Sonny- 25 IMRT Treatments Done- 10 To Go- Happy New Year

WHW

Hello all and Happy New Year,

Well I completed IG/IMRT treatment #25 at 7:15 Friday morning and all is still going very well. Only 10 more to go. No real side effects from the RAD other than a little fatigue in the afternoons. Or maybe it's not fatigue but just my way of taking a nap without guilt for letting the little chores slide for a while.

As I have said too many times to count, you folks have been a real blessing to Lynn and I this year. My journey into the PCa world would have been so much tougher without the wonderful caring and support that you have showered on Lynn and I. We thank you all so much for the time and energy in showering us with your blessings.

Lynn is still doing pretty good following her latest round of treatments. A little lacking in energy, she's been fighting a stubborn cold for the last three weeks. We have meeting with her doctor in January and he is proposing she go back on maintenance chemo-therapy drugs. She's not too thrilled about it but it sure beats the alternatives.

I think my self imposed break from daily postings has given me much needed mental rest and I am now ready to jump back in with both feet. I look forward to interacting with you all again. So as they say, "we'll see you in the funny pages".

With Love and Caring, Lynn and I wish all your dreams and hopes come true in 2010,

Sonny

61 years old
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative
da Vinci 9/17/09
Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Stage: T3a
Tumor Volume 12.5%
NERVES SPARED-positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT began November 30, 2009 (74 days post surgery)

pinot

Thank you for the update.
Thank you for the update. Best of luck to both of you.

Louisianaaps

pinot said:

Thank you for the update.
Thank you for the update. Best of luck to both of you.

Sonny,
I am so happy to hear
Sonny,
I am so happy to hear that you and your wife are doing well. I can't thank you enough for all of the information that you have provided. My prayer is that 2010 will bring you and your wife much happiness and showers of blessings upon your lives. The both of you will always be in my prayers.
jan

randy_in_indy

Question for Sonny
Sonny, Glad to hear your paths are moving somewhat smoothly for both yourself and Lynn.

In your message above you mentioned some studies you ran accross that indicated that some RAD following Da Vinci even with no positive margins my be prudent and valuable for knocking out possible reoccurance. I have the following stats.

52 years old
PSA 9/09 7.25
PSA 10/09 6.125
Diagnosis confirmed Oct 27, 2009
8 Needle Biopsy = 5 clear , 3 postive
<20%, 10%, 10%
Gleason Score (3+3) 6 in all positive cores
11/09 Second Opinion on Biopsy slides from Dr. Koch
(4+3) = 7 5%
(3+4) = 7 10%
(3+4) = 7 10%
Endorectol MRI with Coil - Indicated the Palpal tumor was Organ confined
da Vinci 12/29/09 - Dr. Hollensbee & Scott
Post Surgery Pathology:
Prostate size 5 x 4 x 3.5 cm Weight: 27 g
Gleason: Changed to (3+4) = 7
Primary Pattern 3, 80%
Secondary Pattern 4, 18%
Tertiary Pattern 5, 2%
Tumor Quantitation:
Greatest Dimension, Largest tumor focus: 19 mm
Additional Dimension 18 x 15 mm
Location, largest tumor focus: Right posterior quadrant
Multifocality: Yes
Greatest dimension second largest focus 10 mm
Location: second largest focus: Left Posterior quadrant
Extraprostatic extension: Yes
If yes, focal or non-focal: Nonfocal
If yes: location(s) right and left antero-lateral
Seminal vesicle invasion: No
Cancer at surgical margin: No
If no, closest distance with location: less than 1 mm, right posterior quadrant
Apex involvement: No
Bladder involvement: NO
Lymph-vascular invasion: No
Perineural invasion: Yes
Lymph nodes: 9 from right pelvic 0/9 positive
Stage: pT3a, pNo, pMX
All nerves sparred - found two additional pudendal arteries

randy_in_indy

Louisianaaps said:

Sonny,
I am so happy to hear
Sonny,
I am so happy to hear that you and your wife are doing well. I can't thank you enough for all of the information that you have provided. My prayer is that 2010 will bring you and your wife much happiness and showers of blessings upon your lives. The both of you will always be in my prayers.
jan

Question for Sonny - Part two..the question
I hit the buttom before asking the question. I'd like to know the link to the studies you talked about for RAD post Da Vinci for possible preventitive reoccurance. I want to discuss with my doctor and be informed before doing so.

Thanks and God Bless!

Randy in Indy

WHW

randy_in_indy said:

Question for Sonny
Sonny, Glad to hear your paths are moving somewhat smoothly for both yourself and Lynn.

In your message above you mentioned some studies you ran accross that indicated that some RAD following Da Vinci even with no positive margins my be prudent and valuable for knocking out possible reoccurance. I have the following stats.

52 years old
PSA 9/09 7.25
PSA 10/09 6.125
Diagnosis confirmed Oct 27, 2009
8 Needle Biopsy = 5 clear , 3 postive
<20%, 10%, 10%
Gleason Score (3+3) 6 in all positive cores
11/09 Second Opinion on Biopsy slides from Dr. Koch
(4+3) = 7 5%
(3+4) = 7 10%
(3+4) = 7 10%
Endorectol MRI with Coil - Indicated the Palpal tumor was Organ confined
da Vinci 12/29/09 - Dr. Hollensbee & Scott
Post Surgery Pathology:
Prostate size 5 x 4 x 3.5 cm Weight: 27 g
Gleason: Changed to (3+4) = 7
Primary Pattern 3, 80%
Secondary Pattern 4, 18%
Tertiary Pattern 5, 2%
Tumor Quantitation:
Greatest Dimension, Largest tumor focus: 19 mm
Additional Dimension 18 x 15 mm
Location, largest tumor focus: Right posterior quadrant
Multifocality: Yes
Greatest dimension second largest focus 10 mm
Location: second largest focus: Left Posterior quadrant
Extraprostatic extension: Yes
If yes, focal or non-focal: Nonfocal
If yes: location(s) right and left antero-lateral
Seminal vesicle invasion: No
Cancer at surgical margin: No
If no, closest distance with location: less than 1 mm, right posterior quadrant
Apex involvement: No
Bladder involvement: NO
Lymph-vascular invasion: No
Perineural invasion: Yes
Lymph nodes: 9 from right pelvic 0/9 positive
Stage: pT3a, pNo, pMX
All nerves sparred - found two additional pudendal arteries</p>

Randy I'll Send You and Email
Randy,

Just saw your question and I am on my way out the door to meet a contractor at my in-laws. I will send you an email later today with the links. I need to locate them in my library of PCa bookmarks. It's fairly lengthy and may take a little while.

Sonny