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Fairwind
Veteran Member
Joined : Jul 2010
Posts : 4080
Posted 9/28/2012 4:30 PM (GMT -7)
September PSA test came back 0.8 Testosterone jumped up to 470 after stopping ADT last June..

So we move on the plan B as soon as we figure out what plan B will be...
Age 70
PSA age 55: 3.5, DRE normal.
age 58: 4.5
61: 5.2
64: 7.5,
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 3rd 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. 2-15-'11 PSA <0.1 10/'11, <0.1 2/12, <0.1, 4/12 <0.1, 9/12, 0.8
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davidg
Veteran Member
Joined : Feb 2011
Posts : 4093
Posted 9/28/2012 4:43 PM (GMT -7)
sorry to hear that. Best of luck.

when did you first discover that you had cancer?
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Purgatory
Elite Member
Joined : Oct 2008
Posts : 25440
Posted 9/28/2012 4:49 PM (GMT -7)
Sorry to hear that, you had a pretty good run, was hoping it would last even longer than that for you. Good luck on plan "b"
Age: 60, 56 at PC dx, PSA 16.3
3rd Biopsy: 9/8 7 of 7 Positive, 40-90%, 4+3
open RP: 11/8, Catheter in 63 days
Path Rpt: 3+4, pT2c, 42g, 20% tumor, 1 pos margin
Incont & ED: None
Surgery Failed, recurrence within 9 months
Salvage Radiation 10/9-11/9, SRT failed within 9 months, PSA 4/12 = 37.x
Spent total of 1 ½ years on 21 catheters, Ileal Conduit Surgery 9/10,
7 other PC-related surgeries
Member of Prostate Cancer & Chronic Pain HW Communities since 10/2008
“I live in the weak and the wounded” – Session Nine (Movie)
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zufus
Veteran Member
Joined : Dec 2008
Posts : 3149
Posted 9/29/2012 5:58 AM (GMT -7)
Atleast you are very much informed about what your possible choices are and can likely challenge this in the way you see fit.  I had the non-cure card likely from day one with nasty overall stats, and definitively after treatments and known psa failure in 2004, the good news is still here and talking about it and not suffering with much in side effects for the last 8 yrs. 

Suggestion for consideration for anyone in light of current and world events and unknowns going forward, see if you can get a couple Rx (scripts) written for some drugs you could use little while later or stock up on anything that could be of use to you.   Line up to have an alternate PCa doc, a friend of mine has used like 5 different docs and has accesses to about any drug choice he wants (some docs limit those choices), and he has excellent psa results in so doing, he has manipulated drug changes in his PCa digest history and brung psa increases back down a number of times over many years (so not stupid, results trump everything as far as I am concerned).  Don't be surprized if you are pitched all the highest priced drugs on the planet, your psa level is low and you have many possible ways to control psa and PCa esculation.  Best to you and will look for your future psa reduction and what you have chosen for it. Lots to consider in trade offs as you know.

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SpecialLady
Veteran Member
Joined : Nov 2011
Posts : 1027
Posted 9/29/2012 6:13 AM (GMT -7)
Sorry to hear that, Fairwind, but as Dr.Myers said, it is much easier to contain a slow PSA rise after surgery or radiation than a widespread T4 disease to begin with. When your PSA gets to be around 2.0, you can do C11 choline Pet scan and locate the affected lymph node. I have read some cases where PSA rises, but then stops w/o any therapy, as surprising as that may be, it happens, sort of levels off. Good luck, keep in touch!
Father (69 now) diagnosed with PCs in Jan 2011:
DRE positive, PSA 7.5, biopsy Gleason 6, second expert opinion: Gleason 7 and 8.
two inconclusive bone-scintigraphies, MR scan showed 2 bone mets
Feb 2011: Started hormonal therapy (Trelstar+Casodex) in Jan 2011
Jan 2012: Added Zometa
Mar 2012: went "off" hormonal therapy after PSA reached 0.055
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Fairwind
Veteran Member
Joined : Jul 2010
Posts : 4080
Posted 9/29/2012 9:55 AM (GMT -7)
Thanks for the responces..Zufus, your method of survival makes the most sense to me..My Primary care doc, who did the last blood work sent me back to see my 'discovery" urologist whom I haven't seen in a year and a half..I asked about seeing a medical oncologist next..he said no, see your urologist first..So I call his office, the soonest he can see me is October 24! That's not going to work for me..So Monday I'll hoist a fresh set of sails and pursue a different course..For sure, I'll go back on some form of ADT which should give me another couple of years of "good time" before I go refractory..With my "T" up to 470, I was just starting to feel pretty good! 470 is much higher than it was 5 years ago when this adventure started....Gotta go, more later..
Age 70
PSA age 55: 3.5, DRE normal.
age 58: 4.5
61: 5.2
64: 7.5,
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 3rd 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. 2-15-'11 PSA <0.1 10/'11, <0.1 2/12, <0.1, 4/12 <0.1, 9/12, 0.8
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Tudpock18
Forum Moderator
Joined : Sep 2008
Posts : 4597
Posted 9/29/2012 10:38 AM (GMT -7)
Fairwind...so sorry for the bad news.  I wish you the best as you go forward with new chapter and will be hoping for the best.

