"Tom:
Your Gleason score, your pathological stage, and your first post-surgical PSA level (if it is 0.1 ng/ml or less) can all be used together to project your future prognosis at 2, 5, 7, 10, and 15 years through the use of the post-surgical…"
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Latest Activity
"Thanks Mike!
Now I'm reading about genomic tests while I wait for 1st PSA test after RP. It's not clear to me just how useful any of these tests are now for the purpose of deciding on adjuvant vs salvage therapy for T3 patients after RP.…"
"Dear Tom
Down-staging after surgery (based on pathological data as compared to earlier clinical data, inclusive of imaging data like an MRI) is not particularly unusual. If you had no sign of extraprostatic extension based on the pathology report --…"
"I have a PSA and testosterone (at my request) check around July 27, just before the final one month lupron injection on August 4 and 'm pretty anxious to see the results. After the first month on lupron the PSA went from 3.1 to 2.74.…"
Anyone here down-staged by pathologist after RP
How many people have been down-staged after RP?Back in April, mpMRI suggested that I had some extraprostatic extension (EPE).After my RP, the pathologist didn't see any EPE, so I was down-staged (cT3a to pT2c).From my reading of the literature, it seems more likely that the MRI is wrong than the pathology. Seems like the resolution of the pathology should be higher than that of MRI. In addition, there was an anomaly during the MRI -- some of the contrast solution leaked onto my arm, so maybe…See More
"Hi Guy.
So any PSA test that you have between now and about September 19 really should come back at < 0.1 ng/ml, although it is possible that a PSA test around September 1 might show a very slight rise.
Equally, if any PSA test carried out before…"
"Thanks. Two more months until we begin collecting figures, I guess.I am 4 months into a 6 month ADT treatment that began February 19, finished 28 high dose IMRT sessions that began April 15, ended May 27.Home stretch."
"Welcome Tom.
So have you received a copy of your post-surgical pathology report from your surgeon?
If you have, then when you get your first post-surgical PSA result, the important thing is that it should be less than 0.1 ng/ml (i.e., in the…"
"Dear Guy:
You may well have a PSA "bounce" after IMRT with ADT. However, predicting the likelihood of that "bounce" and the precise data relevant to an individual case is near to impossible.
There are several important issues…"
"Thought I'd update. I'm at 4 months on ADT, have completed the 28 high dose radiation sessions.ADT side effects are lack of libido, shrinking testicles, lots of emotional swings, warm flashes and fatigue. Very minor radiation…"
PSA bounce after IMRT and ADT?
Title says it all. Is there a PSA bounce after IMRT with ADT? PSA numbers? Testosterone?See More
"Welcome Jeffrey.
It isn't clear to me whether there is any reason to believe that you might have prostate cancer. Do you have an elevated PSA level or any other sign or symptom that might be relevant? How old are you?
It is true that an MRI…"
"Dr. Turkbey is one of the members of the molecular imaging group at the NIH. The team is led by a Dr. Choyke."
Forum
Anyone here down-staged by pathologist after RP 3 Replies
How many people have been down-staged after RP?Back in April, mpMRI suggested that I had some extraprostatic extension (EPE).After my RP, the pathologist didn't see any EPE, so I was down-staged (cT3a to pT2c).From my reading of the literature, it…Continue
Started by Tom Wimberly. Last reply by E. Michael D. ("Mike") Scott yesterday.
PSA bounce after IMRT and ADT? 4 Replies
Title says it all. Is there a PSA bounce after IMRT with ADT? PSA numbers? Testosterone?Continue
Started by Guy B. Meredith. Last reply by Guy B. Meredith on Wednesday.
Short course ADT side effects? 10 Replies
New question. I am doing 1 month + 1 month + 4 month Lupron with 5 1/2 (?) weeks high dose IMRT beginning at 8 weeks into ADT.For those who experience side effects of ADT in the short course, what is the timing and sequence of the side effects. That…Continue
Started by Guy B. Meredith. Last reply by Guy B. Meredith Jun 27.
Looking For A Biparametric MRI Provider In Ohio Or Close 3 Replies
I have had three tests showing elevated PSA in the last 14 months and am researching my next step for treatment.I have seen two doctors at the Cleveland Clinic's Glickman Institute and both have declined imaging in favor of a traditional biopsy…Continue
Started by ROBERT EPPICH. Last reply by E. Michael D. ("Mike") Scott Jun 26.
robotic surgery surgeon search 1 Reply
Hi. I live in Uruguay, south america, so I have not much info about surgeons in the US, besides the info is founded on the internet.After 10 years of active surveillance on my prostate cancer, I decided to go to surgery with robotic (after opinion…Continue
Started by ANTONIO. Last reply by E. Michael D. ("Mike") Scott Jun 21.
Anyone have a biopsy sample genetically test by Myriad Genetics out in Salt Lake City? 12 Replies
I recently had a fusion biopsy and of the 16 samples one came back with a Gleason 7 (3+4).As I was told the 4 part represented 30%. The urologist asked if he could send this sampleto Myriad Genetics for testing. The test is called Prolaris. If…Continue
Started by Martin M. Last reply by Martin M Jun 8.
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