullets to use.
Ron
06-08 1st biopsy neg psa 4
10-09 psa 5.5 2nd biopsy 1/12 pos. 10%, G(4+3) age 65
12-15-09 RRP Tulane NOLA Dr Lee
Path, 1%, clr marg, no EPE, no SVI, nodes cl, G(4+3)
100% incontinent after 3 mo. PT
ED, pre-op severe, post op total
10/10 Dr Boone, Baylor recomended AUS
AUS and IPP scheduled 1/11/11
post op psa's 0.04,<0.1,<0.1,<0.01@12 mo.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 1/6/2011 12:46 PM (GMT -6)   
Sorry, Mel, I have sent you an email of my thoughts for you.

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

Julietinthewoods
Regular Member


Date Joined Sep 2010
Total Posts : 309
   Posted 1/6/2011 12:59 PM (GMT -6)   
Sorry, Mel. I know you are disappointed and concerned. :(

Juliet

F8
Veteran Member


Date Joined Feb 2010
Total Posts : 3987
   Posted 1/6/2011 1:00 PM (GMT -6)   
Mel -- bummer man.  but you are on top of it.  good luck.
 
ed
age: 55
PSA on 12/09: 6.8
no symptoms, no prostate enlargement
12/12 cores positive....gleason 3+4 = 7
HT, BT and IGRT
received 3rd and last lupron shot 9/14/10

BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 1/6/2011 1:10 PM (GMT -6)   
Sorry about your PSA increase. Sounds like your in good hands.

LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 1/6/2011 1:49 PM (GMT -6)   
Actually Mel...you knew it would be near this level anyway. So it really isn't a surprise by any means. You should be able to put things into perspective and approach the next step with confidence as you have already done all your research.

Best of luck to you.
You are beating back cancer, so hold your head up with dignity

Les

Signature details in Sticky Post above - page 2

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4274
   Posted 1/6/2011 1:53 PM (GMT -6)   
Mel, sorry...I know we were all hoping for lower numbers for you.  Keep your spirits up...this can still be beaten.
 
Tudpock (Jim)
Age 62 (64 now), G 3 + 4 = 7, T1C, PSA 4.2, 2/16 cancerous, 27cc. Brachytherapy 12/9/08. 73 Iodine-125 seeds. Procedure went great, catheter out before I went home, only minor discomfort. Everything continues to function normally as of 12/8/10. PSA: 6 mo 1.4, 1 yr. 1.0, 2 yr. .8. My docs are "delighted"! My journey:
http://www.healingwell.com/community/default.aspx?f=35&m=1305643&g=1305643#m1305643

medved
Veteran Member


Date Joined Nov 2009
Total Posts : 1100
   Posted 1/6/2011 1:59 PM (GMT -6)   
Sorry to hear the lousy news. But you are smart about all this, and well-positioned to make good decisions. I recall you consulted with Dr. M. Hussain once. Time to do that again?
Age 46.  Father died of p ca. 
My psa starting age 40: 1.4, 1.3, 1.43, 1.74, 1.7, 1.5, 1.5
 

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 1/6/2011 2:13 PM (GMT -6)   
Darn it, I was almost sure that it would remain around the .06. Good luck with your picking your next team...
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 RP, Path: pT2c, 110 gms., clear except:
Probable microscopic involvement-left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09, 01/11-.09
ED-total-Bimix 30cc

Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2448
   Posted 1/6/2011 2:17 PM (GMT -6)   
Mel, sorry as hell man. Really hope that they take their time and confirm the rise with another reading. If you are a poker player I'll see your 0.13 and raise you 3.9. LOL

Love ya man,

Sonny
60 years old when diagnosed
PSA 11/07 3.0
PSA 5/09 6.4
da Vinci 9/17/09
Post Surgery Pathology: GS 4+3=7
Stage: T3a
Tumor Volume 12.5%
positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT completed 1/15/10 35 treatments- 70Gy
2/23/10 Post IMRT PSA 1.0
3/22/10 PSA 1.5
4/19/10 PSA 1.2
5/22/10 PSA 1.3
8/9/10 Completed Radiation for MET
9/7/10 PSA 2.2

Dave7
Regular Member


Date Joined Jul 2006
Total Posts : 202
   Posted 1/6/2011 2:32 PM (GMT -6)   
Sorry to hear that.
Your situation makes a good case for the ultrasensitive reading.
If your lab only tested to <.1, you would have been blindsided by this.

I should probably say, more blindsided.

bsjoplin
Regular Member


Date Joined Feb 2010
Total Posts : 308
   Posted 1/6/2011 2:40 PM (GMT -6)   
sorry to hear your news, Mel.
keep fighting the good fight, and keep us posted !
bob

rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1132
   Posted 1/6/2011 2:49 PM (GMT -6)   
Sorry to hear but you now have data points to work with and the smarts and a team of good doctor's to map out the next treatment.
 
