question about g6

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Regular Member

Date Joined Sep 2010
Total Posts : 69
   Posted 2/14/2011 12:31 PM (GMT -6)   
i've heard a few times that g6 rarely progresses to metastatic disease. i will get my results tomorrow from my third post rt psa. the first two were <0.1 but try as i might, this anxiety is intense.  psa never reached undetectable following rp (first test was 0.02  and second was 0.05). i think on paper my stats were favorable for good results from rt except that i never reached "undetectable" following surgery.  i also had a positive margin. i would be grateful for any input.
Also, hope this is not needed but if anyone knows a top notch medical onc. in the atlanta area i'd appreciate his name. just trying to get my ducks lined up just in case.

Veteran Member

Date Joined Jul 2010
Total Posts : 3895
   Posted 2/14/2011 12:40 PM (GMT -6)   
0.02 and 0.05 are considered "undetectable"..Most docs consider 0.1 to be undetectable too...

With the positive margin, your next step will be radiation..Look for a radiation oncologist who has access to the newest radiation equipment..With your G-6 pathology, I would wait until your PSA shows a definite upwards trend before I rushed into anything...
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

Veteran Member

Date Joined Dec 2008
Total Posts : 3149
   Posted 2/14/2011 1:11 PM (GMT -6)   
Just to show an example of a mind blower, maybe a real exception Dr. Snuffy Myers has a 10 yr. failed Psa's post surgery patient and his Psa has remained at .3 for like 10 yrs. now. So, makes you wonder how quick does someone need SRT? Like anything in PCa there are exceptions, exclusions, anomolies and wonder we are in the Twilight Zone on PCa issues. Sure is great knowing all these docs are considered experts???
Dx-2002 total urinary blockage, bPsa 46.6 12/12 biopsies all loaded 75-95% vol.; Gleasons scores 7,8,9's (2-sets), gland size 35, ct and bone scans look clear- ADT3 5 months prior to radiations neutron/photon 2-machines, cont'd. ADT3, quit after 2 yrs. switched to DES 1-mg, off 1+ yr., controlled well, resumed, used intermittently, resumed useage

Veteran Member

Date Joined Dec 2010
Total Posts : 3888
   Posted 2/14/2011 1:38 PM (GMT -6)   

I am in the Atlanta area and use Dr. Thomas Seay at Atlanta Cancer Care for med oncology. Let me know if you need a referral.

Regular Member

Date Joined Sep 2010
Total Posts : 69
   Posted 2/14/2011 5:09 PM (GMT -6)   
sorry if i wasn't clear. i already had radiation and have had two psa's since and am going to hear the news tomorrow on the third. my 0.02 was 3 mo. following rp. uro said it was good but we were hoping for <0.02. two months later psa was 0.05. uro and second opinion agreed that i had either reccurence or persistence and should treat it as aggressively as possible due to my age (45 at the time) and otherwise good health. the hope is that what ever was still there was still in the bed area and would be killed by the radiation.

zufus, i couldn't agree more about the twilight zone . the more i research, the more i see there is no one size fits all.

jnf, if tomorrow doesn't go as planned i'll get back to you. it will be after a good round of golf though, always helps to play on dr. day.

Regular Member

Date Joined Sep 2010
Total Posts : 69
   Posted 2/14/2011 5:22 PM (GMT -6)   
our situations do appear similar. i'm sure i remember uro saying my prostate was only slightly enlarged but very muscular. DRE dr. said it felt maybe slightly enlarged but very smooth and felt sure there was no reason for concern. uro said the same thing but scheduled biopsy because of family hx. i believe i was 4 of 12 cores pos. and had all 3's pre and post rp. the positive margin caused me to be upgraded from t1 to t3a though and uro said it looks bad on paper but in reality, because of where the margin was essentially the same.
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