Dr. Myer's Recurrence after RP video

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Regular Member

Date Joined Mar 2010
Total Posts : 145
   Posted 2/9/2011 5:39 PM (GMT -6)   
Interesting for those of us in this boat ... in case you haven't seen it.  Not sure how to post a link but here is the URL .........

Post Edited (Piy) : 2/9/2011 4:45:16 PM (GMT-7)

Ed C. (Old67)
Veteran Member

Date Joined Jan 2009
Total Posts : 2458
   Posted 2/9/2011 6:39 PM (GMT -6)   
Great video. Thanks for posting.
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, 21 months) undetectable
Latest PSA test (2 years) <.008 ?

Veteran Member

Date Joined Jan 2009
Total Posts : 2222
   Posted 2/9/2011 8:39 PM (GMT -6)   
Quite interesting, thanks for the link.

Veteran Member

Date Joined Mar 2010
Total Posts : 1148
   Posted 2/10/2011 3:33 AM (GMT -6)   
Thank you, that was most useful.

This is first time that I have anyone explain the options so well! Especially the bit about finding the cancer in the lymph nodes was very interesting.

Husband's age: 52. Sydney Australia.
Family history: Mat. grandfather died of PC at 72. Mat. uncle died of PC at 60. He has hereditary PC.
PSA: Aug07 - 2.5|Feb08 - 1.7|Oct09 - 3.67 (free PSA 27%)|Feb10 - 4.03 (free PSA 31%) |Jun10 - 2.69. DRE normal.
Biopsy 28Apr10: negative for a diagnosis of PC however 3 focal ASAPs “atypical, suspicious but not diagnostic” for PC. Review of biopsy by experienced pathologist, 1/12 core: 10% 3+3 (left transitional), 1/12 core: ASAP (left apex)
Nerve sparing RP, 20Aug10 with Dr Stricker. Post-op path: 3+4 (ISUP 2005). Neg (margins, seminal vesicles, extraprostatic extension). Multifocal, with main involvement in the fibro-muscular zone. T2C.
Post RP PSA,
Lab 1: Sep10 – 0.02|Nov10 – 0.03|Dec10 – 0.03
Lab 2: Nov 10 - 0.01|Dec10 – 0.01

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 2/10/2011 11:29 AM (GMT -6)   
Thanks for the link. I watched the 2 videos concerning reoccurance and now have a much better understanding of the parameters of it than I had after by rad. onco. consult. That's some prime info and should be a 'must watch' by everyone who is thinking they may be seeing reoccurance. Again, thanks..
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

Regular Member

Date Joined Nov 2010
Total Posts : 143
   Posted 2/10/2011 11:42 AM (GMT -6)   
Very interesting link thanks I bookmarked it. I think I have been watching it for the last hour.

Regular Member

Date Joined Nov 2009
Total Posts : 486
   Posted 2/10/2011 1:31 PM (GMT -6)   
I watched Dr. Myer's video early this morning just before I left for the last of 38 treatments. My stats fit the agressive status and I did not radiate any lymph nodes.  IF Dr. Myers is correct, I just wasted 2 months of treatment and my PSA will most likely continue to rise in the near future.  Stay tuned for the next chapter.

Veteran Member

Date Joined Jan 2010
Total Posts : 1011
   Posted 2/10/2011 3:01 PM (GMT -6)   
Carlos, I am in the same boat as you are. I go off HT this May. If PSA starts to go up again, I plan to get re-staged and hit the lymph nodes is that is where the PCa is found. I wish it was done last summer when I had SRT. BB
Dx PCa Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4) - 8 cores, 4 positive, 30% of all 4 cores.
Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive - tumor volume 9%, nerves spared, no negitive side effects of surgery.
PSA's < .01, .01, .07, .28, .50. HT 5/10. IMRT 9/10.
PSA's post HT .01, < .01
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