Age 48 at diagnosis
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
22 month  PSA <.04
continent at 10 weeks (no pads!)
ED is still an issue

daveshan
Regular Member


Date Joined Jan 2010
Total Posts : 363
   Posted 1/6/2011 3:05 PM (GMT -6)   
Mel,
Sorry to hear about the rise, I hope the SRT kicks it back down to 0.0x
Dave in Durango CO

Burlcodad
Regular Member


Date Joined Nov 2009
Total Posts : 254
   Posted 1/6/2011 3:09 PM (GMT -6)   

Sorry to hear that Mel.  Sounds like you have a good plan for next steps.  I wish you peace.

Ray

 


An38
Veteran Member


Date Joined Mar 2010
Total Posts : 1152
   Posted 1/6/2011 4:10 PM (GMT -6)   
Hi Mel,

Sorry about this result. I was hoping that you would stay well below 0.1.
The only silver lining in this situation was that you already have a plan - but I am very sure that you were not keen to ever use it.

I wish you all the best and you know we are all here for you.

An

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2692
   Posted 1/6/2011 4:14 PM (GMT -6)   
Crap !
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 1/6/2011 4:21 PM (GMT -6)   
Thanks for all the responses. I appreciate the support.
 
The next step will be to see what the Ford Team says about all of this. Frankly, I think it is time to officially call this a BCR. But part of me hopes/expects  they say not so fast and we go one more test. It seems most of the protocols I read about suggest a confirming PSA. Not sure when they do that (a week or 2 or a month or 2).
 
I'll have those answers in 24 hours.
 
Meanwhile, the weather here is crappy. Snowing all day (not much accumulation) and more tomorrow. It's a 2-2 1/2 hour drive.. Appointment scheduled for 2:00 PM.
 
Mel
 
 
 
 

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7082
   Posted 1/6/2011 4:30 PM (GMT -6)   
Mel,
 
I guess we get what we get - had hoped it was a fluke, and would drop for you.
 
Take it easy on that drive - you've already got news, now it is just planning for the next step.

keysailfisher
Regular Member


Date Joined Dec 2009
Total Posts : 347
   Posted 1/6/2011 5:12 PM (GMT -6)   
Sorry for the rise Mel, but I think you are well prepared to deal with it.
 
Neal

Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2461
   Posted 1/6/2011 6:57 PM (GMT -6)   
Mel,
Sorry for the PSA result. I wish you the best with the RT.
Age: 67 at Dx on 12/30/08 PSA 3.8
2 cores out of 12 were positive Gleason (4+4)
Davinci surgery 2/9/09 Gleason 4+4 EPE,
Margins clear, nerve bundles removed
Prostate weighed 57 grams 10-20% involved
all PSA tests since (2, 5, 8, 11, 15, 18 months) undetectable
Latest PSA test (21 months) .005

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3741
   Posted 1/6/2011 7:21 PM (GMT -6)   
Mel,

Sorry about the news. I don't understand the wait. Are they not sure of the equipment?
Is there any benefit of waiting? Do they believe it will go down by itself?

Good luck with the next leg of the journey.
Jeff
Married 34 years, DX Age 56. First routine PSA test on April 8, 09: 17.8. Start 2 weeks of Cipro to rule out protatitis. May '09 PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, 20%-70%, Gleason 3+4=7, 3+3=6. Bone and C/T scans neg.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next See Uro 1/22/10 Trimix #1. Try 0.08- 25%, 0.12-25%, 2/26/10 try 0.16 First Success! 90%. 8/9/10 Now at 0.24 still 90%
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day. Try controlling fluids.
12/11/09 5 months: 3 pads per day, 400-450ml/day
02/26/10 7 months: 3 pads but leak is now 320 ml (5 day avg.)
03/22/10 8 months: 3 pads per day, 280 ml/day (5 day avg.) PT says all muscles are tight and working properly. "There must be another issue."
5/22/10 10 months: 2 pads per day, 190 ml/day Scope on June 15 "Short sphincter"
7/15/2010 one year: 2 pads per day. 140 ml/day, dry in bed.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04
1/14 6 months - 0.05 (Siemens Centaur)
4/14 9 months - 0.04 (Siemens Centaur) and <0.01 (Roche ECLIA).
7/12 1 year - 0.03 (Siemens Centaur, direct chemilum); <0.01 (Roche Cobas 601 ECLIA)

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 1/6/2011 7:47 PM (GMT -6)   

Jeff:

They haven't said wait. I see them tomorrow. From what I've read there is a protocol. In fact, they might say wait until it hits 0.20 OR they might just do a confirming PSA within a month.

As much as I do NOT want to do SRT, I don't think I have a choice and waiting does not appear to be in my best interest. As it is, I'm sure it will take some time to get everything set up, in place.

So, even if they say do a confirming PSA, I'll try and set up the SRT to start almost immediately thereafter. I have an appointment on Wednesday.

 

Mel

 

 

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