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Thread: If you had ART or SRT, when (if ever) did you start to see side effects?

  1. #11
    I had some side effects the last couple of weeks of treatment (SRT in the form of IMRT). Not a huge deal--it was radiation proctitis. Got a prescription for a topical (well you squirt it up your backside) treatment called Proctofoam. Instant temporary relief.
    The proctitis subsided after treatment and was completely gone within a matter of weeks. All the gory details in my blog, lol. SRT seems to have cured me, btw. It's now been a dozen years with undetectable PSAs. Best wishes to you, Busby.
    Replicant

    Dx Feb 2006, PSA 9 @age 43
    RRP Apr 2006 - Gleason 3+4, T2c, NXMX, pos margins
    PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
    Salvage radiation (IMRT) total dose 70.2 Gy, Jan-Mar [email protected] age 44
    PSA 6/07 0.1, 9/07 (and thereafter) <0.1
    http://pcabefore50.blogspot.com

  2. #12
    Senior User
    Join Date
    May 2017
    Posts
    204
    I'm going to have to ask about that Proctofoam today. Three more days will finish up the 25 days of pelvic lymph node radiation treatments and next week starts 14 days of fascia boost. I hope the fascia boost does not hit the main exit.
    DOB 1961
    2010-05 2.42
    2015-07 7.0
    2015-08 5.4
    2016-02 6.2
    2016-09 7.86
    2017-02 7.2
    2017-05 5.65
    2017-06 biopsy 7 of 13 cores G6
    2017-10 7.11
    2018-04 7.47
    2018-11 11.80

    2019-01 Da Vinci RALP
    Pathology report:
    Final stage pT2C
    Histologic type: Acinar adenocarcinoma with focal mucinous features
    Grade: 3+4=7 35% pattern 4
    23% of prostate involved
    EPE-
    BNI-
    SVI-
    PNI+
    LVI+
    Margins focally positive [1-3 mm] 4 locations
    Cribriform pattern noted

    Roche ECLIA uPSA
    2019-03 0.133
    2019-04 0.116
    2019-05 0.143
    2019-06 0.140
    2019-07 0.183
    2019-08 0.197
    2019-08 Start Lupron/Casodex
    2019-09 Decipher score .49
    2019-10 0.007
    2019-10-14 Start salvage radiation 39 treatments 70.2Gy
    2019-12-06 Completed radiation

  3. #13
    Senior User
    Join Date
    Feb 2017
    Posts
    182
    There surely is a wide variation of SE to radiation therapy. I had 69 GY of which 23 was a boost to the prostatic fossa. I completed this treatment exactly two years ago today. PSA has remained undetectable (thankfully).

    I suspect there are considerable individual factors that influence the side effects of RT. The only undesirable effects I had were a few weeks of loose stool. After that, nothing else.

    I also attended the Prostate Cancer all day session on 2 November in Virginia Beach. Very informative and appreciated the current information on treatment options. I'm guessing there were about 150 of us there....and great networking.
    2010-PSA 3.59; 2011-PSA 3.58; 2012-PSA 5.28, 4.26; 2013-PSA 5.98, 7.37; 2014-PSA 5.90, 4.70; 2015-PSA 5.18, 7.35
    RALP 16 March 17, Wesley Long, Greensboro, NC
    Pathology: pT3a, pN1 Gleason 4+5=9 adenocarcinoma with + surgical margin at bladder neck; 3 of 16 lymph nodes positive; neg seminal vesicles, vasa deferens
    Referral to Dr. Ken Pienta, Clinical Dir Research, Brady Center, Johns Hopkins
    Enrolled in Clinical Trial IRB002120414 “Phase II Study of definitive therapy for oligometastatic prostate cancer post surgery"
    Completed: Docetaxel 12 Jun 17, 3 Jul 17, 24 Jul 17, 14 Aug 17, 15 Sep 17
    Lupron every 90 days for two years. Completed March 2019
    Bone/Body Scans - 15 Sep 17 - neg; 15 Mar 18 - neg; 14 Sep 18 - neg; 17 Mar 19 - neg
    EBRT: 69 Gy total (46 to fossa, 23 boost to suspect areas) 1st treatment 28 Sep 17, last 22 Nov 17
    PSA: 25 May 17=0.2; 5 Sep 17=0.1; 18 Dec 17=0.1; 6 Mar 18=0.1; 29 May 18=0.1; 5 Sep 18=0.1; 17 Dec 18=0.1; 12 Mar 19=0.1; 15 Jul=0.1; 29 Oct 19=0.1

  4. #14
    Senior User
    Join Date
    May 2017
    Posts
    204
    I'm going to have to look up some of these Prostate Cancer "conventions." Sounds like a great way to network and get the latest info.
    DOB 1961
    2010-05 2.42
    2015-07 7.0
    2015-08 5.4
    2016-02 6.2
    2016-09 7.86
    2017-02 7.2
    2017-05 5.65
    2017-06 biopsy 7 of 13 cores G6
    2017-10 7.11
    2018-04 7.47
    2018-11 11.80

    2019-01 Da Vinci RALP
    Pathology report:
    Final stage pT2C
    Histologic type: Acinar adenocarcinoma with focal mucinous features
    Grade: 3+4=7 35% pattern 4
    23% of prostate involved
    EPE-
    BNI-
    SVI-
    PNI+
    LVI+
    Margins focally positive [1-3 mm] 4 locations
    Cribriform pattern noted

    Roche ECLIA uPSA
    2019-03 0.133
    2019-04 0.116
    2019-05 0.143
    2019-06 0.140
    2019-07 0.183
    2019-08 0.197
    2019-08 Start Lupron/Casodex
    2019-09 Decipher score .49
    2019-10 0.007
    2019-10-14 Start salvage radiation 39 treatments 70.2Gy
    2019-12-06 Completed radiation

