Dad diagnosed with PCa

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norron
New Member


Date Joined Jan 2011
Total Posts : 2
   Posted 1/31/2011 9:46 AM (GMT -6)   
Hi,
my dad, 68 years old, was diagnosed with PCa almost two years ago. From what I know his pre-op PSA was 12. He had surgery (laprascopic) last august. In his three month follow-up his PSA was 0.7, and 6 month was 1.4. Not good from what I understand?

He has now had scintigraphy and MRI imaging. Both showed no evidence of metastasis to the bone, but some lymph nodes in the pelvis were slightly suspicious, and the oncologist said she wanted to seek a second opinion from doctors from another hospital and have them look at the pictures and epicrisis.

We now have to wait some more days before we get answer from those doctors. I'm already suffering from generalized anxiety disorder, and this sure does not help. Is there any treatment available if there is lymph node involvment? Has anyone else experienced something similar?

I think my dad has said that his Gleason score was 7, but he trust his doctors, and are not really interrested in these values as he is not educated to make sense of them anyways (as he put it).

Post Edited (hphp) : 1/31/2011 8:49:53 AM (GMT-7)


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 1/31/2011 10:11 AM (GMT -6)   
Hi norron,

Welcome to HealingWell.

Yes there are treatments available for your dad that can be quite successful. The next stage of treatment will most likely will be decided on what the pathology from the surgery was. There are a lot of details that need to be studied, hench the second opinions. Most like one of two choices will be offered. One will be with radiation therapy, the other will be hormone therapy...or a combination of both.

Best of luck and let us know what the followup treatment will be.
You are beating back cancer, so hold your head up with dignity

Les

Robotic Surgery Sept 2008
PSA increasing since January 2009
Current PSA .44 (29 months)
PSA Doubling time approx. 6 months

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3741
   Posted 1/31/2011 5:18 PM (GMT -6)   
More than likely, if the suspicious nodes are grouped together in the lower pelvic area, they will recommend "salvage radiation treatment". In other words, they will try to salvage the surgery with radiation, kill all the cancer that escaped the surgery..

if they feel the PC has spread outside the pelvic area, radiation will not help much so they will skip that and start him on hormone therapy.

You might wish to read "Winning the battle against prostate cancer" A new book written in layman's terms by Dr. Gerald Chodak. it explains all your options in plain English...Another good read is Dr. Patrick Walsh's book, "Guide to surviving prostate cancer"..which goes into things in a little more detail..

Best of luck to you and your Dad...
Age 68.
PSA at age 55: 3.5, DRE normal. Advice, "Keep an eye on it".
age 58: 4.5
" 61: 5.2
" 64: 7.5, DRE "Abnormal"
" 65: 8.5, " normal", biopsy, 12 core, negative...
" 66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
" 67 4.5 DRE "normal"
" 68 7.0 third biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT NOW

norron
New Member


Date Joined Jan 2011
Total Posts : 2
   Posted 1/31/2011 5:19 PM (GMT -6)   
Thank you both so much for your replies. Most appreciated!

Wish you all the best.
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