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Thread: Just got diagnosis

  1. #21
    Top User
    Join Date
    Jan 2014
    Location
    Greater Atlanta
    Posts
    1,688
    Good news is always welcome Mike! Good luck with your upcoming surgery. As the majority of us who opted for surgery will attest, it is really not much more than a major inconvenience. Since you are ex military (Thank you for your service!), it should be a soft march.

    Follow all of your MDs instructions to the "T."

    Keep us updated and remember that we've go you covered!

    MF
    PSA: Oct '09 = 1.91, Oct '11 = 2.79, Dec '11 = 2.98 (PSA, Free = 0.39ng/ml, % PSA Free = 13%)
    Jan '12: DRE = Positive: "Left induration"
    Jan '12: Biopsy = 6 of 12 Cores were Positive: 1 = Gleason 7 (3+4) and 5 = Gleason 6
    March '12: Robotic RP: Left Positive Margins + EPEs. MD waited in surgery for preliminary Path Report then excised substantial left adjacent tissue(s) down to negative margins and placed 2 Ti clips for SR guidance, if needed in future.
    Pathology: Gleason (3+4) pT3A pNO pMX pRO / Prostate Size = 32 grams; Tumor = Bilateral; 20% / Perineural invasion: present
    3 month Post Op standard PSA = <0.1 ng/ml
    1st uPSA at 7 months Post Op = 0.018 ng/ml uPSA remains stable: = 0.020 ng/ml "Mean (+/-) STD" = 0.002 at 60 Months Post Op: (15 uPSAs: Range 0.017 - 0.024) LabCorp: Ultrasensitive PSA: Roche ECLIA
    Continence = Very Good (≥ 98%)
    ED = present

  2. #22
    Regular User
    Join Date
    Sep 2016
    Posts
    43
    Good luck on your upcoming surgery. Although I wasn't in good physical shape prior to surgery, I was able to walk and do basic core exercises planks and push ups which I think helped quite a bit.
    Age at Diagnosis: 68
    PSA 04/18/2016: 6.36
    DRE:05/25/2016
    PSA:06/21/2016: 5.64
    Biopsy:08/03/2016
    Biopsy Dx 08/24/2016. Prostate Cancer. 6 of 12 cores cancerous-all left side
    Gleason at biopsy 08/24/2016: 7 (3+4)
    daVinci Robotic Laparoscopic Prostatectomy 10/18/2016
    Home 10/19/2016
    Cath out 10/26/2016
    From path report 10/19/2016:
    Adenocarcinoma acinar type
    Gleason: revised to 7 (4+3),
    WHO/ISOP Grade Group 3
    pT2a pN0
    Prostate size 106 grams, 6.8 x 7.2 x 6.5 cm
    2 cm nodule, confined to left lobe
    Tumor involved 3 out of 24 prostate blocks
    perineural invasion present
    Seminal vesicles negative for malignancy
    Bladder neck, Apex and margins negative for malignancy
    Bilateral pelvic lymph node dissection:Fourteen lymph nodes, negative for malignancy.
    PSA 11/28/2016 6 weeks after surgery: 0.01
    PSA 02/27/2017 19 weeks after surgery: 0.01

  3. #23
    Senior User
    Join Date
    Jul 2016
    Posts
    107
    Congrats on the good scan and best of luck for a speedy recovery from surgery.

    Don't forget to post back to let us know how you are doing!
    DOB: 1969
    PSA History:
    11/08/2010 - 1.32
    06/22/2012 - 1.84
    07/09/2015 - 3.6
    11/14/2015 - 3.4
    03/30/2016 - 4.2
    Biopsy: June 6, 2016
    Right Apex A, Gleason 3+4=7, involving < 5%
    Right Lateral Apex B, Gleason 3+3=6, involving < 5%
    Right Mid C, Gleason 3+4=7, involving < 20%
    Right Lateral mid D, Variable degrees of prostatic stromal and glandular hypertrophy; negative for malignancy
    Right Base E, Gleason 3+3=6, involving < 5%
    F-L Variable degrees of prostatic stromal and glandular hypertrophy; negative for malignancy
    Treatment: Da Vinci RP - August 26, 2016 - 33 gm
    Catheter removed on 9/7/2016 (11 days)
    Tumor involves both lobes, 4% of prostate involved
    Surgical margins: Uninvolved
    14 Lymph nodes: Negative
    Perineural invasion: Present
    Gleason score: 3+3=6 (only 5% grade 4)
    Stage: pT2c, pN0 (cM0 assumed)
    AJCC Stage IIB
    Post-op PSA: 11/29/2016, 02/22/2017 <0.02

  4. #24
    Senior User Ready2Fight's Avatar
    Join Date
    Jul 2016
    Location
    Chicago, IL
    Posts
    133
    Congratulations on making your treatment decision! Now you just need to focus on your surgery and a smooth recovery. My husband did not have any troubles after surgery with the catheter, pain or anything major, and you're retired army so you got this!

