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Medical Forum / Diseases and Disorders / Prostate Cancer / May 2007Not happy news
Well, Henry's PSA test was good but I can't say the same thing for the CT scan he had yesterday. Some may remember that he has advanced metastatic cancer, which had settled in numerous places in his skeleton. I don't understand everything, but here's part of the CT report to the doctor: "The regional skeleton shows a new lesion in the right ileum present as a sclerotic lesion measuring 27 mm. There is similar sclerotic lesion now present in the left medial ileum, new sclerotic lesion in the L4 vertebral body medial left 12th rib lesion and 12th vertebral body lesion, and extensive sclerosis in the L2 vertebral body with all findings consistent with new blastic skeletal metstasis. You may wish to consider repeat bone scan to determine if there has been interval worsening since that date." The second bone scan is scheduled for May 9; the doctor's office called and wants Henry in to see the uro on May 14. This quick progression has been a shock to both of us. Please keep him in your thoughts. Dora  Signaturelimey113@yahoo.com > Well, Henry's PSA test was good but I can't say the same thing for the CT > scan he had yesterday. Some may remember that he has advanced metastatic [quoted text clipped - 15 lines] > This quick progression has been a shock to both of us. > Please keep him in your thoughts. I am so sorry, Dora. I really thought that 0.020 was going to be a good sign. Is he having digestive problems? The ileum is part of the small intestines. Sometimes bony metastases get sclerotic (dense) on CT as they heal. These don't necessarily have to represent new lesions. The new bone scan will be a better indicator of whether the lesions are old or new. Steve, the ileum discussed in this report is part of the bony pelvis, as in iliac crest. Good luck. CPW > Sometimes bony metastases get sclerotic (dense) on CT as they heal. > These don't necessarily have to represent new lesions. The new bone > scan will be a better indicator of whether the lesions are old or new. > > Steve, the ileum discussed in this report is part of the bony pelvis, > as in iliac crest. I even looked it up! Thanks for the correction, Doc. I once spent 8 days in a hospital because of a shut down ileum... a complication following RRP. 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 On May Day, Dora wrote: > Well, Henry's PSA test was good but I can't say the same thing for > the CT scan he had yesterday. Some may remember that he has [quoted text clipped - 13 lines] > The second bone scan is scheduled for May 9; the doctor's office > called and wants Henry in to see the uro on May 14. This is obviously, as Dora says, metastatic disease. Not a pretty picture. I simply cannot fathom why Henry is being sent to a urologist, a surgeon, when he without a doubt needs the attention of a medical oncologist, a *cancer specialist*. Have I missed something? And I most certainly will keep him in my thoughts, hoping for the best. Regards, Steve J "I believe it is a mistake for many urologists to be involved in the endocrine therapy of prostate cancer. Let me state why. Urologists are surgeons and many times surgeons rush to a treatment without really understanding what they are doing." -- Stephen B. Strum, MD > This quick progression has been a shock to both of us. > Please keep him in your thoughts. [quoted text clipped - 3 lines] > -- > limey...@yahoo.com Dora, speaking from one who has advanced PC and bone metastases, but at a very early stage, my deepest thoughts go out to you and Henry. Keep fighting; it is the very essence of our being and our soul. Rich >> This quick progression has been a shock to both of us. >> Please keep him in your thoughts. [quoted text clipped - 6 lines] > > Rich Thank you, Rich. The support and enlightenment I get from this group is really appreciated. I pass on all the comments to Henry, who keeps keeping on. He's amazing but I think this latest news has thrown him somewhat. He *is* a fighter, though (with a quiet nag for a wife ) :- ( My son tells me that comparing the bone scan to be done next week against the bone scan of August 06 will tell more than the CT scan as far as new lesions. Dora Hello, Dora: We will certainly keep in him our thoughts and prayers here. All the best, charlie > Well, Henry's PSA test was good but I can't say the same thing for the > CT scan he had yesterday. Some may remember that he has advanced [quoted text clipped - 21 lines] > -- > limey...@yahoo.com Dora, I am new at this, but my heart goes out to you and Henry. We will hope for the best, keep that positive attitude and know I don't know very much but unfortunately I will be learning. Charlotte hi dora - i've seem to have misplaced your email address. if you would email me..... ~ 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 |
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