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Medical Forum / Diseases and Disorders / Prostate Cancer / March 2005Update
I have just received my latest PSA--2.62 This seems a little disappointing to me--or am I wrong? I thought that after eight months of HD the PSA should be 1 or lower. Does it mean that during these eight months there are resistant cancer cells that may be spreading? I am to see my oncologist next week.  Signature7/04 Biopsy and PCa diagnosis PSA 26.5 T2a Age 75 8/04 Started HD 12/04 PSA 4 Continued on HD 3/05 PSA 2.62 Expect to have IMRT soon I mean HT. Or ADT. >I have just received my latest PSA--2.62 This seems a little >disappointing to me--or am I wrong? I thought that after eight months of >HD the PSA should be 1 or lower. Does it mean that during these eight >months there are resistant cancer cells that may be spreading? I am to see >my oncologist next week. >I mean HT. Or ADT. >>I have just received my latest PSA--2.62 This seems a little >>disappointing to me--or am I wrong? I thought that after eight months of >>HD the PSA should be 1 or lower. Does it mean that during these eight >>months there are resistant cancer cells that may be spreading? I am to see >>my oncologist next week. You didn't tell us your Biopsy report No. of cores sampled and Gleason Scores? I'd presume the T2A Staging was from the preliminary DRE done by your Urologist? You also haven't mentioned having CT and Full Body Bone Scans, plus other associated X-Rays? Even if any of us commented on this, it's up to your Radiation Oncologist to answer the questions. -- Reader to complete... -- Please reply to this ng as my email adress is fake: -- Regards -- CC Sorry--this is all still new to me. I had CT and bone scans. The staging was not done by my urologist. The Gleason score was 4-3. The biopsy samples were 15. When I stated on the HT my oncologist stated that my PSA might go down to 1. I'll see him next week, but I posted my query because unlike the other times I have seen him, I want to be prepared with questions. Until I came on this ng, I was really very ignorant about all of this. I think I still am.. Thanks. >>I mean HT. Or ADT. >>>I have just received my latest PSA--2.62 This seems a little [quoted text clipped - 19 lines] > > -- CC A drop in 8 months from 26.5 to 4.0 to 2.62 is something I'd expect from radiation treatment, not from HT. But, I don't recall what HT is supposed to do as an initial treatment. I thought the expectation was pretty much an immediate drop to very low single-digits or tenths. SignaturePSA 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 have just received my latest PSA--2.62 This seems a little disappointing > to me--or am I wrong? I thought that after eight months of HD the PSA > should be 1 or lower. Does it mean that during these eight months there are > resistant cancer cells that may be spreading? I am to see my oncologist > next week. I thought so too. But originally the oncologist said it might go down to 1. Thought I'd ask here, but I'll see him next week. Thanks. Revised "signature" (hope I've gotten it right now):: 7/04 Biopsy (15 samples), CT and Bone scans PCa diagnosis PSA 26.5 Gleason 4-3 T2a Age 75 8/04 Started HT (ADT) 12/04 PSA 4 Continued on HT 3/05 PSA 2.62 Expect to have IMRT soon >A drop in 8 months from 26.5 to 4.0 to 2.62 is something I'd expect from > radiation treatment, not from HT. But, I don't recall what HT is supposed [quoted text clipped - 9 lines] >> resistant cancer cells that may be spreading? I am to see my oncologist >> next week. > A drop in 8 months from 26.5 to 4.0 to 2.62 is something I'd expect from > radiation treatment, not from HT. But, I don't recall what HT is supposed > to do as an initial treatment. I thought the expectation was pretty much an > immediate drop to very low single-digits or tenths. My number was 10+ before treatment. It fell to 1.3 towards the end of the 1st 4 month shot of Lupron. This doesn't say anything about Starvos' situation. It is just a point of reference. 26.5 to 2.62 seems to be a similar proportion, about one tenth. I don't think it says anything about resistant cells or the probability that the cancer has spread. |
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