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Thread: Six month PSA after RP

  1. #1

    Six month PSA after RP

    We added a decimal point to the test this time and it came back <0.02. No worries for 3 months, yeah.
    Started at age 68
    PSA 9/2018 14.8, 11/2018 20.16
    Biopsy 11/2018 Adenocarcinoma in 7 of 9 cores (3%, 60%, 80%, 90%) Gleason 4+3
    Robotic prostatectomy nerve sparing, 1/10/18 Mayo Clinic, Dr. Matthew Gettman, Very experienced and highly recommended.
    Final pathology Gleason 4+3 = 7, Grade Group 3, Tumor size 1.6cm, Margins negative, 5 Lymph Nodes, 0 involved.
    Adenocarcinoma involves the right seminal vesicle and extraprostatic soft tissue in regions of the left and right superior posterior prostate. Primary Tumor pT3b.
    Catheter out in 7 days. Still fighting dribbles and ED after 6 months.
    Feb 2019 PSA <0.1
    3 month PSA <0.1
    6 month PSA <0.02

  2. #2
    Quote Originally Posted by MNProgrammer View Post
    We added a decimal point to the test this time and it came back <0.02. No worries for 3 months, yeah.
    Congrats MNProgrammer!

    Looking Good!!!

    MF
    PSA: Oct '09 = 1.91, Oct '11 = 2.79, Dec '11 = 2.98 (PSA, Free = 0.39ng/ml, % PSA Free = 13%)
    Referred to URO MD
    Jan '12: DRE = Positive: "Left induration"
    Jan '12: Biopsy = 6 of 12 Cores were Positive: 1 = G7 (3+4) and 5 = Gleason 6
    Referred to URO Surgeon
    March '12: Robotic RP: Left: PM + EPE. 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 c tertiary pattern 5 / Prostate Size = 32 grams / Tumor = Bilateral: 20% / PNI: 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" at 84 Months Post Op: Mean = 0.021 (20x uPSAs: Range 0.017 - 0.026) LabCorp: Ultrasensitive PSA: Roche ECLIA
    Continence = Very Good (≥ 99%)
    ED = present

  3. #3
    Senior User
    Join Date
    Nov 2016
    Posts
    289
    Looks very good MP.
    Age at Dx 57
    PCa History: Father, Uncles, Grandfathers

    Oct 2016 Biopsy 12 core: Adenocarcinoma, Gleason 4+3=7 Grade Group 3) w/PNI
    Left Lateral Base: Suspicious
    Left Lateral Mid: PIN
    Left Base: 4+3=7 (60% pattern 4) Core involvement 30% (5mm)
    Right Base: Suspicious
    Right Apex: 3+3=6 Core involvement 60% (7mm) discontinous
    Right Lateral Mid: 3+3=6 Core involvement 10% (1mm)
    Right Lateral Apex: 3+3=6 Core involvement 10% (1mm)

    Jan 2017 DaVinci - Dr. Grant Taylor - Pathology: pT2c; Gleason 4+3=7; Weight: 42g

    Jun 2019 AMS800 installed - Dr. David Rapp - Jul 2019 activated

    ED: Light to moderate

    (Note: All PSA tests prior to Jun19 were done by LabCore)
    PSA_TESTS

    Apr 2016=5.1
    Jul 2016=4.7
    Aug 2016=5.13

    ----Surgery----

    Mar17<0.01
    Jul17<0.01
    Oct17<0.01
    Jan18<0.01
    May18<0.01
    Nov18<0.01
    Jan19<0.01
    Jun19<0.02

