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Thread: Please consider this my formal application to join the 'Zero Club'.

  1. #11
    Woo-hoo!! Now that's something to celebrate!

    Congratulations & wishing you many more to come!
    Wife posting for spouse - 49, age at dx 48
    06/2016: PSA 6.48
    07/2016: PSA 7.22 FPSA 10% 12 Core Biopsy Negative
    10/2016: PSA 6.30 FPSA 13%
    12/2016: MRI W/COIL PI-RADS 5 with Probable EPE, Bones/LN Clear
    12/2016: Biopsy Two cores 3+4 and Seven cores 3+3
    02/2017: RP at University of Chicago Pathology 3+4 Grade 4 component is 5%
    Prostate: 32.7 gm Tumor Volume Estimate: 35%
    No EPE or lymphovascular invasion 13 lymph nodes, Seminal vesicles, vasa deferentia, no tumor present
    High grade prostatic intraepithelial neoplasia, Perineural Invasion: Present
    Tumor involves proximal basilar margin of 2.0 mm Gleason at margin is 3 pT2c,N0,MX,R1
    04/2017: 6 Week PSA <0.01
    05/2017: 3 Month uPSA <0.006
    8/2017: 6 Month uPSA <0.006
    100% Dry

  2. #12
    Senior User
    Join Date
    Nov 2016
    Location
    Abingdon, VA
    Posts
    225
    Seven month PSA results still holding at <0.01.

    Doc gave me some sample drugs to try for the incontinence issue. Also getting a referral to physical therapy. This ought to be exciting.
    Age at Dx 57

    History: Father, Uncles, both Grandfathers

    PSA: Apr/16=5.1, Jul/16=4.7, Aug/16=5.13, Mar17=<0.01, Jul17=<0.01, Oct17=<0.01

    Oct/16 Biopsy: Adenocarcinoma, Gleason 4+3=7 Grade Group 3) with perineural invasion.
    Left Lateral Base: Suspicious
    Left Lateral Mid: High Grade PIN
    Left Lateral Apex: Benign
    Left Base: Gleason 4+3=7 (60% pattern 4) involving 1 core. Core involvement 30% (5mm)
    Left Mid: Benign
    Left Apex: Benign
    Right Base: Suspicious
    Right Mid: Benign
    Right Apex: Gleason 3+3=6 involving 1 core. Core involvement 60% (7mm) discontinous
    Right Lateral Base: Benign
    Right Lateral Mid: Gleason 3+3=6 involving 1 core. Core involvement 10% (1mm)
    Right Lateral Apex: Gleason 3+3=6 involving 1 core. Core involvement 10% (1mm)

    Jan/17 DaVinci; Pathology: pT2c; Gleason 4+3=7; Weight: 42g; Both nerve bundles spared

    ED seems to have returned to pre-surgery status, although I'm still fully incontinent.

  3. #13
    Top User
    Join Date
    Jan 2014
    Location
    Greater Atlanta
    Posts
    2,453
    That's GREAT News MRJ! Keep the <0.01 results flowing!

    MF

  4. #14
    Experienced User Narnar's Avatar
    Join Date
    Nov 2016
    Location
    South Carolina
    Posts
    51
    Great news and congrats... I hope to be able to join you someday.
    65 year old in what I thought was good health
    Gen office 3/25/16 psa 11.5 referred to urologist.
    6/21/16 urologist visit schedule biopsy for 7/6/16
    2 of 12 samples showed positive GS 4+4. and 4+3
    MRI showed no mets, scheduled for surgery, went to MD Anderson for 2nd opinion. Using same MRI they concluded one small spot on lower back.
    Biopsy showed positive.
    Started lupron on 9 /13/16 psa 62.4
    12/13/16 3 month check up Psa 4.8
    2/13/17 bone scan clear but proven met at L3 no longer shows up.
    2/13/17 MRI with endorectal coil shows both lesions have shrunk.
    2/13/17 psa 4.1
    RALP April 11 2017. MD Anderson Dr. Chapin
    6/7/17 six week post op check up PSA 0.5
    8 weeks post op completely dry
    9/7/17 PSA 0.2

  5. #15
    Senior User
    Join Date
    Nov 2016
    Location
    Abingdon, VA
    Posts
    225
    Back from the doc, still hanging on to the <0.01 at the 10 month mark. Next test in January.
    Age at Dx 57

    History: Father, Uncles, both Grandfathers

    PSA: Apr/16=5.1, Jul/16=4.7, Aug/16=5.13, Mar17=<0.01, Jul17=<0.01, Oct17=<0.01

    Oct/16 Biopsy: Adenocarcinoma, Gleason 4+3=7 Grade Group 3) with perineural invasion.
    Left Lateral Base: Suspicious
    Left Lateral Mid: High Grade PIN
    Left Lateral Apex: Benign
    Left Base: Gleason 4+3=7 (60% pattern 4) involving 1 core. Core involvement 30% (5mm)
    Left Mid: Benign
    Left Apex: Benign
    Right Base: Suspicious
    Right Mid: Benign
    Right Apex: Gleason 3+3=6 involving 1 core. Core involvement 60% (7mm) discontinous
    Right Lateral Base: Benign
    Right Lateral Mid: Gleason 3+3=6 involving 1 core. Core involvement 10% (1mm)
    Right Lateral Apex: Gleason 3+3=6 involving 1 core. Core involvement 10% (1mm)

    Jan/17 DaVinci; Pathology: pT2c; Gleason 4+3=7; Weight: 42g; Both nerve bundles spared

    ED seems to have returned to pre-surgery status, although I'm still fully incontinent.

