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Medical Forum / Diseases and Disorders / Prostate Cancer / May 2007

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Got my biopsy results back

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Quillback - 09 May 2007 17:58 GMT
Looks like I'm in the club. I had posted a question a few weeks ago when I
found out my PSA=37 (
http://www.medkb.com/Uwe/Threads/List.aspx/cancer-prostate/6112/PSA-37-0).

I have 5 out of 13 positive biopsies. One is a 3+3 = 6 and four are a 3+4 = 7
Gleason score.
I'm scheduled for a CAT scan tomorrow and a bone scan sometime this week or
early next as well. My wife and I will meet with my doctor on Thursday, May
17th.

Just an update. I'll put in another update after we speak to the doctor.
Quillback - 09 May 2007 18:24 GMT
>Just an update. I'll put in another update after we speak to the doctor.

Come to think of it, I do have a question. The nurse said that I have
adenocarcenoma. Is that the slow one or the fast one?

Thanks,
Steve Jordan - 09 May 2007 19:18 GMT
(snip)

> Come to think of it, I do have a question. The nurse said that I have
> adenocarcenoma. Is that the slow one or the fast one?

According to the Merriam-Webster Medical Dictionary, "adenocarcinoma"
means "a malignant tumor originating in glandular epithelium." Any gland.

It does not tell us whether the tumor is the "slow" or the "fast"
(neuroendocrine) type. The CGA (chromogranin A) test helps to discover
the latter. It's one of the serum tests that many medics don't use when
staging PCa.

Please see the website of the PCRI that I recommended back on April 25.
It's http://prostate-cancer.org/index.html

Also study the premier text on PCa, _A Primer on Prostate Cancer_ 2nd
ed., subtitled "The Empowered Patient's Guide" by medical oncologist and
PCa specialist Stephen B. Strum, MD and PCa warrior Donna Pogliano. It
is available from the PCRI website and the like, as well as Amazon (30+
five-star reviews), Barnes & Noble, and bookstores. A lifesaver. I know.

Neuroendorine PCa and the CGA test are covered beginning on page 63.

Regards,

Steve J

"We must tailor the treatment to the nature of the disease. We must
listen to the biology."
-- Stephen B. Strum, MD
Quillback - 09 May 2007 19:27 GMT
>(>
>Please see the website of the PCRI that I recommended back on April 25.
>It's http://prostate-cancer.org/index.html

Steve,

Thanks, I went out to the site when you sent it the last time, but forgot
about it when looking for this new information.

I have a full body bone scan next Tuesday with three hours from when I get
the fluid till when they do the scan. I'm going to a Borders to try to find
that book while I have the 3 hours to kill.

Thanks again. Your information is very helpful.
Bill - 10 May 2007 15:45 GMT
"Come to think of it, I do have a question. The nurse said that I have
adenocarcenoma. Is that the slow one or the fast one?"

Prostatic adenocarcinoma is the most prevalent form of PCa and,
compared to small-cell, is the slow one.

W/ 5 out of 13 it could have been much worse; is it all on one side or
is it bilateral? Did the dr. give you a stage? I.e. T2. You might want
to get a copy of the path report if you want to be an involved Pt.

Bill Denton
RP 2/12/02
PSA 1.5
Memphis
Quillback - 10 May 2007 19:21 GMT
is it all on one side or
>is it bilateral? Did the dr. give you a stage? I.e. T2. You might want
>to get a copy of the path report if you want to be an involved Pt.
[quoted text clipped - 3 lines]
>PSA 1.5
>Memphis

Bill, thanks for the reply. He said it's on the right side. He didn't give me
a stage and I meet with him next Thursday and will ask for a copy of the path
report.
Dave Muth (Quillback is the name of the first sub that I was stationed on in
the early 1960's)
Burney Huff - 09 May 2007 18:32 GMT
I'm sorry to hear you had to join this club!  But, you're on the right
track in figuring out your real status so you can proceed with trying
to figure out what to do about it.  The most important thing is to
LIVE with it.  Don't forget to enjoy yourself and others while you
deal with this thing.

Thanks for the update.  Good luck with the other tests.

Burney

>Looks like I'm in the club. I had posted a question a few weeks ago when I
>found out my PSA=37 (
[quoted text clipped - 7 lines]
>
>Just an update. I'll put in another update after we speak to the doctor.
Steve Kramer - 09 May 2007 21:17 GMT
> Looks like I'm in the club. I had posted a question a few weeks ago when I
> found out my PSA=37 (
[quoted text clipped - 3 lines]
> = 7
> Gleason score.

Needless to say, Quill, we are sorry, but not surprised.  Your PSA pretty
much told the story on that one.  At this point, it's the Gleason that
scares, and yours is pretty good for a 37 PSA.

So, research, research, research.  Then see your doc and ask a zillion
question.  You should, I think, write the questions and answers because you
WILL NOT remember.  Afterwards, research, research, research.  Then, maybe,
see another doctor.

The most important thing you have to do for the rest of your life is, within
the next month or so, make an informed, intelligent decision on your mode of
treatment.  Then, relax.

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            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

chasjac too - 11 May 2007 23:57 GMT
Hello, Quill:

I am sorry you've had to join this club.  It's all a little overwhelming, I
am sure, but you do want to start to educate yourself about your treatment
options and their effects.  It sounds like you've been doing this, and that
will go a long way toward preparing you to make intelligent choices in the
days to come.  

Please keep us posted on your progress.  We're rooting for you.

All the best,

charlie

Signature

6/2006 PSA 5.2
          DRE suspicious
7/2006 Biopsy
          2 of 10 positive
          Gleason 7(3+4)
11/2006 LRP
           Clear margins
1/2007 PSA < 0.01
3/2007 PSA < 0.01
so far, so good

 
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