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Medical Forum / Diseases and Disorders / Prostate Cancer / March 2005

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More than a bump in the road

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jhhtexas@ieee.org - 10 Mar 2005 03:25 GMT
I thought my Pca was just a bump in the road when my RRP pathology
results came back with all negative margins (Gleason 6, PSA 6.6). I
just had my 2nd PSA test 9 months later with a rise in PSA from 0.03 to
0.07 over 6 months. If it keeps going up at my next test in 3 months,
it looks like radiation treatment of the prostate bed is the next
treatment option.
c palmer - 10 Mar 2005 05:04 GMT
if one will go back and read my post i labelled back in december 2004.
i put the heading on it as probably one of the most important posts.  

it was about the rise in psa's after RP's and radiation treatments.  at
what point do they consider them a failed form of treatment.  mine was
05 in december, and i go in tomorrow to get the next one pulled.  it's
been 90 days.  i will see the surgeon next week.

there is just now starting to have input coming in on the small rises in
psa's and what they mean.  

my surgeon has already told me that he is a believer of early
intervention of the rising psa but using radiation as a follow up, but
is going to wait to see what the psa is doing.

i don't know when your surgery was, but the average time of the rise in
psa is 18 months after the RP.  

hope this info helps.

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional    
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc
chuck.mcclellan - 10 Mar 2005 16:47 GMT
> if one will go back and read my post i labelled back in december 2004.
> i put the heading on it as probably one of the most important posts.

> it was about the rise in psa's after RP's and radiation treatments.  at
> what point do they consider them a failed form of treatment.  mine was
[quoted text clipped - 19 lines]
> invariably fatal. Prostate cancer is only sometimes so."
> http://community.webtv.net/PALMER_ENT/doc

They watched my PSA rise over the course of a year with the notion that
should it surpass 1.0 then they'd start talking radiation.  After the
fact, as well as radiation and ADT, all this talk about what is to be
expected after RRP came up.  When I last saw my uro and onc, which
included a PSA, they both said the 18 months started at that time.
Geesh!
jhhtexas@ieee.org - 10 Mar 2005 18:15 GMT
My RRP was 9 months ago, and I was not expecting any PSA rise. My
surgeon told me yesterday that 0.2 is the standard measure for
recurrence, but I will also probably have something done if it rises
over 0.1 after 3 more months.
Steve Kramer - 10 Mar 2005 19:22 GMT
Yeah, and if it stays at .07 or goes back to .05, you won't.  That's the
problem with ultra-sensitive PSA testing.  Celebrate your anniversary in
June in that you are still "virtually undetectable" at less than 0.1.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3bN0M0
Seminal Vesicle involvement, Neg margins
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05
PSA  .07 .05 .06 .05

non Illegitimi carborundum

> I thought my Pca was just a bump in the road when my RRP pathology
> results came back with all negative margins (Gleason 6, PSA 6.6). I
> just had my 2nd PSA test 9 months later with a rise in PSA from 0.03 to
> 0.07 over 6 months. If it keeps going up at my next test in 3 months,
> it looks like radiation treatment of the prostate bed is the next
> treatment option.
 
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