PSA went from 2.5 in March 2008 to 5.29 in March 2009.
Biopsy showed the following results:
Your PSA was 5.29 August 14, 2009
Final pathologic diagnosis
A. Prostate, left, base, core needle biopsy: prostatic tissue with tiny focus of adenocarcinoma, Gleason Grade 3 + 3, involving 10% of the core.
B. Prostate, left, mid, core needle biopsy: prostatic adenocarcinoma, Gleason Grade 3+3, involving 10% of cores.
C. Prostate, left, apex, core needle biopsy: benign prostatic tissue.
D. Prostate, right, base, core needle biopsy: prostatic adenocarcinoma, Gleason Grade 3+3, involving 20% of cores.
E. Prostate, right, mid, core needle biopsy: prostatic adenocarcinoma, Gleason Grade 3+3, involving 5% of cores.
F. Prostate, right, apex, core needle biopsy: prostatic adenocarcinoma, Gleason Grade 3+3, involving 60% of cores.
I had surgery (RALP (Robotic Assisted Laparoscopic Surgery) in November 2009.
I was lucky, no incontinence and no other side effects.
My PSA results since surgery were as follows:
[All dates are shown in US format - Month/Date, so 1/7 is January 7, not First July]
In May, June I had 37 radiation treatments (66Gy) ending on June 23, 2011. After radiation PSA continued to increase.
Now I am getting ready for ADT (Androgen Deprivation Therapy- Hormone therapy)
Bone Scan is negative, Bone density scan shows osteoporosis. I have stared Fosomax for bone density and Casodex to get ready for ADT (Lupron) I will have my first shot on December 19, shots monthly for three months and then go to a quarterly schedule.
After failed RP and RT, I finally started ADT in December 2011.
February 2012 was the first time since my prostate surgery in November 2009 that my PSA went down to < 0.1
I keep hoping ADT works and not have to go to next stage (chemo-therapy)
After having <.01 PSA in January and April of 2012, my last PSA reading went up to 0.28.
I had monthly Lupron Shots in December, January and February and switched to 3-month shot (22.5 units) of Lupron in May 2012. After the first three month shot my PSA went up. I am obviosuly concerned.
My oncologist believes this was just a "blip" and to stay the course. He does not recommend adding Casodex or Avodart for combination blockade, siting quality of life and possible side effects.
Only side effects I feel is hot flashes and feel good otherwise, working full time, walking etc.
My next Lupron shot is in August.
I started ADT (Lupron) in December 2011, fortunately my PSA has been <0.1 since then. Except for occasional hot flashes, I have no other side effects.
My last Lupron shot was in March 2013, my OC decided to skip the three-month shot in June 2013.
I am going for my next PSA test on 10/3/13, based on the result of that test I will decide to stay off (Intermittent ADT) or resume Lupron shots.
Since October 2013, I have been on Intermittent ADT, monitoring PSA and T-level every three months.
My PSA has stayed below 0.1 all this time. The protocol we are following is to take a Lupron shot when PSA goes above 2.0 or T-level goes above 50.
During my test was on 10/31/14, T-level was 131, I received a Lupron shot (22.5 units) in November 2014. My last test was on 1/30/15 and still waiting for my results. I have appointment with Oncologist on 2/23/15, at which time we will discuss and act on th results of last test.
I am not on any other medication (Avodart/Casodex etc.) and feeling good and lucky.
I am working full time and walk for exercise.
Since the last update, I have continued to be on Intermittent ADT, monitoring PSA and T-level every three months. PSA fortunately continues to be <0.1, the protocol is to receive a Lupron shot (22.5mg) if and when the T-level goes above 50.
I have received Lupron shots on 8/5/15, 11/4/15, 2/3/16 and 5/4/16.
I am staying healthy, working full time and walking 4 to 5 miles a day.
My last bone scan was on 3/2/15, increased activity was found in anterior right 7th rib and right femur. However, I am not in any pain.
Hemant's e-mail address is: hemantshah41 AT gmail.com (replace "AT" with "@")