LeoC



Personalien und Diagnosen

Personalien

Sichtbarer Name: LeoC
Land: Canada
Bundesland/Kanton: Ontario
Geburtsjahr: 1934
Alter: 89
Beruf: Retired
Hobbys: Sailing; golf
Meine Homepage:

Daten bei Erstdiagnose

Datum: 29.10.2008
Alter bei Diagnose: 74
PSA: 4.30
Biopsiert? Ja
TUR-P? Nein
Gleason Score: 3 + 3 = 6
TNM-Diagnose: TC1
Bemerkung:

Maximal gemessenes Prostatavolumen

Datum:
PSA:
Volumen in ml oder cm³:

Postoperative pathologische Daten

Datum:
Gleason Score:
pTNM-Befund:
Schnittränder:
p-L-V-P-G-Befunde:
Siehe Bericht vom:

Prostatakrebs - Behandlungen

** PSA-Wert zu Beginn der Behandlung
von bis PSA** Art Klinik Ort



Medikamente

NEM = Nahrungsergänzungsmittel
von bis Medikament + NEM Menge / Zeiteinheit
Menge pro T/W/M/J etc.


PSA-Verlauf    ng/ml    logarithmisch

PSA-Verlauf    ng/ml    linear

PSA-Verdoppelungszeiten in Jahren

Verdoppelungszeit ist zur Vorperiode gestiegen.
Verdoppelungszeit ist zur Vorperiode gesunken.
* Berechnet auf 1, 2, 4 und 8 Perioden rückwärts.

Grenzwert = 3 Jahre


Berechnung der Verdoppelungszeit in Tagen

Verdoppelungszeit in Jahren:
Verdoppelungszeit in Tagen:
Datum PSA 1* 2* 4* 8*
30.04.09 0.26
20.10.09 0.26
25.04.10 0.26
28.10.10 0.26
26.04.11 0.29 3.13 6.36 12.63
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
Datum PSA 1* 2* 4* 8*
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           

Mein Bericht

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Datum Δ 

letzter PSA vom

Erfahrungsberichte

       
23.09.2011 0.29 26.04.11
Following a visit to my oncologist this week, I learned my PSA is 0.47, which he characterized as low. My next visit will be in May 2012 and likely the last time I will see the oncologist.
       
08.10.2011 0.29 26.04.11
Leo Crowley and Faith live in Ottawa, Canada. He was 75 when he was diagnosed on October 19, 2009. His initial PSA was 4.5 ng/ml, his Gleason Score was 6 and he was staged T1c. He is undecided as to his choice of treatment. Here is his story.


I have no family history of cancer that I am aware of going back three generations. It came as quite a shock to me and really knocked me off balance. I think I am beginning to find acceptance and some confidence based on the advice from the urologist and oncologist. I am assured the success rate is quite high and my cancer is judged to be "low risk".

Apparently I am Stage T1c and, based on the advice I have received from the medical community, I am slated to undergo brachytherapy on the 23rd of November. My Gleason score is 6. The urology surgeon had suggested "active surveillance" as the "intelligent" choice but on an "emotional level" if I would find this difficult to live with, then brachytherapy would be the appropriate response. I did all my pre admin today at the hospital and all is well to proceed; also earlier this week the oncologist did an internal exam with imaging to ensure that I would be an appropriate candidate

I am 75 years old and my most recent PSA (a few weeks ago) was 3.28; it had peaked at 4.54 earlier this year but has since dropped down in stages. I have been vigilant over the past 10 years or so by insisting on PSA every year in connection with annual physical exams. I have enjoyed good health, take only 10 mg of Lipitor over the past 4 years and have never had an operation. My family physician indicated that he felt some roughness on the prostrate this past May and accordingly arranged a meeting with a urologist (a different one than I am currently dealing with) in September and this led to a biopsy. There were three cores with some evidence of cancer on one side only.



UPDATED
November 2009





After some hesitation, I have decided to go forward with brachytherapy and this is now scheduled for the 23rd of November. The recommendation of the Head urology surgeon was "active surveillance". After much reflection, I just felt I could not live with "active surveillance". I needed to have the assurance that something pro-actively was being done now!

The lead oncologist who works alongside of the aforementioned surgeon feels I am making the right decision. My Gleason score is 6 and the cancer has been assessed as T1c. I would certainly appreciate hearing from any other members relative to brachytherapy in terms of their experience and what I might expect!

Nervous but hopeful.......... Leo



UPDATED
December 2009





Three weeks have now elapsed since I had brachytherapy in Ottawa, Canada. Some 92 seeds were implanted (iodine 125) and the impact on my life has been minimal. We drove our car to Florida six days after the procedure without any undue difficulty.

I generally have to get-up twice during the night to relieve myself. The flow is a little less than prior to the procedure and sometimes there is a burning sensation. BMs can occur twice daily and this is most unusual for me. I intend to discuss these circumstances with the oncologist on the 6th of January, when I will fly back to Ottawa for a one day assessment, involving chest X-ray, MRI etc. I will post again following that visit.

In the meantime please note the change in email address should anyone wish to contact me. The Canadian address, i.e.,leo.crowley@rogers.com is suspended and the USA address leo.crowley@verizon.net is valid for the next 4 months.



UPDATED
January 2010





Approximately five weeks following brachytherapy, I flew back to Canada from our home in Florida for a 24 hour visit to have a Chest Xray, MRI and CT Scan, all of which are required by my clinic to determine if any seeds have migrated. This information is fed by computer to the oncologist instantly. There is no evidence of migration and so my next appointment will occur at the end of April when I will have a PSA reading.

The oncologist asked me about side affects and I indicated there are none really I need to unrinate at night once at least and sometimes twice. Bowel habits are unchanged now from the pattern before brachytherapy, i.e., once daily on rising in the morning. The oncologist asked me if I experienced diarrhea to which I replied "no".

I feel the same as before the procedure - just fine!.



UPDATED
June 2010





This is the first opportunity I have had to update seed therapy undertaken on the 23rd of November, 2009. After an interval of just a little over five months, I met with my oncologist. The PSA reading was 0.26, which he felt reflected excellent progress (the last reading before therapy was 3.26). My next visit will occur in October.

There is some urinary dysfunction, represented by the urgent need to relieve myself, particularly after drinking coffee in the morning. Most nights I do not need to use the bathroom. As for sex, I feel my libido has now diminished but after 52 years of marriage, this is not a big event for me or my wife. There is not much else to tell. I feel wonderful and very active, sailing, golfing etc. The oncologist prescribed Viagra but I have not filled the prescription as yet.



UPDATED
October 2010





Today I received the results of my latest PSA from the Cancer Clinic and that number is 0.26, i.e., exactly the same as I last reported (I believe in April). It is now close to 11 months since I underwent seed therapy and my doctor felt that the numbers are reflective of an excellent prognosis. The next scheduled blood test will be done in April, 2011.

As for side affects, there is often (but not always) a requirement to get up once only at night to urinate.



UPDATED
June 2011





Following our return from our winter home in Florida, I was assessed by my oncologist in May, 2011, i.e., six month interval. The latest PSA reading was 0.26 and this is unchanged from the last two readings over the past year.

I have no side affects whatever. There is very little need now to get up at night to relieve myself and otherwise I lead a very active life, sailing and playing golf.

There is not much to add..................

Leo's e-mail address is: leo.crowley@rogers.com

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