Andreas 47

´╗┐

Personal data - diagnosis

Personal data

Visible name: Andreas 47
Ctry: JAPAN
State/Province: Tokyo
Year of birth: 1967
Age: 51
Occupation:
Hobbies:
My Website:

Data at initial diagnosis

Date: 24.07.2014
Age at diagnosis: 46
PSA: 6.16
Biopsied? Yes
TUR-P? No
Gleason Score: 3 + 4 = 7a
TNM-Stages: T2c N0 M0
Remark:

Maximum measured prostate volume

Date: 22.12.2014
PSA: 5.19
Volume in ml or cm³: 22

Postoperative pathological data

Date:
Gleason Score:
pTNM-classification:
Margins:
p-L-V-P-G-Findings:
See stories of:

Prostate cancer treatments

** PSA level at the start of the treatment
from to PSA** Type Clinic City
02.02.15 22.03.18 5.86 Active Surveillance The Cancer Institute Hospital of JFCR (Japanese Foundation for Cancer Research) Tokyo



Drugs

NEM = Nutritional supplement
from to Medication Quantity / unit of time
Quantity per D / M / Y etc.


PSA-History    ng/ml    logarithmic

PSA-History    ng/ml    linear

PSA doubling times in years

Doubling time is greater than previous period.
Doubling time is smaller than previous period.
* Calculated backwards for 1, 2, 4 and 8 periods.

Limit = 3 years


Calculation of doubling times in days

Doubling time in years:
Doubling time in days:
Date PSA 1* 2* 4* 8*
26.06.12 3.14
02.04.13 3.48 5.17
24.07.14 6.16 1.59 2.14
04.08.14 8.75 0.06 1.01
01.09.14 5.92 -- -- 2.39
18.11.14 8.36 0.43 -- 1.29
09.12.14 7.28 -- 0.91 1.57
22.12.14 5.19 -- -- --
02.02.15 5.86 0.66 -- -- 2.89
01.06.15 6.42 2.48 1.44 -- 2.45
02.10.15 3.88 -- -- -- --
17.12.15 5.29 0.47 -- 35.82 --
14.04.16 4.88 -- 1.61 -- --
21.07.16 4.08 -- -- -- --
17.10.16 5.33 0.63 4.00 2.28 --
17.01.17 5.39 15.61 1.23 40.26 38.02
17.04.17 5.87 2.00 3.58 3.78 896.55
27.07.17 5.10 -- -- 3.16 --
21.09.17 4.52 -- -- -- 8.96
22.03.18 7.87 0.62 1.04 2.15 3.95
26.07.18 4.20 -- -- -- --
27.09.18 4.21 50.31 -- -- 48.31
04.04.19 5.47 1.37 1.81 5.57 65.85
           
           
Date PSA 1* 2* 4* 8*
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           

My Story

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Date Δ 

Last PSA from

Personal stories

       
24.07.2014 6.16 24.07.14
High PSA level detected during annual medical check (even though the two earlier years levels where also already high for my age, but still below 4).
       
04.08.2014 8.75 04.08.14
Follow-up PSA check at urology department of Japanese Red Cross Medical Center. Free PSA: 15%. MRI is scheduled for 21.8.2014.
       
01.09.2014 5.92 01.09.14
MRI findings: prostate cancer in the right lobe, suspected. Free PSA: 12%. Biopsy is recommended.
       
18.11.2014 8.36 18.11.14
Free PSA 11%. Upon my request to rule out a prostatitis, the antibiotic Cravit is prescribed for 14 days.
       
09.12.2014 7.28 09.12.14
PSA value is still high and free PSA at 12% after antibiotic treatment. Scheduling another MRI at Alta-Klinik in G├╝tersloh, Germany for 22.12.2014.
       
22.12.2014 5.19 22.12.14
MRI findings: suspicious regions in both lobes, MRI-guided biopsy scheduled for the next day.
       
05.01.2015 5.19 22.12.14
Laboratory result of the six core needle biopsies: the presence of a carcinoma with a Gleason score of 6 (3+3) in the proximal third of the peripheral zone of the left lateral lobe of the prostate gland; the presence of atypical adenomatous hyperplasia (AAH) in the middle of the peripheral zone of the left lateral lobe; and the presence of pre-malignant high-grade PIN in the distal third of the peripheral zone of the left lateral lobe. The examination also indicates: the presence of a carcinoma with a Gleason score of 7 [3+4 (5%)] in the middle third of the peripheral zone of the right lateral lobe of the prostate gland; the presence of a carcinoma with a Gleason score of 7 [3+4 (10%)] in the distal third of the peripheral zone of the right lateral lobe.
Radical Prostatectomy suggested.
       
02.02.2015 5.86 02.02.15
While visiting several medical centers in Japan offering proton therapy to collect information, I submit the biopsy samples to Dr. Tsujii, a fellow of the National Institute of Radiological Sciences in Chiba, Japan for second opinion, and visit the Cancer Institute Hospital of JFCR (Japanese Foundation of Cancer Research), who places me on Active Surveillance. MRI is scheduled for 1.6.2015. In addition it is suggested to refrain from eating meat, especially red meat. After further research I change my diet to exclude any meat (with the exception of fish) and dairy.
       
01.06.2015 6.42 01.06.15
MRI findings: the suspected area seems to have extended, and re-biopsy is scheduled for 5.8.2015.
       
13.08.2015 6.42 01.06.15
Laboratory result of the 16 core needle biopsies, including 2 targeted: no presence of carcinoma could be found in any of the 16 specimens. Follow-up PSA check is scheduled for 17.12.2015.
       
02.10.2015 3.88 02.10.15
During an unrelated blood test regarding a bacterial infection in my leg I ask for my PSA value, which turns out to have dropped below 4.
       
17.12.2015 5.29 17.12.15
Follow-up PSA check at the Cancer Institute Hospital of JFCR. Next PSA check is scheduled for 14.4.2016.
       
14.04.2016 4.88 14.04.16
Follow-up PSA check at the Cancer Institute Hospital of JFCR. Next PSA check is scheduled for 17.10.2016.
       
21.07.2016 4.08 21.07.16
PSA level measured during annual medical check at Japanese Red Cross Medical Center.
       
17.10.2016 5.33 17.10.16
Follow-up PSA check at the Cancer Institute Hospital of JFCR. Next PSA check is scheduled for 17.4.2017.
       
17.01.2017 5.39 17.01.17
PSA level measured during an unrelated blood test at St. Luke's International Hospital Tokyo.
       
17.04.2017 5.87 17.04.17
Follow-up PSA check at the Cancer Institute Hospital of JFCR. Next PSA check is scheduled for 30.10.2017.
       
27.07.2017 5.10 27.07.17
PSA level measured during annual medical check at Japanese Red Cross Medical Center.
       
21.09.2017 4.52 21.09.17
Follow-up PSA check at the Cancer Institute Hospital of JFCR. Next PSA check is scheduled for 22.3.2018.
       
22.03.2018 7.87 22.03.18
Follow-up PSA check at the Cancer Institute Hospital of JFCR. Next PSA check is scheduled for 27.10.2018.
       
26.07.2018 4.20 26.07.18
PSA level measured during annual medical check at Japanese Red Cross Medical Center.
       
27.09.2018 4.21 27.09.18
Follow-up PSA check at the Cancer Institute Hospital of JFCR. Next PSA check is scheduled for 28.3.2019.
       
04.04.2019 5.47 04.04.19
Follow-up PSA check at the Cancer Institute Hospital of JFCR. Next PSA check is scheduled for 17.10.2019.