Jim


Age 62 (65 now), G 3 + 4 = 7, T1C, PSA 4.2, 2/16 cancerous, 27cc. Brachytherapy 12/9/08. 73 Iodine-125 seeds. Procedure went great, only minor discomfort. Everything continues to function normally as of 12/2/11. PSA: 6 mo: 1.4, 1 yr: 1.0, 2 yr: .8, 3 yr: .5. My docs are "delighted"! My journey:
https://www.healingwell.com/community/default.aspx?f=35&m=1305643&g=1305643#m1
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John T
Veteran Member
Joined : Nov 2008
Posts : 4315
Posted 9/29/2012 5:20 PM (GMT -7)
Fairwind,
Sorry to hear that. I've been following your journey for a while and you are prety informed about the next steps. Good luck.
JohnT
66 years old, rising psa for 10 years from 4 to 40; 12 biopsies and MRIS all negative. Oct 2009 DXed with G6 <5%. Color Doppler biopsy found 2.5 cm G4+3. Combidex clear. Seeds and IMRT, 4 weeks of urinary frequency and urgency; no side affects since then. 3 years of psa's all at 0.1.
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F8
Veteran Member
Joined : Feb 2010
Posts : 4523
Posted 9/30/2012 10:11 AM (GMT -7)
Fairwind -- i'm really saddened by the news but i respect the fact that you did everything in your power to defeat the beast and i know you will continue to do so.  i expect you to be victorious too cool !

ed

 


age: 57
12/09 -- PSA 6.8
G7 -- 3+4
HT, BT and IGRT
9/4/12 -- 2-year post treatment PSA 0.2
(PSAs .2, .3, .2, .3, .2)
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RCS
Veteran Member
Joined : Dec 2009
Posts : 1303
Posted 9/30/2012 12:19 PM (GMT -7)
Fairwind,

Sorry about the PSA rise.

Best wishes and good luck.
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Ed C. (Old67)
Veteran Member
Joined : Jan 2009
Posts : 2489
Posted 9/30/2012 1:04 PM (GMT -7)
Fairwind, Sorry about the PSA rise. No one likes to see that. Zufus gave you a good advice. There are many new drugs that you can try and some old ones that may work for you. Good luck.
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, SV, clear, nerve bundles removed
Prostate weighed 57 grams 10-20% involved
PSA tests every 3 months undetectable
PSA at 32 months: .005
PSA on 1/25/12 .094 (ouch) lab error
retested2/21/2012 <.01
retested on 4/3/12 <.01 (38 months)
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Susan R
Veteran Member
Joined : Dec 2010
Posts : 511
Posted 9/30/2012 1:59 PM (GMT -7)
I am so sorry to hear that. Will keep you in my thoughts!!!

Susan
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JNF
Veteran Member
Joined : Dec 2010
Posts : 4429
Posted 9/30/2012 5:07 PM (GMT -7)

Fairwind,

It is now all about control and management.   You are a great student and are aware of all the options and I am sure you will do well.