  6. #16
    Top User
    Join Date
    Jan 2014
    Location
    Greater Atlanta
    Posts
    2,453
    Quote Originally Posted by MRJ View Post
    Back from the doc, still hanging on to the <0.01 at the 10 month mark. Next test in January.
    Big Congrats MRJ!!!

    Keep the "Undetectables" coming!

    MF

  7. #17
    Regular User
    Join Date
    May 2017
    Location
    North Alabama
    Posts
    22
    Quote Originally Posted by Bravehardon View Post
    Congratulations Mike, the door to the club is open and the welcome mat is down.
    Allen
    And a much abused and dribbled on mat it is around my house!
    BD 1962
    Age at Diagnosis 54
    Biopsy Diagnosed with PC Gleason 3+4 Mid March 2017
    Perineural Invasion
    3 out of 12 cores positive
    Bone Scan OK Early April 2017
    Pre Op PSA history
    December 7, 2012 2.130
    May 14, 2013 2.270
    December 22, 2014 2.780
    May 2, 2016 2.320
    DaVinci Surgery 15 May 2017
    Pathology
    Gleaseon 3+4=7
    Extraprostatic extension: present along the right lobe along the lateral and posterior aspect.
    Perinural invasion: extensive
    Angiolymphatic invasion: single focus suggestive of angiolymphatic invasion
    Surgical margins of resection
    apex negative
    bladder neck negative
    peripheral negative
    Microscopic invasion of the bladder neck: not identified
    Seminal Vesicle invasion: not identified
    AJCC pathologc stage pT3a pN0
    Four lymphnodes negative for metatastic carcinoma
    Cancer discovered during a DRE following urinary problems caused by kidney stone problems, otherwise I had no problems, thank goodness for kidney stones

  8. #18
    Experienced User
    Join Date
    Jun 2017
    Location
    Minneapolis, MN
    Posts
    75
    Congrats MRJ!! Couldn't be happier for you. Hoping you'll hold the door open for me in about 5 weeks. I imagine the beer is frosty cold there...... mmmmmmm..... beer.....
    Diagnosis 56: DOB 5/61
    PSA 12/12 3.74
    PSA 12/13 3.2 DRE - neg
    PSA 3/14 3.2 DRE – neg
    PSA 9/14 2.68 DRE – neg
    PSA 12/15 3.92 DRE – neg
    Biopsy 2/16 negative
    PSA 3/17 7.5 DRE – neg
    3T MRI 4/17
    PSA 5/17 5.9
    Fusion Biopsy 5/17
    Positive 6/5/17
    T1c N0 M0
    Left Lateral Base, 4+3
    Left Lateral Mid, 3+3
    MR Lesion 3+4, PI present
    6/17 Bone Scan - negative
    RALP performed 8/30/17, Mayo, Rochester MN, Dr. Mathew Gettman
    Gleason re-graded to 3+4, pT2c pN0
    Margin focally involved by one tumor over a length of <.1 cm at left posterior superior margin
    PCa found in right mid as well (surprise to surgeon)
    Cath for 2 weeks, dry since removal

  9. #19
    Senior User DjinTonic's Avatar
    Join Date
    Sep 2017
    Location
    NC
    Posts
    340
    Well done, MRJ!

  10. #20
    Senior User
    Join Date
    Aug 2017
    Location
    Upstate NY
    Posts
    152
    PSA 8/31/15 4.01
    PSA 3/03/16 4.15
    PSA 8/28/16 3.94
    PCA3 9/16 low risk
    PSA 5/10/17 7.49,
    PSA 9/2/17 9.77
    Biopsy 6/7/17 Left Apex Gleason 6, less than 5% of core. Right Apex Gleason 6, 35% of core.
    OncotypeDX GPS score 43- high risk.
    Bone scan 7/11/17. 11th left rib iffy.
    Bone biopsy 8/11/17. Negative.
    3T MRI 7/19/17. 3.5 cm liposarcoma found behind bladder.
    CT Scans of chest and pelvis 7/31/17. Negative
    RALP 9/25/17
    Histologic Type: Adenocarcinoma
    Total Gleason Score: 6
    Tumor Quantitation: Less than 5%
    Location of dominant tumor nodule: Left posterior lobe apex to mid
    Extraprostatic Extension: Not identified
    Seminal Vesicle Invasion: Not identified
    Margins: Uninvolved by carcinoma
    Lymph-Vascular Invasion: Not Identified
    Primary Tumor: pT2c (organ confined; tumor involves both lobes)
    Regional Lymph NodesN0 (No metastasis)
    Number of lymph nodes examined 6 ;nodes involved 0
    Distant Metastasis: cM0
    Working Stage Grouping: Stage IIB (T2c N0 M0)

 

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