Posted 6/21/2012 8:18 PM (GMT -7)
Finally got it to work, a most excellent issue.
On the PSA Velocity Issue, I am a believer, as both my Urologist and Oncologist feel the same way.
In the 12 months before my PC dx, my PSA rose from 4.5 to 12.3, then in just to months after, rose to 16.x.
In the articles about PSA Velocity, they consider a rise of .4 to be a dangerous signal, in that finally year for me, it rose by 7.8 points, really incredible, or, in the period of just 14 months, it had risen over 11.5 points.
In that line of thinking (PSA Velocity), it usually indicates an aggressive cancer, and that mortality from PC can be as much as 10 times higher, regardless of having a primary and secondary treatment. In my case, within a 2 year period from dx, I had both open RP and 72.0 gys of SRT, and failed them both. And now sitting with a fast rising PSA of 37.
According to my Urologist in particular, he said I was the poster boy for those that support the dangers of PSA Velocity.
According to my Oncologist, its one reason he's not pushing for HT at this time, as he feels that those that are in my situation will become HT refactory quickly, and he knows I have been dealing with serious side effects and Quality of Life issues as the results from all the failed treatments. He said he has seen cases just like mine that verify this thinking.
Just something to think about.
We so badly need an accurate diagnostic tool, that would show a specific variant from the start, though in my case, not sure it would helped any in making a treatment decision.
David in SC
Age: 59, 56 dx, PSA: 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, original catheters 63 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/10 .04, 8/10 .06, 2/11 1.24, 4/11 3.81, 6/11 5.8, 12/11 14.0, 4/12 37.0
Other: Spent total of 1 ½ years on 21 catheters, had Ileal Conduit Surgery 9/10
Member of Prostate Cancer & Chronic Pain HW Communities