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Thread: Brachytherapy

  1. #21
    Senior User Sw1218's Avatar
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    Jul 2015
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    174
    Quote Originally Posted by 83dawg View Post
    ... I have read this forum for quite a while and found it to be very informative. Hope this helps this is my first post. Let me know if i can help. BTW I turn 58 at end of month
    you're right. the forum is very informative. i'm so glad i stumbled on here. you help'd me a lot. HAPPY EARLY BIRTHDAY!!!!
    D.O.B. 1973
    07/14 PSA 5.5
    08/14 Prostatitis & BPH
    07/15 PSA 5.9
    01/16 PSA 7.6
    03/16 PSA 6.2
    07/16 PSA 6.9
    10/16 PSA 6.9
    03/17 PSA 7.2
    05/17 3T MRI Good
    11/17 PSA 7.7
    11/18 PSA 10.8 Cipro for 2 wks
    07/18 PSA 11.9
    08/18 3T MRI: 3 per ZN focal ABN, 1 with a PI-RADS 4 lesion & 2 with PI-RADS 3 lesions. No extra PCa disease, pelvic LAD, or pelvic lesions
    02/19 MRI fusion biopsy
    05/19 PSA 18.67
    05/19 PSA 14.81
    Bx Findings
    A. PROSTATE, LESION 1, LEFT APEX, 3D MRI FUSION BIOPSIES: * BENIGN
    B. LESION 2, RIGHT MID GLAND *PCa, GS 4+3=7 (GRADE GRP 3) 3 OF 3 CORES
    (95% DISCONTINUOUS, <5%, <5%) * GS GRADE 4 60% OF THE TUMOR
    0 PERINEURAL INVASION IS PRESENT
    INFLAMMATION.
    C. LESION 3, DIFFUSE LEFT MID GLAND, 3D MRI FUSION NEEDLE CORE BX's
    PCa, GS 3+4=7 (GRADE GRP. 2) LESS THAN 5% OF THE FRAGMENTED CORES
    GS GRADE 4 INVOLVES 5% OF THE TUMOR
    2nd Bx OPINION
    A. Benign
    B. PCa, GS 3+3=6 (Grade Grp. 1) 80% of 1 core
    C. PCa, GS 3+3=6 (Grade Grp. 1) 20% of 1 core

  2. #22
    I just resent it
    Denis
    65 YO healthy man
    PSA had been 4.1/2 for a couple of years,
    PSA 5/1/17 4.6,
    Multiparametric MRI, 5/15/17 showed lesion
    13 core needle biopsy 3 cores positive 3+3 and one positive in the lesion, may be overlap
    All cores less than 30%
    8/22/17 - second opinion pathology shows a small amount of (3+4) in one core, < 5%, ordered decipher to inform next steps
    9/27/17 -Decipher test shows intermediate risk so now exploring treatment options.
    2/6/18 - completed HDR BT
    5/3/18 Post HDR BT PSA 1.3
    9/18/18 PSA 1.2
    4/1/19 PSA 1.0 Testosterone 475
    Thanks, Denis
    "One day at a time"

  3. #23
    Newbie New User
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    May 2019
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    7
    First time poster here. Just completed my 2nd and final HDR brachy therapy.

  4. #24
    Senior User Sw1218's Avatar
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    Quote Originally Posted by ny to fl View Post
    First time poster here. Just completed my 2nd and final HDR brachy therapy.
    how was the first procedure?
    D.O.B. 1973
    07/14 PSA 5.5
    08/14 Prostatitis & BPH
    07/15 PSA 5.9
    01/16 PSA 7.6
    03/16 PSA 6.2
    07/16 PSA 6.9
    10/16 PSA 6.9
    03/17 PSA 7.2
    05/17 3T MRI Good
    11/17 PSA 7.7
    11/18 PSA 10.8 Cipro for 2 wks
    07/18 PSA 11.9
    08/18 3T MRI: 3 per ZN focal ABN, 1 with a PI-RADS 4 lesion & 2 with PI-RADS 3 lesions. No extra PCa disease, pelvic LAD, or pelvic lesions
    02/19 MRI fusion biopsy
    05/19 PSA 18.67
    05/19 PSA 14.81
    Bx Findings
    A. PROSTATE, LESION 1, LEFT APEX, 3D MRI FUSION BIOPSIES: * BENIGN
    B. LESION 2, RIGHT MID GLAND *PCa, GS 4+3=7 (GRADE GRP 3) 3 OF 3 CORES
    (95% DISCONTINUOUS, <5%, <5%) * GS GRADE 4 60% OF THE TUMOR
    0 PERINEURAL INVASION IS PRESENT
    INFLAMMATION.
    C. LESION 3, DIFFUSE LEFT MID GLAND, 3D MRI FUSION NEEDLE CORE BX's
    PCa, GS 3+4=7 (GRADE GRP. 2) LESS THAN 5% OF THE FRAGMENTED CORES
    GS GRADE 4 INVOLVES 5% OF THE TUMOR
    2nd Bx OPINION
    A. Benign
    B. PCa, GS 3+3=6 (Grade Grp. 1) 80% of 1 core
    C. PCa, GS 3+3=6 (Grade Grp. 1) 20% of 1 core

