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Medical Forum / Diseases and Disorders / Prostate Cancer / August 2006

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limey - 29 Jul 2006 20:23 GMT
According to the range given on my husband's lab test printout, normal range
for his age is 0.0 to 4.0.

I however, am terrified.   In 2004 (the last time he was tested), his
reading was 4.0.  A couple of weeks ago, he asked for another test, which
came back at a staggering 66.5.  Yes, you read correctly.

Our internist is obviously alarmed, as well he should be. (He diagnosed an
enlarged prostate in
August 2005 but didn't bother to have a PSA test run.)  My husband was sent
immediately to a urologist, who diagnosed cancer even before the biopsy
(which is to be performed on August 7).

Say a prayer for him - and for me.  We're babes in the woods on this.

Dora

Signature

limey113@yahoo.com

RR - 30 Jul 2006 06:13 GMT
Dora,

Not like many other cancers - PC is curable (RP or other methods),
Be strong and help him out trough the rough seas to come.

Best of luck
RR

>According to the range given on my husband's lab test printout, normal range
>for his age is 0.0 to 4.0.
[quoted text clipped - 12 lines]
>
>Dora
limey - 30 Jul 2006 15:13 GMT
"RR"  wrote >
> Dora,
>
[quoted text clipped - 3 lines]
> Best of luck
> RR

Thank you, RR.  I plan to be strong;  otherwise, I won't be an asset.   It's
a new, untrodden path, though, where knowledge empowers.  I'm working on it,
with help from this group.

Dora
Buttercup's Dad - 31 Jul 2006 13:03 GMT
You are both in my prayers Dora.

But for a more immediate practical approach I recommend that you start
reading and researching the treatment alternatives and related side
effects now.  And gather information on the treatment centers and
physicians available in your area.  It is very important to be well
informed for the decisions that are ahead.

Good luck to you both.

David S.

> According to the range given on my husband's lab test printout, normal range
> for his age is 0.0 to 4.0.
[quoted text clipped - 12 lines]
>
> Dora
JYewMD@gmail.com - 08 Aug 2006 01:36 GMT
PSA is highly variable. It can be elevated due to many things like:
cancer, BPH/enlarged prostate, UTI, sex, rectal exam or trauma,
perineal trauma, etc.. It seems odd for his PSA to go from 4 to 66,
even over a 2 year period. I would highly recommend repeating the PSA..
maybe even twice. I still think he should see a urologist, and likely
agree with the need for a biopsy. But, if he does have cancer and his
PSA is actually in the 4-20 range, he has much better prognosis than if
it truly is in the 60's.

Best wishes.
===
http://www.DrYew.com
http://www.SanDiegoRoboticProstatectomy.com

> According to the range given on my husband's lab test printout, normal range
> for his age is 0.0 to 4.0.
[quoted text clipped - 12 lines]
>
> Dora
limey - 09 Aug 2006 20:49 GMT
Thank you for responding.  Henry had the biopsy on Monday and a CT scan of
the chest plus a bone scan last week.  Neither of those scans was favorable,
plus an additional finding is emphysema.  He is taking all this very
stoically.

Preliminary verdict, before the pathologist's report, is that Henry has
advanced prostate cancer which is now in the bones.   He also needs a
bladder evaluation.   The path report will be available on Monday.
Unfortunately, all this time he has been taking Android, which the urologist
immediately stopped.

Dora

> PSA is highly variable. It can be elevated due to many things like:
> cancer, BPH/enlarged prostate, UTI, sex, rectal exam or trauma,
[quoted text clipped - 29 lines]
>>
>> Dora
Steve Jordan - 09 Aug 2006 21:56 GMT
On August 9, Dora wrote:
> Thank you for responding.  Henry had the biopsy on Monday and a CT
> scan of the chest plus a bone scan last week.  Neither of those scans
[quoted text clipped - 6 lines]
> Monday. Unfortunately, all this time he has been taking Android, which
> the urologist immediately stopped.
Please clarify something. I cannot find any listing, for example on
rxlist.com, for any medication named "Android."

Also: it appears that Henry is well beyond the point where a urologist,
which is a surgeon, is capable of dealing with the PCa. I most earnestly
recommend that Henry immediately consult a medical oncologist, which is
a cancer specialist.

Henry can refer himself, if necessary. Others have done exactly that.

