Salvage Radiation Update

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Question:

Congratulations. Side effects of radiation are a hot topic here, so any information you want to share would be read with interest by quite a few people. jimhoney – Hide quoted text — Show quoted text – Hello Everyone, I still lurk 3x a week and keep updated. To keep those that have been with me through the PCa for the last 3 years my psa test came back at <0.01 today. I again thank you for your support and friendship. Dave P Age at Diagosis 46 Regular Physical Exam 6.30.02 = PSA 4.6 Free PSA 8% Biopsy 8.1.02 = 1 core out of 16 positive for PCa <5% of core TC1 Gleason 3+3=6 RP 10.15.02 Path Report = Positive Margin Right Apex 4mm, no lymph node invasion, no seminal vesicle involvement Cancer found throughout the prostate Gleason 3+4=7 12.04.02 PSA Test <0.1 02.24.03. PSA Test 0.3 03.01.03 PSA Test confirming 0.3 03.24.03 Bone Scan, MRI = Negative 03.31.03 Started Salvage Radiation 68.400 gy – 40 Treatments – IMRT 7 Angles 05.23.03 Ended Salvage Radiation 07.01.03 PSA = 0.04 10.01.03 PSA = <0.01 04.01.04 PSA = <0.01 10.26.04 PSA = <0.01 04.26.05 PSA = <0.01

Response:

Congratulations on the low PSAs after salvage radiation. Besides your similar name (some people have confused Dave P with Dave Perry) I too had a positive margin although there was some question about whether there was any penetration of a "well focused 2mm tumor" through the edge of the specimen or just abutting the edge. So far after 2 years, PSAs still <0.1. Of course, if my PSA ever increases I’ll follow in your path with hopefully the same success you’ve had. All the best, Dave Perry

Response:

Congratulations on your two year mark. Looks like you fried anything that was lurking around in the area. That is such good news. Bev

– Hide quoted text — Show quoted text – Hello Everyone, I still lurk 3x a week and keep updated. To keep those that have been with me through the PCa for the last 3 years my psa test came back at <0.01 today. I again thank you for your support and friendship. Dave P Age at Diagosis 46 Regular Physical Exam 6.30.02 = PSA 4.6 Free PSA 8% Biopsy 8.1.02 = 1 core out of 16 positive for PCa <5% of core TC1 Gleason 3+3=6 RP 10.15.02 Path Report = Positive Margin Right Apex 4mm, no lymph node invasion, no seminal vesicle involvement Cancer found throughout the prostate Gleason 3+4=7 12.04.02 PSA Test <0.1 02.24.03. PSA Test 0.3 03.01.03 PSA Test confirming 0.3 03.24.03 Bone Scan, MRI = Negative 03.31.03 Started Salvage Radiation 68.400 gy – 40 Treatments – IMRT 7 Angles 05.23.03 Ended Salvage Radiation 07.01.03 PSA = 0.04 10.01.03 PSA = <0.01 04.01.04 PSA = <0.01 10.26.04 PSA = <0.01 04.26.05 PSA = <0.01

Response:

Dave P, Another point scored forthe good guys! Did you get much in the way of side effects from salvage radiation? I always wonder about it in case I ever have to get it. I was RP’d 2/11/04. So far so good. But the decision on possible future treatment is a frequent day dream topic. Steve U

Response:

Dave Perry, Your in good health and won’t experience a rise. After two years and still <0.1 – I would bet a great number of Benjamins on that one. About Radiation: No serious long term side effects. No long term side effects that are bothersome. Definetly had short term side effects, burning on urination and especially bowel movements, was tired at the end of the week and became impotent for three months. That all went away after a couple of months. Feeling great and lucky now. I exercised, developed some good nutrition habits and drank plenty of fluids and that helped greatly. Tried to keep a positive attitude and outlook which fought off depression. It was a breeze compared the the surgery RP. Thanks for all your support.

Response:

Hello Everyone, I still lurk 3x a week and keep updated. To keep those that have been with me through the PCa for the last 3 years my psa test came back at <0.01 today. I again thank you for your support and friendship. Dave P Age at Diagosis 46 Regular Physical Exam 6.30.02 = PSA 4.6 Free PSA 8% Biopsy 8.1.02 = 1 core out of 16 positive for PCa <5% of core TC1 Gleason 3+3=6 RP 10.15.02 Path Report = Positive Margin Right Apex 4mm, no lymph node invasion, no seminal vesicle involvement Cancer found throughout the prostate Gleason 3+4=7 12.04.02 PSA Test <0.1 02.24.03. PSA Test 0.3 03.01.03 PSA Test confirming 0.3 03.24.03 Bone Scan, MRI = Negative 03.31.03 Started Salvage Radiation 68.400 gy – 40 Treatments – IMRT 7 Angles 05.23.03 Ended Salvage Radiation 07.01.03 PSA = 0.04 10.01.03 PSA = <0.01 04.01.04 PSA = <0.01 10.26.04 PSA = <0.01 04.26.05 PSA = <0.01

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