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

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Definitioon:  silly question?

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Stavros Moschos - 03 Oct 2005 19:06 GMT
Hi all,.

I'm still waiting for my next PSA in another month and hoping the
disappointing results were the result of my large prostate.  Will report
here when there is news.  But right now I have  a silly question:  what does
the term prostate survivor mean?  Someone who has been cured of cancer or
someone who is still alive after diagnosis?  I am just never sure what
someone means when using that expression.  Thanks...
Signature

July 2005  Age 75  DX PCa  PSA 26.5  Gleason 7 (4+3)  Stage T2a Biopsy (15
samples), digital examination, and CT body scan showed the cancer confined
to a single nodule in the prostate.

August 2004  ADT  First injection (2 drugs--I have forgotten their names)

December 2004  ADT  Second injection  PSA 4

April 2005  PSA 2.6

May 2005  Started RT 33 treatments, high beam, powerful doses

August 2005  Six weeks after ADT  PSA 2.9

judamd@aol.com - 03 Oct 2005 20:05 GMT
The word "survivor" is used rather loosely.  We're all "survivors" post
treatment if we're still alive.  Maybe you're confusing it with the
word "cure" as used in cancer therapy which is often over used.  I
recall decades ago hearing that anyone "cancer-free" after five years
was "cured."  We in the prostate business know that isn't true - look
at the occasional poor bugger who gets a recurrence ten years later.  I
personally don't think very many cancer patients are ever really cured
except for some forms of leukemia and testicular cancer - maybe a few
others - since stray cancer cells slough off pre treatment and course
throughout our bodies, many not surviving but some latching on
somewhere else to be attacked by our own immune systems - sometimes
successfully, sometimes not.  That's why you never see 100% "cure"
rates for any treatment no matter how good the margins, or how "organ
confined", or how great the doctor.  Since prostate cancer is so slow
growing relative to say pancreatic or ovarian cancer where there are
very few "cures", many men die of something else before recurrence, I
guess they go in the "cured" column.  
Dave Perry
Stavros Moschos - 03 Oct 2005 22:13 GMT
Of course I should have said prostate cancer survivor, not prostate
survivor.

Anyway, what you are saying is that anyone who has been diagnosed and
treated is a survivor, right?  That is what I thought.  I agree that no one
who has had cancer can be considered "cured."

So I can consider myself a survivor (at least to date).  I rather like the
term.

> The word "survivor" is used rather loosely.  We're all "survivors" post
> treatment if we're still alive.  Maybe you're confusing it with the
[quoted text clipped - 14 lines]
> guess they go in the "cured" column.
> Dave Perry
Steve Kramer - 04 Oct 2005 01:50 GMT
Literally, until you die, you have survived.  It requires no effort... no
mindset...  just an affliction without ultimate disposition.

However, my idea of a survivor when I say "Prostate Cancer Survivor" is
someone who hasn't given up, who is fighting the bastard and who, regardless
of the number of rounds he has lost, hasn't been KO'd.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 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

> Hi all,.
>
[quoted text clipped - 4 lines]
> someone who is still alive after diagnosis?  I am just never sure what
> someone means when using that expression.  Thanks...
John Loomis - 04 Oct 2005 02:14 GMT
Hello,
   A combination of both,
Still alive, and waiting to see if the choice of treatment left one
permanently cured.
I had RP, in 1999, I was 49.
I could have chose radiation(external beam) and seeds/
I chose RP.
That was in 1999
I was 49, and now I am 55.
I feel like I am a survivor, still alive after diagnosis, and passing on
iformation to those who have not a clue.
I would number one, put my age into prospective, 2 decide what the diagnosis
say's, and 3....Go for the best option...
Some men do fine with RP.  Others do fine with seeds.
Although they have problems along the way.
Radiation work fine for many, with problems...
I chose RP, and then got tested for 5 to 6 years.
Luckily, I am a survivor, and have 0.01 or less.
You figure!
John Loomis
A survivor, and trying to help others.
> Hi all,.
>
[quoted text clipped - 4 lines]
> cancer or someone who is still alive after diagnosis?  I am just never
> sure what someone means when using that expression.  Thanks...
 
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