    Thank you for your service and I'm sending my prayers and best wishes for a speedy recovery!
    Wife posting for spouse - age at dx 48
    PSA 6/16: 6.48 7/16: 7.22 FPSA 10%
    12 Core Biopsy 7/16: Negative
    PSA 10/16: 6.30 FPSA 13%
    MRI 12/16: No evidence of seminal vesicle invasion. Probable extracapsular extension. Bones/LN Clear
    Biopsy 12/16: Two cores 3+4 and Seven cores 3+3 (out of those Seven cores One has Perineural invasion and is 50% of tissue and Three are less than 5%) PCa is bilateral
    RP at University of Chicago 2/17
    Gleason score 7 (3+4) The Gleason grade 4 component is 5% of the entire tumor volume
    Prostate: 32.7 gm Tumor Volume Estimate: 35%
    No extraprostatic extension present and No lymphovascular invasion present
    Seminal vesicles and vasa deferentia, no tumor present
    High grade prostatic intraepithelial neoplasia (PIN)
    Thirteen lymph nodes, no tumor present (0/13)
    Perineural Invasion: Present
    Tumor involves proximal basilar margin for an added length of 2.0 mm Tumor at the margin is Gleason 3
    pT2cN0

  5. #25
    Newbie New User
    Join Date
    Mar 2017
    Posts
    2
    Hello Mike!
    Just wanted to let you know this is my first post on here. I am a newbie also but your story is so much like mine.

    I am 54 yrs old. Had my PSA checked every year for the past 4 yrs. Last year it was at 1.7, everything good. But this past December I had blood work done again and my PSA came back at 3.6. I myself thought no biggie, it's between the 0-4 range. But my doctor said I was trending upward.
    Doctor asked if he could check my prostate. I hesitated and made stupid excuses until he said "it's no big deal". I then looked at him and said okay. Checked my prostate to find out it was hard on one side. Turned me over to a urologist who then conducted a biopsy. Came back cancer, Gleason score of 8. Urologist said it was a higher grade more aggressive cancer. I thought it was over for me.

    We started talking about treatments. My urologist said I can do radiation, not a problem. Walk in, get a hit and then go home. But, then he said, it could come back again a few yrs down the road.
    I had researched the DaVinci robotic prostatectomy and already had my mind made up thats what I wanted to have done before he mentioned it to me.

    Had to go two weeks before having a CT scan and bone scan. Worried so much that it had spread out of the prostate. Had both my scans done and both came back clear. So on February 14th (Valentines Day) I had the radical prostatectomy done. Fortunately, my urologist was a DaVinci surgeon and does about four a week.

    Had to go back 10 days later to have catheter taken out and go over my pathology report. All margins came back clear. Just got to go back in April to recheck PSA.
    So relieved!

  6. #26
    Moderator Top User HighlanderCFH's Avatar
    Join Date
    Nov 2011
    Location
    Highland, Indiana
    Posts
    5,390
    Welcome aboard, Steve,

    Glad to hear your margins were clear. That is a great sign.

    When you have a chance, can you post your stats to your signature? Then they will appear at the bottom of all your posts.

    Take care,
    Chuck
    July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA 9/ 2011 = 5.7.
    Local uro DRE revealed significant BPH, no lumps.
    PCa Dx Aug. 2011 age of 61.
    Biopsy DXd adenocarcinoma in 3/20 cores (one 5%, two 20%). T2C.
    Gleason 3+3=6. CT abdomen, bone scan negative.
    DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
    Surgeon was Dr. Matthew Tollefson, who I highly recommend.
    Final pathology shows tumor confined to prostate.
    5 lymph nodes, seminal vesicules, extraprostatic soft tissue all negative.
    1.0 x 0.6 x 0.6 cm mass involving right posterior inferior, right posterior apex & left
    mid posterior prostate. Right posterior apex margin involved by tumor over 0.2 cm length,
    doctor says this is insignificant.
    Prostate 98 grams, tumor 2 grams.
    Catheter out in 7 days. No incontinence, minor dripping for a few weeks.
    Five annual post-op exams 2012 through 2016: PSA <0.1
    Semi-firm erections 5 years post-op whenever the moon turns blue.

 

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