  4. #4
    <0.1 to <0.02 ... a zero ain't nothing in this case! Congrats

    Djin

  5. #5
    Senior User
    Join Date
    Nov 2018
    Posts
    237
    Congratulations MNProgrammer. Did you get the 2 decimal test at Mayo Clinic?
    DOB 1955
    63 at dx
    3/2018 PSA 4.05 DRE normal refer to URO small town
    10/2018 PSA 6.28 DRE normal
    Bx 11/2018 12 cores 3 pos one 5% left mid two 50% left base
    GS 3+4=7 T1c
    Appt Mayo Clinic Phoenix Az 1/4/2019
    Dr. Paul Andrews recommend
    MRI 2/27/2019 Mayo AZ
    RALP 2/28/2019 Mayo AZ Dr. Paul Andrews
    Path: GS 3+4=7, Tertiary Gleason Pattern none, Grade Group 2
    Tumor presents moderate to extensive volume mainly on the
    posterior portion of prostate. Largest tumor nodule measures
    8 mm.
    Prostate: 21g 3.5 x 3 x 3 cm
    EPE: Absent
    Bladder Neck Invasion: Absent
    Seminal Vesicle Invasion: Pos (left seminal vesicle)
    Margins: Pos left lateral base and central base margins 2mm focus each
    Lymph Nodes involved: 0
    Lymph Nodes examined: 16
    Nerves spared right side only
    Path Staging (AJCC 8th Edition)
    Primary Tumor pT3b
    Regional lymph nodes: pNO
    Distant Metastasis: Mx
    Continence 99% 9 weeks
    ED Present
    PSA 4/17/2019 <.10
    PSA 5/2/2019 <.007
    PSA 6/10/2019 <.10
    PSA 8/1/2019 <.007

  6. #6
    Experienced User
    Join Date
    Feb 2019
    Posts
    87
    Nice!!!!!!
    DOB 9/6/59
    1/21/19 PSA 7.5.
    Bx 2/8/19
    G7 (4+3), 60% pattern 4
    Reffered to Mayo Clinic Rochester, MN
    RALP 4/3/19 Igor Frank
    Adenocarcinoma G8 (4+4)
    Mass (3 x 1.5 x 1.2 cm)
    Tumor involves both seminal vesicles.
    Extraprostatic soft tissues, SM, EPE, BNI, LNI (24): neg., SVI+
    pT3b pN0 Mx
    7/19 3mo PSA 0.74
    7/24 retest PSA 0.78

  7. #7
    Quote Originally Posted by nmguy View Post
    Congratulations MNProgrammer. Did you get the 2 decimal test at Mayo Clinic?
    No, not Mayo. My urologist is former Mayo but works for UHD now. Just the surgery was done by Mayo. Kind of a tag-team effort but it works.
    Started at age 68
    PSA 9/2018 14.8, 11/2018 20.16
    Biopsy 11/2018 Adenocarcinoma in 7 of 9 cores (3%, 60%, 80%, 90%) Gleason 4+3
    Robotic prostatectomy nerve sparing, 1/10/18 Mayo Clinic, Dr. Matthew Gettman, Very experienced and highly recommended.
    Final pathology Gleason 4+3 = 7, Grade Group 3, Tumor size 1.6cm, Margins negative, 5 Lymph Nodes, 0 involved.
    Adenocarcinoma involves the right seminal vesicle and extraprostatic soft tissue in regions of the left and right superior posterior prostate. Primary Tumor pT3b.
    Catheter out in 7 days. Still fighting dribbles and ED after 6 months.
    Feb 2019 PSA <0.1
    3 month PSA <0.1
    6 month PSA <0.02

  8. #8
    Quote Originally Posted by MNProgrammer View Post
    N...My urologist is former Mayo but works for UHD now. ...
    Does that mean he has Mayo on the side ??!

  9. #9
    Well, let's all get together and celebrate! I could use a party

    Congratulations MNProgrammer
    History: age 53 It took 3 biopsies (34 cores) to find 2 cores 4+4 Gleason 8
    Lap RP at MSKCC Apr 2004, age 54 All neg margins, nodes & structures. (T2a).
    Post RP PSA: <.1 until Feb, 08 (46 mos) PSA 0.1 - I then got sensitive tests -> 2008: Feb 0.06,
    May-08 0.09 - Jun-08 0.10, - Aug-08 0.10, - Nov-08 0.15
    SRT Dec-2008 ---Post SRT PSA 2009, Feb-09 0.10, May-09 0.09, Aug-09 0.06, Dec-09 .04, - 2010 Mar-09 0.04, 2011 .02, 2012 .02,
    STARTED UP Feb 2014-0.06, Jul-2015 0.10, Oct-2015 0.10, Feb-2016 0.15, Jun-2016 0.17, Dec-2016 0.25, Jan-2019 0.74, Jun -2019 0.72
    Aug 2018 Auximin scan - nothing
    Had an inflatable penile implant 2018 for ED. Best decision ever https://www.peyroniesforum.net/index...oard,56.0.html

  10. #10
    Experienced User
    Join Date
    Sep 2017
    Posts
    65
    Quote Originally Posted by DjinTonic View Post
    Does that mean he has Mayo on the side ??!
    Exactly what kind of Mayo? Hellmans (like the garyi guy) or Miracle Whip (that fake stuff?)

 

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