PSA>? Post Surgery

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flippin out
Regular Member


Date Joined Mar 2006
Total Posts : 137
   Posted 10/4/2007 9:59 AM (GMT -7)   
devil  Okay so what happens when it is detectable?

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 10/4/2007 10:23 AM (GMT -7)   
First you test it again and see if it is climbing or falling. If falling, watchful waiting and test again. If rising then you know you need adjuvant therapies. You might wait and see a doubling rate. In most cases a rising PSA after surgery is a failed surgery and HT and/or RT would be next. There is no magic number to decide to do something. Although some say .2 or .4 are the levels, I personally would start action if it went to .11. For me I am not sure what that action is. If mine starts to rise, I would have to start new protocol for hormone refractory disease.

Tony
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology was poor: Gleason 4+3=7, 4 positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
 
My PSA did drop out after surgery to undetectable.  It has not returned and I will continue HT until January '08.
 
My Life is supported very well by family and friends like you all.
 
STAY POSITIVE!


flippin out
Regular Member


Date Joined Mar 2006
Total Posts : 137
   Posted 10/4/2007 10:31 AM (GMT -7)   
Thanks TC we have a common bond, and I value your input I will be taking the follow up test shortly

hawkfan75
Regular Member


Date Joined Jan 2007
Total Posts : 165
   Posted 10/4/2007 11:32 AM (GMT -7)   

TC and I are in very similar circumstances.  I have just two more RT sessions, and had my second 3-month Zoladex injection last week.  My post surgical PSA only got to .08, but with my positive margins, adjuvant therapy was the thing to do.  My doctors want me to stay on the HT for up to two years, so I won't be able to really see how things are until after all the hormones wear off.  I haven't had any of the major side effects from the HT and RT.  I have had some light headedness at times, but considering all they are doing to my body now, that's understandable.  I'm going to wait for a couple of weeks and get a physical from my GP to check how everything else seems to be working.

Hang in there MJR - there are others here in your shoes....


PSA 4.7 (up from 3.2 one year ago)
Biopsy November 8, 2006 1 of 10 cores positive 5% LEFT Side Gleason 3+3
Robotic surgery January 19, 2007
Post Surgery Pathology
     Stage T3a, Gleason 3+4, positive margins and
     capsular penetration RIGHT Side
Post Surgery PSA:  March 5:  0.01
5 month PSA, June 13, 2007:  0.08
Adjuvant therapy began June 26 with Zoladex injection
Radiation began August 23
 


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 10/4/2007 4:16 PM (GMT -7)   

Hawkfan-

Just curious...who adminsters your HT?  Vuky?  She is who we met with following my dad's surgery and I am just curious how your experience has been.  Thanks!

Doting


Father's Information
DX July 15, 2007
Age 62 (now 63)
PSA 5.5
Original Gleason 3+4=7 
Post Surgery Gleason- 4+3=7
DaVinci Surgery Aug 31, 2007
Positive Right Margin
One positive node
Bone Scan/CT Negative (Sept. 10, 2007)
T3a N1 M0
In process of determining follow up therapy
 
 


hawkfan75
Regular Member


Date Joined Jan 2007
Total Posts : 165
   Posted 10/5/2007 10:51 AM (GMT -7)   

Dear Doting

I met with Vuky also, and the HT is administered my a nurse in urology.  (It's just like a shot.)  If you're going with radiation after two months, you'll see one of the radiation oncologists in the basement.  The docs are great as are the technicians.  The techs have been saying that they'll miss me after Monday.

My e-mail address is listed - just click on my name - and you can contact me if you have any other questions.

 
PSA 4.7 (up from 3.2 one year ago)
Biopsy November 8, 2006 1 of 10 cores positive 5% LEFT Side Gleason 3+3
Robotic surgery January 19, 2007
Post Surgery Pathology
     Stage T3a, Gleason 3+4, positive margins and
     capsular penetration RIGHT Side
Post Surgery PSA:  March 5:  0.01
5 month PSA, June 13, 2007:  0.08
Adjuvant therapy began June 26 with Zoladex injection
Radiation began August 23
 


flippin out
Regular Member


Date Joined Mar 2006
Total Posts : 137
   Posted 10/5/2007 1:22 PM (GMT -7)   
Ah Hi guys Question to those in the know on the HT is there down time or just a poke and back ta work kinda thing?

War-eagle
Regular Member


Date Joined Sep 2007
Total Posts : 219
   Posted 10/5/2007 5:51 PM (GMT -7)   

MJR,

Hey buddy. When I started HT it was just a shot in hip and back to work. One hour at the doc's office and back on the road. I did have a funny experience after my first shot. As we left the office and were about two miles down the road, no more than 15 min. from the time I got the shot, I had my first hot flash. My wife laughed so hard she was in tears. All she could say was " welcome to my world".

I have gone from monthly shots to a shot every two months to a shot every four months. I now get one shot every six months. It's not in the hip but it ain't bad at all. You can have mood swings and suffer some depression, so have someone watch you closely so you can get that in check quickly. On the upside, I have become one heck of a decorator around the house. We remodled the kitchen and laundry room. I did the decorating. I looks wonderful. Not bad for an old football jock.

You will do fine and be seeing zeros very soon.

Go with God in your heart and...................War Eagle.

Walt


Age: 54
PSA 43 7/2005
Biopsy 12/14 Gleason 7 & 9
Divinci 9/2005 - spread to bladder
HT - 10/2005 (Eligard every 6 months)
RT - 10/2005 (38 treatments)
PSA 0.12 to 1.9 2/2007
Bone Scan and CT 4/2007
Casodex 4/2007
Spread to Spine (L4 & T5), rib, and pelvis
Zometa infusions 4/2007
PSA 4.9 8/2007
PSA 4.9 9/2007
 
"I will persist without exception - I will find a way where there is no way"

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