Regards,

Steve J

> Dora
>
[quoted text clipped - 32 lines]
>>>
>>> Dora
NICK - 09 Aug 2006 23:37 GMT
> Please clarify something. I cannot find any listing, for example on
> rxlist.com, for any medication named "Android."

FDA Orange Book Appendix A June 2006
http://www.fda.gov/cder/orange/appendis_a.pdf

JUNE 2005 - APPROVED DRUG PRODUCTS LIST APPENDIX A

   ANDRODERM,       TESTOSTERONE
   ANDROGEL,          TESTOSTERONE
   ANDROID 10,         METHYLTESTOSTERONE
   ANDROID 25,         METHYLTESTOSTERONE

----------------------------------------------------------------------------

Prescription and Over-the-Counter Drug Product List: 11/2005

 METHYLTESTOSTERONE TABLET; ORAL
 ANDROID 10    VALEANT PHARM INTL       10MG
 ANDROID 25    VALEANT PHARM INTL       25MG

----------------------------------------------------------------------------

                                     DOD BLOOD DONOR GUIDE
                     ACCEPTABLE
      NOTE
ANDROID         YES
     steroid
ANDROID         YES, unless Rx for cancer or aplastic     hormone

-----------------------------------------------------------------------------------
From a paper on the FDA's site:
    Obesity, particularly ANDROID, or abdominal obesity,
    increases CAD risk.
Steve Jordan - 10 Aug 2006 00:21 GMT
Quoting me:
> Please clarify something. I cannot find any listing, for example on
> rxlist.com, for any medication named "Android."
>  
He responded:

>  FDA Orange Book Appendix A June 2006
>  
(snip)
>     ANDRODERM,       TESTOSTERONE
>     ANDROGEL,          TESTOSTERONE
>     ANDROID 10,         METHYLTESTOSTERONE
>     ANDROID 25,         METHYLTESTOSTERONE
>  
(snip)

Bingo. Searching rxlist.com for Android 10, I found it. The missing "10"
(and "25") spoiled the search. It's methyltestosterone. Illustrates that
accuracy is all-important when posting.

I have to wonder why a uro, whose specialty is *surgery* would feel
competent to prescribe such meds. Ego, maybe?

Regards and thanks,

Steve J
limey - 10 Aug 2006 00:40 GMT
> Quoting me:
>> Please clarify something. I cannot find any listing, for example on
[quoted text clipped - 22 lines]
>
> Steve J

No, Henry was put on Android several years ago by our internist.  The
urologist immediately told him to stop taking it since it was testosterone,
which feeds the cancer.

Dora
Steve Jordan - 10 Aug 2006 00:53 GMT
On August 9, Dora replied to me:
> No, Henry was put on Android several years ago by our internist.  The
> urologist immediately told him to stop taking it since it was
> testosterone, which feeds the cancer.
OK, fair enough.

Regards,

Steve J
Peter Headland - 09 Aug 2006 22:30 GMT
> Thank you for responding.  Henry had the biopsy on Monday and a CT scan of
> the chest plus a bone scan last week.  Neither of those scans was favorable

I'm very, very sorry to hear this. You may find it worthwhile posting
to alt.support.cancer.prostate, which seems to have more contributors
than this group.

Signature

Peter Headland

Admin@DrYew.com - 13 Aug 2006 06:48 GMT
Sorry to hear this development. I agree with stopping the Android as
well.
I'd recommend seeking a medical oncologist for consideration of
hormone therapies (eg. Lupron) versus chemo (docetaxel vs.
docetaxel + Lupron) for metastatic prostate cancer. Unfortunately, a
urologist
won't offer much help. Most surgery (eg. robotic laparoscopic
prostatectomy)
would not be indicated now that there seems to be evidence of spread
already. If he is having local symptoms such as difficult voiding or
blood in
the urine, then he may need to see a urologist. I'm assuming he already
has
one since he had a biopsy. Best wishes. The chemo regimens now are much
better and more tolerable than even a few years ago, so keep hope
alive!
===
http://www.DrYew.com
http://www.SanDiegoRoboticProstatectomy.com

> Thank you for responding.  Henry had the biopsy on Monday and a CT scan of
> the chest plus a bone scan last week.  Neither of those scans was favorable,
[quoted text clipped - 42 lines]
> >>
> >> Dora
 
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