Salvage Radiation is Over!

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Love2camp5@cs.com - 22 Oct 2005 15:14 GMT

Forgive me if this is a duplicate post. I posted this a couple of days
ago and don't see it anywhere.

Hubby finished his 35 IMRT treatments last week. He tolerated them
very well - so well that at times he worried that he wasn't really
getting any radiation! He was slightly more tired, but nothing that
kept him from working or a normal schedule.
The radiation doc did a PSA test after 4 weeks of IMRT, and it came
back much lower - it had been .37 before treatments, and was now .17.

A question - hubby's dad has to go for a second biopsy due to continued
rising PSA. He has a different doc than we do. What kind of biopsy is
the doc doing that requires pre-op testing, a hospital stay and some
kind of surgical procedure???

Linda

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James A. Honeychuck - 22 Oct 2005 15:32 GMT

Admission for needle biopsy is so unusual I have never heard of it. He
must have other health problems.

Or the hospital wants more money from Medicare.

jimhoney

> Forgive me if this is a duplicate post. I posted this a couple of days
> ago and don't see it anywhere.
[quoted text clipped - 12 lines]
>
> Linda

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Alan Meyer - 22 Oct 2005 15:44 GMT

> Forgive me if this is a duplicate post. I posted this a couple of days
> ago and don't see it anywhere.
[quoted text clipped - 12 lines]
>
> Linda

Maybe the biopsy is sampling tissue from somewhere other
than the prostate. Maybe they're going to look at his lymph
nodes or seminal vesicles. Someone could call the doctor's
office and ask.

Good luck on your husband's treatment. Radiation takes time
to work, so the quick drop in PSA is encouraging.

Alan

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Steve Jordan - 22 Oct 2005 17:15 GMT

On October 22, Linda wrote:

> Forgive me if this is a duplicate post. I posted this a couple of days
> ago and don't see it anywhere.

I didn't receive it; it must have flown off into The Great Computer Limbo.

> Hubby finished his 35 IMRT treatments last week. He tolerated them
> very well - so well that at times he worried that he wasn't really
> getting any radiation! He was slightly more tired, but nothing that
> kept him from working or a normal schedule.
> The radiation doc did a PSA test after 4 weeks of IMRT, and it came
> back much lower - it had been .37 before treatments, and was now .17.

The radiation tx will continue to affect the gland and to manifest SEs for
quite some time. The PSA, one hopes, will continue to decline.

Almost exactly a year ago, I finished the IMRT regimen. Came through pretty
well, but did have some urinary and fecal incontinence, though staying
close to home prevented any catastrophes. I am still on the adjuvant ADT
that was also prescribed. Last month, PSA = <0.01 as it has been for nearly
a year.

> A question - hubby's dad has to go for a second biopsy due to continued
> rising PSA. He has a different doc than we do. What kind of biopsy is
> the doc doing that requires pre-op testing, a hospital stay and some
> kind of surgical procedure???

What kind of pre-op testing? What kind of surgical procedure (other than
the biopsy, itself)?

As for the hospital stay, how long, overnight? I suspect that it has
something to do with his age and/or overall health. IOW, it's likely
precautionary.

Suggest that he ask his medic these questions, as they should be answered.

Regards,

Steve J

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Steve Kramer - 23 Oct 2005 00:17 GMT

Sounds to me like a lymph gland biopsy or biopsy of an organ other than the
prostate. Are you sure it's prostate cancer they're concerned about?

Good news about Jim. That's just what you want the PSA to do after
Radiation.

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

> Forgive me if this is a duplicate post. I posted this a couple of days
> ago and don't see it anywhere.
[quoted text clipped - 12 lines]
>
> Linda

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Peter Headland - 24 Oct 2005 18:04 GMT

> What kind of biopsy is the doc doing that requires pre-op testing,
> a hospital stay and some kind of surgical procedure?

Could it be a perineal one ("up from underneath")? By going in from
that direction they can sample areas they can't reach from the rectum,
but they have to make an incision, etc. That said, I think that is
still normally an outpatient procedure.

Signature

Peter Headland

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