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From: Sy on 24 Aug 2007 15:01 Just had a consultation with my Urologist. PSA was 3.7 a month ago and had been increasing the last 2 years from 1.8-2.7. DRE showed nothing . Had trans-rectal ultrasound with biopsies taken. Detected Prostate Cancer. Have Gleason of 6 and TNM of T1c. Dr. explained various approaches, rad. prostactectomy (no way!), hormonal, radioactive seeding, radiation treatment and CyberKnife. He is a surgeon by trade but says if he were in my situation he would take the CyberKnife approach. Says it is very highly accurate and has virtually no side-effects. Anyone have experiences with CyberKnife treatment? Thanks in advance. Sy
From: Steve Kramer on 25 Aug 2007 16:50 "Sy" <stuttgart6(a)lycos.com> wrote in message news:240820071501413926%stuttgart6(a)lycos.com... > > Just had a consultation with my Urologist. > > PSA was 3.7 a month ago and had been increasing the last 2 years from > 1.8-2.7. > > DRE showed nothing . Had trans-rectal ultrasound with biopsies taken. > Detected Prostate Cancer. Have Gleason of 6 and TNM of T1c. > > Dr. explained various approaches, rad. prostactectomy (no way!), > hormonal, radioactive seeding, radiation treatment and CyberKnife. He > is a surgeon by trade but says if he were in my situation he would take > the CyberKnife approach. Says it is very highly accurate and has > virtually no side-effects. Sy, Welcome the club no one asked to join. 'Tis time for you to take the bull by the horns and do some.... no, a lot! .... of research. We have a great bunch of guys here who will answer any questions you put to us, but your life is in your hands and you will have to be making a huge decision soon. Some the of criteria that goes into such a decision includes your age and physical well-being. If you are older than 70, maybe that prostatectomy is 'no way.' If you're less than 50, prostatectomy is WAY! There is a good age range for brachy and there is an age at which you probably can only consider hormones. Personally, if my body could take it (and most can now up to 75), I would opt for the robotic laparoscopic prostatectomy, but we don't have enough of your stats to even come up with an opinion. -- PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA <.1 <.1 <.1 .27 .37 .75 PSAD 0.19 years EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 PSAD .056 years Lupron 07/03 (1 mo) 8/03 and every 4 months there after PSA .07 .05 .06 .09 .08 .132 .145 PSAD 1.4 years Casodex added daily 07/06 PSA <0.04, <0.05, <0.04 (06/12/2007) Non Illegitimi Carborundum
From: Sy on 25 Aug 2007 18:42 Thanks for the welcome to the "club". I am 59 years of age and in good health otherwise. Am impressed with what I've read about the CyberKnife approach. The Urologist said that if I were to choose the CyberKnife treatments I would need to go on hormones two months beforehand. Anyone have any idea what type of hormones (brand name?) would be required? I have read a plethora of articles. Gotta watch out for Manufacturers' web sites masquerading as some "prostate information" site. What other "stats" would I need to supply to be a "'member' in good standing"? Thanks, Sy In article <46d09625$0$16439$4c368faf(a)roadrunner.com>, Steve Kramer <skramer(a)cinci.rr.com> wrote: > "Sy" <stuttgart6(a)lycos.com> wrote in message > news:240820071501413926%stuttgart6(a)lycos.com... > > > > Just had a consultation with my Urologist. > > > > PSA was 3.7 a month ago and had been increasing the last 2 years from > > 1.8-2.7. > > > > DRE showed nothing . Had trans-rectal ultrasound with biopsies taken. > > Detected Prostate Cancer. Have Gleason of 6 and TNM of T1c. > > > > Dr. explained various approaches, rad. prostactectomy (no way!), > > hormonal, radioactive seeding, radiation treatment and CyberKnife. He > > is a surgeon by trade but says if he were in my situation he would take > > the CyberKnife approach. Says it is very highly accurate and has > > virtually no side-effects. > > Sy, > > Welcome the club no one asked to join. > > 'Tis time for you to take the bull by the horns and do some.... no, a lot! > ... of research. We have a great bunch of guys here who will answer any > questions you put to us, but your life is in your hands and you will have to > be making a huge decision soon. > > Some the of criteria that goes into such a decision includes your age and > physical well-being. If you are older than 70, maybe that prostatectomy is > 'no way.' If you're less than 50, prostatectomy is WAY! There is a good > age range for brachy and there is an age at which you probably can only > consider hormones. > > Personally, if my body could take it (and most can now up to 75), I would > opt for the robotic laparoscopic prostatectomy, but we don't have enough of > your stats to even come up with an opinion.
From: Steve Kramer on 25 Aug 2007 19:03 "Sy" <stuttgart6(a)lycos.com> wrote in message news:250820071842062972%stuttgart6(a)lycos.com... > > Thanks for the welcome to the "club". > > I am 59 years of age and in good health otherwise. Am impressed with > what I've read about the CyberKnife approach. The Urologist said that > if I were to choose the CyberKnife treatments I would need to go on > hormones two months beforehand. Anyone have any idea what type of > hormones (brand name?) would be required? > > I have read a plethora of articles. Gotta watch out for Manufacturers' > web sites masquerading as some "prostate information" site. > > What other "stats" would I need to supply to be a "'member' in good > standing"? Ha! There are no minimum qualifications. Other Cyberknife patients that have visted here include: rk012d1307(a)blueyonder.co.uk RAYMOND KING taz92652(a)yahoo.com taz92652 ellis(a)invalid.jps.net Ellis I don't know what HT they used. I think Raymond had Zoladex. Lupron or Casodex are other possibilities, I guess, but I don't know. At 59 and in good shape, I think you can consider the whole spectrum of treatments. Surgery seems to have a slim advantage over radiation. -- PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA <.1 <.1 <.1 .27 .37 .75 PSAD 0.19 years EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 PSAD .056 years Lupron 07/03 (1 mo) 8/03 and every 4 months there after PSA .07 .05 .06 .09 .08 .132 .145 PSAD 1.4 years Casodex added daily 07/06 PSA <0.04, <0.05, <0.04 (06/12/2007) Non Illegitimi Carborundum
From: cmdrdata on 26 Aug 2007 08:47
On Aug 24, 2:01 pm, Sy <stuttga...(a)lycos.com> wrote: > Just had a consultation with my Urologist. > > PSA was 3.7 a month ago and had been increasing the last 2 years from > 1.8-2.7. > > DRE showed nothing . Had trans-rectal ultrasound with biopsies taken. > Detected Prostate Cancer. Have Gleason of 6 and TNM of T1c. > > Dr. explained various approaches, rad. prostactectomy (no way!), > hormonal, radioactive seeding, radiation treatment and CyberKnife. He > is a surgeon by trade but says if he were in my situation he would take > the CyberKnife approach. Says it is very highly accurate and has > virtually no side-effects. > > Anyone have experiences with CyberKnife treatment? I am one of the very few here that has cyberknife equivalent (Elekta Synergy S) and high-dose too. I enrolled in a treatment study and so far so good. The only SE is grade 1 rectal bleeding (ocasional and persistent (6 months, and still have occasional blood stripped stool). No problem with urinary or erection. PSA slowly going in a downward trend, and I did not use any hormone treatment. |