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

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Type of pain??

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Hank Schokker - 17 Aug 2007 01:07 GMT
What type of pain is experienced with the onset of Bone Mets??
Is it a burning pain,  Dull ache,  Stabbing pain,  pinched nerve, and does
it ache all the time or only with movement.

I am having a bone scan today.. after4 years and still with a nil PSA
reading

Hank B Schokker Age 59        112 Kg & 183cm  Good Health

PSA     2000 / 2003                3.28    7.8   8.7   9.4

Biopsy             Oct 02             inconclusive But poss G7

                       Jun 03            Gleason 8       Staging estimated
at T1

RPP     1 Sep 03                    Gleason 4+5=9

 Biopsy                  Extensive adenocarcinoma;  Multifaceted;
Extensive perennial invasion

                       Catheter out 16 Sep 03 and DRY

2nd opinion            that a Gleason 9 is virulent and Radiation & HT in
interim is scheduled

EBRT             Feb 04 04 to Apr 04

HT       Lucron            14 Oct 03 and 16 Mar 04 (lasting 4 months ea)

PSA Jun/04            <00.1

PSA Sept/04            <00.1 and no Testosterone (reading of 1.1)

PSA Dec/04            <00.1 and Testosterone returning (now 12.5 of normal
range of 8 - 27)

Aug 05            Astimatic stricture requiring surgery and       self
administered daily catheter

May 07           Cystscopy  Daily catheter ceased.

PSA Jun 07    still >0.1

Aug 07                        Acute back pain ???
Steve Kramer - 17 Aug 2007 01:52 GMT
> What type of pain is experienced with the onset of Bone Mets??
> Is it a burning pain,  Dull ache,  Stabbing pain,  pinched nerve, and does
[quoted text clipped - 10 lines]
>                        Jun 03            Gleason 8       Staging estimated
> at T1

> RPP     1 Sep 03                    Gleason 4+5=9
>  Biopsy  Extensive adenocarcinoma;  Multifaceted; Extensive perennial
> invasion

> 2nd opinion that a Gleason 9 is virulent and Radiation & HT in interim is
> scheduled
[quoted text clipped - 13 lines]
>
> Aug 07                        Acute back pain ???

I have acute back pain quite often.  It is caused by a ruptured disk that
occurred during 1982.  I really doubt that you would have bone cancer with a
PSA of <0.1 and not on ADT.

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, <0.04 (06/12/2007)
Non Illegitimi Carborundum

alva36@gmail.com - 17 Aug 2007 02:41 GMT
> > What type of pain is experienced with the onset of Bone Mets??
> > Is it a burning pain,  Dull ache,  Stabbing pain,  pinched nerve, and does
[quoted text clipped - 47 lines]
> PSA <0.04, <0.05, <0.04 (06/12/2007)
> Non Illegitimi Carborundum

Steve-

I ended ADT in Jan 2007 after 2 years and PSAs of <0.01 from the
beginning.  I just found out that I've got a spot on my pelvis and
metastatic PCa nodules all over both lungs.  The cells from the
nodules have mutated and don't look anything like prostate cells.  So
much for <0.01 PSAs.

-Gordy
Steve Kramer - 17 Aug 2007 03:11 GMT
>> I have acute back pain quite often.  It is caused by a ruptured disk that
>> occurred during 1982.  I really doubt that you would have bone cancer
>> with a
>> PSA of <0.1 and not on ADT.

> Steve-
>
[quoted text clipped - 5 lines]
>
> -Gordy

Yeah, I remember.  Your case is the reason I appended, "... and not on ADT."
Hank hasn't been on ADT since September 2004.  My perception is that people
on ADT get mets out of the blue sometimes, regardless of PSA.  I suspect
there is some masking going on.  I worry about it myself since I've had a
year of low PSAs and several years of ADT.

But, I think Hank is okay.  It's just a hunch, really, but based on your
case and many others I've seen here.  Always prepared to be wrong, however.
 
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