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I’m back

Had 6 month PSA done in March with reading of 2.6 is still above baseline. I was put on Levaquin for 30 days. Repeat PSA with fPSA is still 2.6 but free is down to 3%.
I might need to get my second biopsy .

Here is a link to my first post.

http://www.healingwell.com/community/?f=35&m=554154&g=554154#m554154

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Jim, 53, 5 level Cervical Laminectory-2003, sclerotic lesions in hip found Nov 2006, GERD, 30% Carotid artery blockage, Kidney Cyst, Asthma, Eye problems, Prostate BPH, Tripling of PSA.
Meds, Tramadol HCl, Flexeril, Omeprazole, Nitrostat, Plavix, Albuterol, Saw Palmetto, Multi Vitamin Mens


Jim, 53, BPH since 1996
Kidney cyst since 2002
Nov '06, Pelvic Hip X-Ray - Sclerotic lesions found on hip
Dec '06, Bone Scan - Hot Spot on Brain

18Sept '06, Prostate Biopsy - 10 sample all negative, Prostate size 36.3 cc
12Sept '07, Prostate Biopsy - 14 sample 2 positive, one Gleason 6 at 5 %,
other Gleason 6 at 15%- Prostate size 40.2 cc
- Awaiting full report form doctor to post staging-
Bone Scan to be Schedule


PSA's fPSA
0.7 Sept 01
0.8 Sept 02
1.2 Nov 03
1.3 Nov 04
1.2 Oct 05
3.61 Jul 06
3.2 Aug 06
2.6 Sept 06 19%
2.6 Mar 07
2.6 Apr 07 3%
2.6 Sep 07 3%
Family history of PCa, father and two uncles

Post Edited (Jim-N1BRP) : 11/18/2007 6:54:11 AM (GMT-7)

Sorry :( ... Does look like you are headed for another biopsy.

Let us know how it goes!

Tanya

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Age: 63
Diagnosed: 10/30/06
PSA: 3.7 (2005: 3.4, 2004: 4.0)
Biopsy: 1/10 cancerous, 5% of one core, right apex.
Gleason: 3+3=6
Da Vinci: April 10, 2007, Denver CO
Path results: 1% of prostate involved. Very small tumors on both right and left apex. Negative margins, negative seminal vessicles, lymph nodes left intact. Gleason upgraded 3+4=7.

Hi Jim

While your PSA isn't high, although it is slightly about the 2.0 PSA cutoff that is used today, you should be concerned about your very low free PSA (which often indicates a much higher chance that you may have PCa). My free PSA was 27% which put me in about an 18% risk of having PCa, but nevertheless I was found to have PCa. I have been long concerned about urologists who only take a small number of core samples of the prostate when doing a biopsy. From what I have read, there is a much greater chance that PCa could be missed. I had a 29-core biopsy which some may consider excessive, but I am happy that my urologist did this as it gave me greater assurance as to my stage of cancer.
The minimum optimum number of cores for a prostate biopsy is 20 and I suggest that if you are going to have a 2nd biopsy that you discuss this with your urologist.

Also, you indicate that your prostate is about 36ml (do you mean cc?) and that you have BPH. This is kind of surprising, because your prostate is not really that big unless I am misunderstanding the measurement you indicated. A normal size prostate for a young man is about 20-25cc. My prostate is about 46cc and I never had BPH. My radiation oncologist told me that my prostate size was normal for my age which surprised me. From what I have read, I was under the impression that men who had BPH had enlarged prostate sizes far greater than mine (usually over 50cc).

I believe that I have a cyst on one of my kidneys too and was told that it was benign and there is nothing to worry about.

Best of luck to you!

Dave

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68, 29-core biopsy 9/27/06, PSA 7.1, Stage T1c, Gleason 7 (3+4) [less than 20% in one area],  Gleason 6 [less than 5% in two other areas], negative DRE, bone scan and Endorectal MRI. Completed 39 Proton radiation treatments 2/22/07-4/18/07.