  5. #15
    Senior User
    Join Date
    Feb 2017
    Posts
    182
    It was great to sit down at a table for 8 people and find that the other 7 guys were having a lot of the same concerns, and had been through some of the same wickets I'd experienced. There were about 5 drug sponsors with booths set up. I only spoke with a couple -- mainly to thank them for underwriting some of the costs of the conference. If you wonder how many treatments are out there, one of the presenters was a retired MD who had been diagnosed in his early 60's. He's now in his 80's and he did a mind blowing PowerPoint presentation that outlined all of his treatments. He had 10 years before his PSA went up. I was completely blown away at all of the stuff he'd gone through -- but, he has clearly beaten PC to the ground!
    2010-PSA 3.59; 2011-PSA 3.58; 2012-PSA 5.28, 4.26; 2013-PSA 5.98, 7.37; 2014-PSA 5.90, 4.70; 2015-PSA 5.18, 7.35
    RALP 16 March 17, Wesley Long, Greensboro, NC
    Pathology: pT3a, pN1 Gleason 4+5=9 adenocarcinoma with + surgical margin at bladder neck; 3 of 16 lymph nodes positive; neg seminal vesicles, vasa deferens
    Referral to Dr. Ken Pienta, Clinical Dir Research, Brady Center, Johns Hopkins
    Enrolled in Clinical Trial IRB002120414 “Phase II Study of definitive therapy for oligometastatic prostate cancer post surgery"
    Completed: Docetaxel 12 Jun 17, 3 Jul 17, 24 Jul 17, 14 Aug 17, 15 Sep 17
    Lupron every 90 days for two years. Completed March 2019
    Bone/Body Scans - 15 Sep 17 - neg; 15 Mar 18 - neg; 14 Sep 18 - neg; 17 Mar 19 - neg
    EBRT: 69 Gy total (46 to fossa, 23 boost to suspect areas) 1st treatment 28 Sep 17, last 22 Nov 17
    PSA: 25 May 17=0.2; 5 Sep 17=0.1; 18 Dec 17=0.1; 6 Mar 18=0.1; 29 May 18=0.1; 5 Sep 18=0.1; 17 Dec 18=0.1; 12 Mar 19=0.1; 15 Jul=0.1; 29 Oct 19=0.1

  6. #16
    Is he NED today?
    YOB 1957

    DX 12/18, GS 8, 4+4 6/12 cores, LL Apex 100%, LM Apex 60%, LL Mid 50%, LMM 40%, LL Base 5%, LM <5%, Right side negative.

    3/6/19. Pathology - Grade Group 4 Intraductal Carcinoma
    T3aNO, 1 mm EPE, GS8, 21 mm uni-focal tumor involved 10% of prostate.

    7 Nodes, SV, SM, PNI, and BNI were negative.

    LVI and Cribriform pattern present.

    Decipher .86 High Risk.

    Post Surgery PSA
    3/25/19 .03. (<1 month)
    4/25/19 <.03. (2 months)
    5/25/19 <.02. (3 months)
    9/10/2019. <.02. (6 months)
    11/27/2019. <.02. T<3. (9 months)

    3 Part Modality Treatment

    2/25/19 Robotic Laparoendoscopic Single Site Surgery outpatient Cleveland Clinic,

    ADT - started 6/19, end date 6/21.

    ART - Completed 9/26/19. (78 Gy, yes, I glow in the dark)

  7. #17
    Senior User
    Join Date
    Apr 2019
    Posts
    104
    Quote Originally Posted by BAB View Post

    I also attended the Prostate Cancer all day session on 2 November in Virginia Beach. Very informative and appreciated the current information on treatment options. I'm guessing there were about 150 of us there....and great networking.
    We were there too! Got asked more than once if we were there for one of our fathers.

    Great event, I think really depressing for my husband, but very informative and worthwhile. Would absolutely recommended going.


    He's got 8 radiation treatments to go, and the side effects that showed up week 4 seem to be holding steady. Hopefully they don't get worse and they resolve within a month. Fingers crossed.

    Depressingly the RO told him this week that he won't consider the ART a success until the year mark. I appreciate his pessimism though, we've been plagued by overly optimistic doctors.
    Wife Posting, Husband D.O.B. 1975
    2/2018 - routine physical PSA 15
    3/2018 - PSA 13
    4/2018 - PSA down to 11.6, free PSA, 18%
    6/2018 - PSA 10, free PSA 20%
    7/2018 - mp- MRI done, prostate volume =22cc, "inflammation consistent with prostititis"
    11/2018 - PSA 14, free PSA 11%,
    3/2019 - PSA 12, free PSA 17%, 2nd opinion on MRI = PI RADs 3 lesion
    4/2019 - Cognitive Fusion Biopsy
    5/12 cores positive
    4 Gleason 3+3
    1 Gleason 3+4 5% (Where PIRADs 3 lesion IDd)
    Decipher Biopsy score: .07 very low risk

    Bone scan negative
    MRI 6/19 said PIRADS 4 lesion, no definite EPE

    RRP 7/19 Final Path: pT3a
    G6 - 75-90%
    G7 (3+4) - 11-25%
    24mm tumor, 30% of prostate
    EPE+, BNI+, SM + (at bladder neck), LVI-, SVI -, PNI-, Nodes -
    Decipher Post RP score: .78, high risk
    6 week PSA = .015 (ultra-sensitive Labcorp)
    12 week PSA = .014
    ART underway (no ADT)

 

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