Radiation Likely in my Future

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mozart250
Regular Member


Date Joined Jan 2007
Total Posts : 102
   Posted 12/14/2007 10:55 AM (GMT -7)   
Well I had the second opinion with the radiation oncologist yesterday.
 
I had a good long talk with him (brought my list of questions) and he basically confirmed what my inclinations were about this disease and my future course of treatment.
* There is not a best practice for my stage of cancer: not enough data points.  Medical professionals disagree.
*  Given my stage, there is a good probability that there is residual cancer left behind in my prostate bed.
*  Given my pathology report and slow rate of PSA rising, there is a good chance that it has not spread.
 
Therefore, since radiation is my best hope for a cure, I would prefer to err on the aggressive side in treating this disease.  The Dr. agreed.  So what we agreed the best course of action would be is:
* Have a merry Christmas
* Have one more PSA test at my regular 3 month interval
* If it is still 0.1 or higher (which I suspect it will be) go for the salvage radiation.
 
We will see here. 
52 Year Old DBA by profession; amateur pianist by passion.
 
June 2006:  PSA 4.6.  DRE prostate enlarged.  
Aug  2006:  Second opinion confirms first.  Biopsy suggested.
Sep  2006:  Biopsy results positive one lobe.  Gleason 3+3.
Nov  2006:  RPA performed at Fletcher Allen in Burlington VT.
Nov  2006:  Pathology report: Stage T3a and Gleason 3+4.
Dec  2006:  PSA 0.1
Feb, May  2007:  PSA 0.0 (under 0.1)
Aug, Nov  2007:  PSA 0.1
 
Trying my hand at blogging.


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 12/14/2007 6:50 PM (GMT -7)   
Sounds like a good plan! Merry Christmas to you and yours!

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
Focally Positive Right Margin
One positive node
Bone Scan/CT Negative (Sept. 10, 2007)
T3a N1 M0
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07
Lupon beg. Dec 03, 2007 2 yr
Radiation soon to follow
 
 


maldugs
Veteran Member


Date Joined Jun 2007
Total Posts : 782
   Posted 12/14/2007 7:33 PM (GMT -7)   

Hi there, have a Merry Christmas, and Happy New Year, you have a few decisions to make, I wish you well, I am presently going through radiation treatment, my urologist wanted me to have the follow up treatment ASAP after two PSA tests came in at 0.5, (at least it did not go up).

All the best, Mal.


age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7  right side tumour adenocarcinoma stage T2a
RP on 30th July,
Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck, free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.
Post op PSA 0.5 26th Sept. next PSA 26th Oct. seeing Radiation Onocologist 31st Oct. PSA 0.5 23rd October. Started radiation treatment on 5th Dec, to continue until 24 Jan. 08


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 12/15/2007 8:36 AM (GMT -7)   
Always with you Moz,
I have had the gambit of treatments and I am doing well. Keep your head up and stay positive. You are in my prayers and with a little luck you can get to full remission as I have.

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!


kdnole
Regular Member


Date Joined Jun 2007
Total Posts : 152
   Posted 12/15/2007 8:55 PM (GMT -7)   
Mozart, so I found myself in a similar situation. Post PSA came up 0.1 and I was off to radiation, then 3 weeks later it was undetectable and the waiting game begins. Now what's got me is my doctor sent another PSA sample off to the Mayo Clinic for a more sensitive test so we can see if it's playing "hide and seek" by hovering right around the 0.1 area. Another twist is my wife's Urologists @ Duke said "it's not neccesarily (sp) the post PSA that dictates the decision for raditation, but the path report". Anyone else have this response?  

Age 44
PSA 4.8
Gleason 3+3=6
T2
Biopsy - 3 of 12 (2@20% / 1@80%
Da Vinci 7/31/07 @ Duke
2.5 hr. surgery, released from Duke with in 14 hrs.
Saved both nerve bundles. 
Foley out 8/10/08
Positive Pathology Report 
Near left side nerve bundle
New Gleason 7
Oncology visit in the near future for radiation
Back to work 3 weeks following surgery - Sales
 
9/13/07 - 1 Post PSA Undetectable less than 0.1 
 
9/17/07 - Pad Free! 
 
10/11/07 - ED, Trimix injection .2cc Tooo much but it worked. Now on .05cc, 3 times a week
No luck with viagra or pump. 
 
11/19/07 - 5 mth. PSA 0.1 (Ouch)
12/14/07 - 1st Appt. with Medical Oncologist - Radiation here I                 come. (This sucks)  


sterd82
Regular Member


Date Joined Sep 2006
Total Posts : 187
   Posted 12/16/2007 6:43 AM (GMT -7)   

Yes... my radiation oncologist had a similar view.  He told me the main basis for his recommendation to treat me with raqdiation was my high PSA pre-op,. my age and my pathology report.  He said PSA can kind of bounce around in those lower ranges....you definitely want to treat before it goes uo to 1 (ideally before .5).

Like Tony, I did the treatments (radiation and hormone therapy), glad I did, and doing fine!


Sterd82
Age 47 - pre-surgury PSA 39
Open Radical Prostatectomy 6/9/2006
Pathological Stage T3a, Positive Surgical Margin
Gleason 3+4
PSA rose to .24 in November of 2006
6 month hormone therapy initiated December 1. 2006
36 sessions of IMRT Ended Feb 1, 2007
PSA as of May 25, 2007 undetectable
PSA as of November 29, 2007 undetectable
Next PSA May of 2008


mozart250
Regular Member


Date Joined Jan 2007
Total Posts : 102
   Posted 12/16/2007 11:12 AM (GMT -7)   
One detail, the radiation oncologist was not inclined to treat with hormone therapy at the same time.
52 Year Old DBA by profession; amateur pianist by passion.
 
June 2006:  PSA 4.6.  DRE prostate enlarged.  
Aug  2006:  Second opinion confirms first.  Biopsy suggested.
Sep  2006:  Biopsy results positive one lobe.  Gleason 3+3.
Nov  2006:  RPA performed at Fletcher Allen in Burlington VT.
Nov  2006:  Pathology report: Stage T3a and Gleason 3+4.
Dec  2006:  PSA 0.1
Feb, May  2007:  PSA 0.0 (under 0.1)
Aug, Nov  2007:  PSA 0.1
 
Trying my hand at blogging.


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 12/16/2007 12:14 PM (GMT -7)   
I had noted that. I hope you can avoid it. While I have tolerated it well, I would like a vacation off of it in January.

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!


bluebird
Veteran Member


Date Joined May 2006
Total Posts : 2542
   Posted 1/5/2008 6:44 PM (GMT -7)   

             

Hey Mozart,

   Thinking of you and wanted to let you know.

       Stay close!

In Friendship ~ Lee & Buddy

 

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