Checkup Status - Post-Radiation / Existing Hormone - 8/5/2021
I just received my PSA test result, and I wanted to share it with you.
The timing of this test is approximately 36 months after my 2nd and last Lupron shot (two 3-month dosages), and also approximately 36 months after my last radiation treatment (38 visits, 68 Greys).
The result for PSA was 0.05, the first detectible reading after 30 months of non-detectible readings. I also have a new Oncologist at the same Institution, as my original Oncologist left to pursure a pure research career. My new Oncologist, who has 20+ years in her role, stated that she is not concerned about my latest PSA reading. However, now that I am over my initial surprise, I will be having a follow-up conversation with her to discuss this latest result in greater detail.
While I recognize that I have only traveled only 6 more months down this long road, this is the first speed bump that I've encountered after my salvage treatment. Perhaps, it is a message from the bandit currently holed up in some remote part of my body, hiding, but growing impatient.
I do recognize that a PSA reading of 0.05 is really low, and I've been more fortunate to date, than a lot of my brothers in this forum with PCa.
My next PSA test and Oncologist visit is scheduled for 6 months from now.
Related History and Data:
Post-Robotic Prostate Removal Surgery Pathology Report
A. Lymph nodes, right pelvic: Two (2) lymph nodes; negative for metastasis.
B. Lymph nodes, left pelvic: Two (2) lymph nodes; negative for metastasis.
C. Prostate, radical resection:
1. Prostatic adenocarcinoma, Gleason grade 4+3=7, involving both lobes, at least 2.1cm and occupying 15% of the prostate by volume.
2. No lymphatic/vascular invasion is present.
3. Perineural invasion is present.
4. Invasive carcinoma focally extends into extraprostatic soft tissue adjacent to the left posterior prostate (C20).
5. The Seminal vesicles are free of carcinoma.
6. The inked margins are free of carcinoma.
7. High-grade PIN is present.
8. Necrotizing granulomas are present within the prostate parenchyma; stains for microorganisms will be performed and reported in an addendum.
D. Left mid margin: Fibrovascular tissue; negative for tumor.
Diagnosis Comment: AJCC: pT3a NO
Robotic Prostate Removal Surgery
AUS 800 Artificial Sphincter Implant Surgery
Hormone Therapy (Lupron tri-monthly and Casodex daily)
Stopped 11/6/2013 (2nd and last 3-month dosage shot given on 8/6/2013)
Radiation Therapy (38 visits, 68 Grays)
5.22 - 6/28/2011 (59 years old)
0.05 - 12/22/2011
0.05 - 3/25/2012
0.05 - 6/22/2012
0.06 - 10/13/2012
0.08 - 12/31/2012
0.11 - 3/30/2013
0.13 - 4/23/2013
0.02 - 8/6/2013
0.02 - 11/26/2013
<0.015 - 7/28/2014
<0.015 - 1/3/2015
<0.015 - 7/7/2015
0.02 - 1/15/2016
0.05 - 8/23/2016
Related Permanent Side Effects
Complete Incontinence - Prostate removal surgery (had to remove the left side nerve bundle)
ED - Prostate removal surgery (had to remove the left side nerve bundle)
Gynecomastia (benign breast tissue growth) - Hormone treatments of Lupron and/or Casodex
Previous Related Posts (Mostly artificial sphincter and hormone/radiation experiences):
Artificial Sphincter Experiences
Hormone and Radiation Salvage Treatment Experiences
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