SBRT Update - 18 Months

I just had my 18 month PSA Test after SBRT Treatment. My score continued to drop and is now 0.7. Great News!

I strongly encourage those with low risk to intermediate risk prostate cancer to evaluate SBRT as a treatment option. I have no urinary, rectal, or sexual side effects. I don't really think about PCA very much any more. I know that I am still early in the process, but am very pleased, and happy with my treatment decision.

Cheers!

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DOB 12/57
PSA rising from 2013 to 2016 (up to 8.4)
Biopsy 1/16: 1 @ 20% G6: 1 @ 10% G6; 2 @ < 5% G6; 2 Clear
Active Surveillance - Monitored PSA but spiked to 11.9
Biopsy 1/18: 1 @ 40% G6; 1 @ 30% G6; 1@ 5% G6; 1@ 10% G6; 2 Clear
SBRT 4/23-26/18 at UNC-CH; 38 gys in 4 fractions
PSA 07/18 4.3
PSA 10/18 2.4
PSA 01/19 1.4
PSA 04/19 1.1
PSA 10/19 0.7

Great news! SBRT is a good way to go.

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I'll be in the shop.
Age 59, 52 at DX
PSA:
4.2 10/11, 1.9 6/12, 1.2 12/12, 1.0 5/13, .6 11/13,
.7 5/14, .5 10/14, .5 4/15, .3 10/15, .3 4/16, .4 10/16, .4 5/17, .3 10/17 .3 4/18, .4 11/18
G 3+4
Stage T1C
2 out of 14 cores positive
Treatment IGRT - 2/2012

Great results. It is excellent treatment.

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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 since February 2011. Located in Cumming Georgia north of Atlanta

Cellar:

Waiting for the bounce, and ready if it comes, as long as it is just a bounce!

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DOB 12/57
PSA rising from 2013 to 2016 (up to 8.4)
Biopsy 1/16: 1 @ 20% G6: 1 @ 10% G6; 2 @ < 5% G6; 2 Clear
Active Surveillance - Monitored PSA but spiked to 11.9
Biopsy 1/18: 1 @ 40% G6; 1 @ 30% G6; 1@ 5% G6; 1@ 10% G6; 2 Clear
SBRT 4/23-26/18 at UNC-CH; 38 gys in 4 fractions
PSA 07/18 4.3
PSA 10/18 2.4
PSA 01/19 1.4
PSA 04/19 1.1
PSA 10/19 0.7

This is one of my first posts in 2016. Decided on SBRT and have had great results. Nadir is now .04. Treatment was in March of 2017. First psa was .12 and has gone down for every test done every 6 months. No bounce yet.





Posted 9/13/2016 9:53 AM (GMT -6)Options ▼
I have decided that I want some form of RT to combat my PCa. RP is pretty much out of the question for a variety of reasons.

So I am very swayed in the direction of SBRT aka CyberKnife and would like to know some important questions I should be asking the professionals during my appointment?

I met with my urologist yesterday and am concerned that he could not tell me what stage I am in. DRE indicates a lump and biopsy shows that it is confined in one lobe> he is guessing a t2 but maybe a t3.

Should any kinds of tests be given to determine the stage before radiation? Is it even important?

Any and all suggestions are appreciated.

Thanks
Alan
68 years old Abnormal DRE
Elevated PSA, 7.05 ng/mL, with a hypoechoic left mid
Left mid." Multiple cores, 0.3 up to 1.5 cm. All processed
Composite Gleason score: 4 + 3 = 7
Extent of pattern 4: 50-60%
Prognostic Grade Group: Group 3
5 of 17 cores positive
Perineural invasion: Absent
Left mid (A): positive in 5 of 6 cores; 4 + 3 = 7 (Group
3)(9,8,5,4,1 mm)
all other quadrants benign

Post Edited (Alan) : 10/26/2019 9:22:53 PM (GMT-6)