Jack


PSA 59 on 8-26-2010 age 60. Biopsy 9-8-2010 12/12 positive, 20-80% involved, PNI in 3 cores, G 3+3,3+4,and 4+3=G7, T2b.
Eligard and Jalyn started on 10-7-2010. IMRT to prostate and lymph nodes started on 11-8-2010, HDR Brachytherapy December 6 and 13, 2010.
PSA < .1 and Testosterone less than 3 since February 2011
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Sancarlos
Regular Member
Joined : Feb 2010
Posts : 242
Posted 9/30/2012 7:23 PM (GMT -7)
Very sorry to learn of the rise in PSA.

I also stopped HT in June of last year (2011) and am more than a bit apprehensive about my next PSA test in October.

San Carlos
PCa diagnosed 2009 at age 65
Stage: T2c, Gleason: 9 (4 + 5), 6 of 6 cores positive. Bone, CAT and MIR scans negative.
Treatment: brachytherapy (103 palladium), 100 gy (11/2009) + IMRT, 45 gy (3/2010) + HT

PSA at diagnosis -- 11.9
10/2009 -- 5.0, 12/2009 -- 0.56
5/2010 -- 0.15, 8/2010 -- 0.06 , 11/2010 -- 0.013
3/2011-- 0.005, 6/2011--0.003, 9/2011-- 0.003
1/2012--0.004, 6/2012--0.163
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MsWorryWart
Veteran Member
Joined : Aug 2011
Posts : 1466
Posted 9/30/2012 9:27 PM (GMT -7)
So sorry to hear this news, Fairwind.

Best of wishes for success with your new ADT.
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Riviere
Regular Member
Joined : Jul 2011
Posts : 324
Posted 10/1/2012 3:51 AM (GMT -7)
Fairwind,

Sorry to hear the news. I hope you do find a good medical oncologist. For a radiation oncologist to send you to your former urologist sounds like the "good old boys club" at work. Remember that you can phone consult with the likes of Dr. Scholz, even if you can't afford to go to L.A. for treatments. It never hurts to have an expert in your corner.

Best Wishes,
Nellie
Age 60 Gleason 9
1/10 PSA 14.7
5/10 Bx: Gleason 3+4
8/4/2010 RRP: Gleason 4+5; Positive Margins, PNI
Incontinence: N/A; ED: 70%
Until 4/11, PSA <.01; 4/11: .01; 6/11: .03
10/11 <.01; 02/12 <.02
ADT3 started 7/11; WPRT 39 sessions ended 10/11:
Pelvic lymph nodes: 45 Gy; Fossa 66 Gy; Prostate bed: 71.5 Gy.
Minor lymphadema as result of lymphadenectomy at time of RRP and whole-pelvic RT
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BB_Fan
Veteran Member
Joined : Jan 2010
Posts : 1015
Posted 10/1/2012 4:45 AM (GMT -7)
Fairwind, very sorry about the PSA rise. Very disheartening. I would like to echo Nellie's recommendation. Now is the time for consultation with a medical oncologist. Perhaps several. Get a local guy and see a specialist if you can. Best of luck. BB
Dx Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4)
Robotic RP March 2009
Path Report: T2c, G8, organ confined, neg margins, lymph nodes - tumor vol 9%
PSA's < .01, .01, .07, .28, .50. ADT 3 5/10. IMRT 7/10.
PSA's post HT/SRT .01, < .01
End ADT3 5/11
PSA 10/11 < .01, T 103
PSA 1/12 < .01, T 214
PSA 4/12 < .01, T 288
PSA 6/12 < .01, T 380
PSA 8/12 < .01, T 338
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An38
Veteran Member
Joined : Mar 2010
Posts : 1155
Posted 10/1/2012 5:13 AM (GMT -7)
Fairwind,

Sorry to hear about the increase in PSA.
I have followed your posts since you joined two years ago and have admired your logical and informed approach to dealing with your disease.

I am sure that this approach will work very well for you in the future.

