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Medical Forum / Diseases and Disorders / Prostate Cancer / April 20071st PSA after Brachytherapy
I had radiation seeding on 29 December following a PSA jump to 4.4 Today I had a follow-up with the Urologist, and my PSA had dropped to 1.1 He was optimistic, and says my level should continue to drop, and wants it down to .5 He was also concerned with the digital exam with some "roughness" on what's left of the prostate. We repeat the testing and exam in July. If the level does not drop, I'll be looking at external radiation. On Apr 5, 8:00 pm, "3Putt from CoastalSouth Carolina" <3putt@PawleysIslandSC> wrote: > I had radiation seeding on 29 December following a PSA jump to 4.4 Today I > had a follow-up with the Urologist, and my PSA had dropped to 1.1 He was > optimistic, and says my level should continue to drop, and wants it down to > .5 He was also concerned with the digital exam with some "roughness" on > what's left of the prostate. We repeat the testing and exam in July. If > the level does not drop, I'll be looking at external radiation. The numbers sound reasonable 3Putt. I had a combination of HDR brachytherapy and external beam radiation. My PSA went from 8.3 down to .8 at six months. It bounced around a lot after that, going up as high as 1.8. But for the last year it's been 0.2 which pleases me no end. A drop to 1.1 after 3 months sounds like you're on schedule. Alan > On Apr 5, 8:00 pm, "3Putt from CoastalSouth Carolina" > <3putt@PawleysIslandSC> wrote: [quoted text clipped - 17 lines] > > Alan I had brachytherapy in Nov. '05, my PSA is staying at 1. My Dr doesnt seem be concerned. j. > ... > I had brachytherapy in Nov. '05, my PSA is staying at 1. My Dr doesnt seem be > concerned. > > j. It would be nice to see it go lower, but it's far more important that it not go higher. How often have you been tested? Alan >> ... >> I had brachytherapy in Nov. '05, my PSA is staying at 1. My Dr doesnt [quoted text clipped - 8 lines] > > Alan I was tested every year starting at age 50, that would be 15 years ago. Had a biopsy 12 years ago that came back negative. PSA was 2.5 until 2-3 years ago when in went up to 3.5, then 3.7, then 4.4. Biopsy done last October with a Gleason of 3+3. Will be getting PSAs every 90 days until some decisions are made. Urologist wants it down to .5, but doesn't want to see an increase over the current 1.1. (the 1st biopsy was done due to a rough spot on the prostate, ultrasound, etc.) It sounds pretty encouraging, 3Putt; congratulations! The seeds continue to do their work for a while longer, right? So maybe the roughness will go away the next time 'round? --charlie > It sounds pretty encouraging, 3Putt; congratulations! > > The seeds continue to do their work for a while longer, right? So > maybe the roughness will go away the next time 'round? > > --charlie Let's hope so. From what I can gather, the prostate all but disappears after about one year. I guess my expectations were that the PSA would be nearer to zero. We'll see what the next 90 days produces. Don't expect it to drop to a nadir immediately following the implants, I was on Lupron prior to and following the implants. The first couple of PSA tests showed nothing, followed by a couple of higher (read scarey) results. The latest in Feb. 07 showed a .15 and a .157 from a different lab (my insurance co. changed labs and I wanted to have a benchmark between the two) I hope we can soon call you 2putt, I'm not a golfer, but have friends who are. Tom >> It sounds pretty encouraging, 3Putt; congratulations! >> [quoted text clipped - 6 lines] > after about one year. I guess my expectations were that the PSA would be > nearer to zero. We'll see what the next 90 days produces. >>... >>I had brachytherapy in Nov. '05, my PSA is staying at 1. My Dr doesnt seem be [quoted text clipped - 8 lines] > > Alan about every three months. dr said next test to be 6 months j. > >>... > >>I had brachytherapy in Nov. '05, my PSA is staying at 1. My Dr doesnt seem be [quoted text clipped - 14 lines] > > j. Every 3 months sounds like a reasonable schedule. If the PSA was way up or way down during treatment, you probably would have seen it. The doctor is probably going to 6 months now on the theory that the PSA isn't doing anything radical and doesn't need to be watched so closely now that you and he know that. If it does go up in 6 months, the existing flat trend indicates that it probably won't be up much, and the treatment options would be the same 6 months from now as 3 months. Of course it's easy for him not to be concerned and much harder for you not to be concerned. But I'm thinking that your chances are good. Radiation doesn't kill all the tumor cells right away. They die slowly, over time, mostly when they attempt to divide. They continue to express PSA during that time and may even express more of it due to the stress on the tumor cells, and the inflammation in the prostate caused by radiation. Best of luck. Alan and the stres >I had radiation seeding on 29 December following a PSA jump to 4.4 Today I >had a follow-up with the Urologist, and my PSA had dropped to 1.1 Great news, 3 putt.  SignaturePSA 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 PSAD 0.19 years EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 PSAD .056 years Lupron 07/03 (1 mo) 8/03 and every 4 months there after PSA .07 .05 .06 .09 .08 .132 .145 PSAD 1.4 years Casodex added daily 07/06 PSA <0.04, <0.05 Non Illegitimi Carborundum |
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