  5. #25
    Newbie New User
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    May 2019
    Posts
    7
    Hi SW. Background. 59 year old diagnosed Feb 2019. 3+4
    Spoke to surgeon, radiation oncologist who specialized in EBRT and finally rad oncologist who specialized in HDR Brachy. All seen at Moffitt cancer center in Tampa Fl.
    Made my decision to go with Brachy. First session was 2 weeks ago. Wife helped with prep the night before. No eating prior day. Gas x, enema and flomax were part of prep.
    The procedure itself went very smooth. Slept through probably 90% of it. Woke up in recovery room and proceeded to drink water and juice. After 15 minutes was able to urinate and released. Urine flow was weak for few days afterward. Penis hurt a little but over all no problems. Flomax used to help flow.
    Second procedure 2 days ago was more adventuresome but feeling great overall.

  6. #26
    Senior User Sw1218's Avatar
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    Quote Originally Posted by ny to fl View Post
    ...Second procedure 2 days ago was more adventuresome but feeling great overall.
    wonderful. please keep me updated. if i may ask, why HDR an not surgery?
    D.O.B. 1973
    07/14 PSA 5.5
    08/14 Prostatitis & BPH
    07/15 PSA 5.9
    01/16 PSA 7.6
    03/16 PSA 6.2
    07/16 PSA 6.9
    10/16 PSA 6.9
    03/17 PSA 7.2
    05/17 3T MRI Good
    11/17 PSA 7.7
    11/18 PSA 10.8 Cipro for 2 wks
    07/18 PSA 11.9
    08/18 3T MRI: 3 per ZN focal ABN, 1 with a PI-RADS 4 lesion & 2 with PI-RADS 3 lesions. No extra PCa disease, pelvic LAD, or pelvic lesions
    02/19 MRI fusion biopsy
    05/19 PSA 18.67
    05/19 PSA 14.81
    Bx Findings
    A. PROSTATE, LESION 1, LEFT APEX, 3D MRI FUSION BIOPSIES: * BENIGN
    B. LESION 2, RIGHT MID GLAND *PCa, GS 4+3=7 (GRADE GRP 3) 3 OF 3 CORES
    (95% DISCONTINUOUS, <5%, <5%) * GS GRADE 4 60% OF THE TUMOR
    0 PERINEURAL INVASION IS PRESENT
    INFLAMMATION.
    C. LESION 3, DIFFUSE LEFT MID GLAND, 3D MRI FUSION NEEDLE CORE BX's
    PCa, GS 3+4=7 (GRADE GRP. 2) LESS THAN 5% OF THE FRAGMENTED CORES
    GS GRADE 4 INVOLVES 5% OF THE TUMOR
    2nd Bx OPINION
    A. Benign
    B. PCa, GS 3+3=6 (Grade Grp. 1) 80% of 1 core
    C. PCa, GS 3+3=6 (Grade Grp. 1) 20% of 1 core

  7. #27
    Newbie New User
    Join Date
    May 2019
    Posts
    7
    Sw- Great question. Just a personal thing. But one thing I liked about BT was the fact that Spaceoar gel was to be used.

    I hope others including subDenis chime in.

  8. #28
    I didn't have spaceoar and apparently didn't need it. Glad yours went well also.
    65 YO healthy man
    PSA had been 4.1/2 for a couple of years,
    PSA 5/1/17 4.6,
    Multiparametric MRI, 5/15/17 showed lesion
    13 core needle biopsy 3 cores positive 3+3 and one positive in the lesion, may be overlap
    All cores less than 30%
    8/22/17 - second opinion pathology shows a small amount of (3+4) in one core, < 5%, ordered decipher to inform next steps
    9/27/17 -Decipher test shows intermediate risk so now exploring treatment options.
    2/6/18 - completed HDR BT
    5/3/18 Post HDR BT PSA 1.3
    9/18/18 PSA 1.2
    4/1/19 PSA 1.0 Testosterone 475
    Thanks, Denis
    "One day at a time"

  9. #29
    Moderator Top User HighlanderCFH's Avatar
    Join Date
    Nov 2011
    Posts
    7,186
    Quote Originally Posted by ny to fl View Post
    Sw- Great question. Just a personal thing. But one thing I liked about BT was the fact that Spaceoar gel was to be used.

    I hope others including subDenis chime in.
    Welcome aboard, NY. Wishing you the very best!!
    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.
    Seven annual post-op exams 2012 through 2018: PSA <0.1
    Semi-firm erections without "training wheels," usable erections with 100mg Sildenafil.
    NOTE: ED caused by BPH, not the surgery.

  10. #30
    Newbie New User
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    May 2019
    Posts
    7
    Quote Originally Posted by SubDenis View Post
    I didn't have spaceoar and apparently didn't need it. Glad yours went well also.
    So far so so good. Your commentary as well as others are much appreciated.

 

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