An
Husband's age: 52. Sydney Australia.
Hereditary PC: Mat. grandfather died of PC at 72. Mat. uncle died of PC at 60.
PSA: Aug07 - 2.5|Feb08 - 1.7|Oct09 - 3.67 (free PSA 27%)|Feb10 - 4.03 (free PSA 31%) |Jun10 - 2.69.
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: T1c, 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|Feb11 – 0.03|
Lab 2: Nov 10 - 0.01|Dec10 – 0.01|Feb11 – 0.01|Apr11 – 0.01|Jun11 – 0.01
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Startech
Veteran Member
Joined : Jun 2011
Posts : 1129
Posted 10/1/2012 6:18 AM (GMT -7)
Fairwind, I am sorry this day came so soon. But you are one of the most informed on HW and I will be watching your successes with plan B.
enlarged prostate at age 25-dx'd 51
3/2000 psa=.08
4/2002 psa = 1.4
4/2011 psa= 49.2
5/2011 Prostate Biopsy-3 of 12 cores Positive
Gleason 4+4=8
T2c n0m0
Bone&CT=neg
MRI-1 nerve bundle involved
open RRP 8/5/11,home 8/6/11,cath out 8/16/11
Post Op Path
71g-1 NERVE spared
Gleason upgraded 5+4=9
13 lymph nodes,SVI neg
Margin-indeterminate,PNI-pos
pT3aN0Mx
PSA <0.1 as of 6/2012, ED/1 pad
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James C.
Veteran Member
Joined : Aug 2007
Posts : 4464
Posted 10/1/2012 4:09 PM (GMT -7)
Fariwind, sorry to be late responding, just just getting caught up after a late night arrival.

That isn't news any of wish to hear, and I am sure you are disappointed. However, there's a long road and lots of options still available up ahead, so regroup and charge back into battle. confused
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ruggles
Regular Member
Joined : Jan 2010
Posts : 26
Posted 10/1/2012 5:23 PM (GMT -7)
Fairwind, sorry to hear the news. You might consider the C11 Pet Scanning they are doing at Mayo Rochester. He likes to get men recurring with PSA between 1 and 2 preferably not on ADT. They may see yours is clumped somewhere they can nuke.

Go with a good PCa oncologist.


dx @ 59 PSA: 8/09 - 5.7, 10/09 - 6.4, 12/09- 7.2, 2/10 - 7.4
12/09 FreePSA 10%
Biopsy 12/09 3/12 cores positive for 3+3 (10%, 20%, 20%)
Multi-focal Adenocarcinoma, 4th core Hi PIN
DREs negative
daVinci 2/9/10
Path: still 3+3 clean margins, appears contained to 5% of prostate
Dry at 5 weeks, total ED corrected with TRIMIX
9/12 PSA <.02
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sickofbeingsic
Regular Member
Joined : Sep 2011
Posts : 107
Posted 10/2/2012 11:29 AM (GMT -7)
Fairwinds,
Like the rest on here, we are deeply saddened to hear of your latest challenge you will be facing
Personally, I spoke very highly of you at the GFMPH meeting in NY last week because you gave me information that may have extended my journey by years. Only time will tell.
You do have extensive knowledge and that gives you an advantage I hope in this new challenge.
I think you are undeserving of this given all you have been through and I hope all on this forum recognize your valuable input throughout and we know that will continue.
Sincerely
Art
sickofbeingsic
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Aimzee
Veteran Member
Joined : May 2010
Posts : 1409
Posted 10/2/2012 3:05 PM (GMT -7)
Wishing you the best, Fairwinds as you meet this new challenge!  Take care.

Aimzee


Husband Ron, age 63
4/1/10 PSA 5.5 Prostate size = 50 grams
Biopsy on 4/20/10 12 samples. Adenocarcinoma: 3 positive cores on right side - No Perineural Invasion Gleason 6 (3+3) Bone Scan/CT Negative 8/18/10 - Da Vinci Prostatectomy. Post Op: Gleason 7 (3+4) Negative surgical margins & lymph nodes. Both nerve bundles spared. ED a problem /No incontinence. Testicular pain. 10/11 PSA 0.01
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BobCape
Regular Member
Joined : Jun 2010
Posts : 416
Posted 10/2/2012 3:33 PM (GMT -7)
Keep fighting. Keep living life. There is no alternative. My thoughts are with you.
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