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Oncologist in the Philadelphia Area

peteclick
Posts: 6
Joined: Aug 2011

I am looking for an oncologist in the Philadelphia - Southern NJ area. I have recurrent Pca after having a robotic prostatectomy in 2005. My PSA is now back up to 6.9. Any ideas?

Pete

ralph.townsend1's picture
ralph.townsend1
Posts: 354
Joined: Feb 2012

Try to find a Cancer Center that is close to you. I live in Dallas and drive to Houston to MD Anderson. Its a 4-5 hour drive and usually I stay one night. They do get me in fast enough to make one day trip its hard on this tired mind. There is in your area alot great schools and cancer center. In Dallas I had a Oncologist, he did not know of all the new thing that was out there to fight for our life's. With most aggessive Prostate cancer it takes specialist. At MD Anderson they have group just for Prostate cancer and there is place's up north that does the same. Goggle "best prostate cancer center or best cancer center!

Good luck, and God bless!

Timlong
Posts: 37
Joined: Nov 2011

http://penncancer.org/patients/cancer-treatment-at-penn/

Pete, Im curious if you could post your history. My friend just came through RP and his psa is 0.03 after Gleason 9 with 12/12 positive and SV+,epe,pni. orig psa 22 at 51 years old.
Thanx.....Jeff

peteclick
Posts: 6
Joined: Aug 2011

I was diagnosed with prostate cancer in 2004 and had a radical p in Feb. of 2005, Davinci surgery. Gleason score post surgery was 8, and the margins were negative. For the first few years everything was going fine with psa readings <.2, but now it has started to rise. The readings were as follows:
1/09 0.2
7/10 0.9
10/10 0.6
5/11 1.8
7/11 3.0
11/11 4.8
2/12 6.9

I have not started treatment yet, but I know I need to start hormone therapy ASAP.
Let me know if I can provide any additional information.

Pete

ralph.townsend1's picture
ralph.townsend1
Posts: 354
Joined: Feb 2012

If you have no Prostate. You should 0.00!

Back in 5/11 at 1.8 you should be Lupron or something

Actually you back 7/10

I kick somebody!!

ralph.townsend1's picture
ralph.townsend1
Posts: 354
Joined: Feb 2012

My Margins where clear, but the Doc forget to tell one small bit of info! That they had found it in my nerve system and blood vessel.

Kongo's picture
Kongo
Posts: 1167
Joined: Mar 2010

Pete,

Glad you've joined the forum. From the PSA history you posted following your surgery everything wasn't fine, even from the very begining. Your first PSA following surgery should have been below 0.1 or undetectable. Your PSA history shows that the RP did not remove all of your cancer and that it has spread to other parts of your body and continues it's course unchecked.

It's unclear who is following up with you but your medical team should have been talking to you about radiation treatment and/or hormone therapy immediately after your first post-RP PSA test. It's unconscionable to me that you have been allowed to go this long without exploring other options for treatment.

Using the data you posted, your PSA doubling time is 7.6 months. Studies have shown that men with a PSADT less than 9 months have a statistically significant higher liklihood of mortality than those with a PSADT greater than 9 months.

I would encourage you to seek some second opinions on your condition as soon as possible.

Would you mind sharing your pathology at the time you were diagnosed?

Best,

K

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