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52 male,had prostate out..took hormones and raditation treatment..rising p.s.a
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gibbler123 posted:
My boyfriend had prostate cancer 2 years ago..he had the prostate taking out..clear margins, nothing in nodes gleason of 5..after prostate was taken out his p.s.a was still .34 then in 3 months it went to .64..his doctor put him on zoladex for 6 months and another hormonane pill.along with radation treatment..after this treatment p.s.a. went to .02..we were very happy.. now a year later it has started to rise again it is now.09..his doctor cannot unstand why his p.s.a . is rising again ..we read the pathoghy report and there is nothing in the report that state's a reason for his p.s.a to rise.Even the cancer doctor can't understand why it is rising ..unless there is a few cells floating around..I now his.p.s.a. is only .09 but if it continue's to rise is there anything we should be doing or looking into..any advice would be helpful..What other option's would he have if his p.s.a continue's to rise..he has done all the treatments..has taken CAT Scan's blood test , x-rays everything comes back negative..

Thanks
Kim
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Fairwind responded:
At the time of his surgery, what was his Gleason score and PSA number? Most Gleason scores are 6 through 10...

In any case, the third and final line of defense is hormone treatment which may or may not still be effective..Also, there may be clinical trials he can participate in where they are testing new drugs and procedures...
 
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gibbler123 replied to Fairwind's response:
Thanks Fairwind for your reply, at the time of surgey gleason score was 6.. <3 3>..p.s.a. was 14.3.I have the pathology report and it state's he was stage pT2c..If there is something you would like to know that would be on pathology let me know..he was on casodex 50mg for 2months then started radation treatment after that..LHRH zoladex 10.8mg for 6 months.. he didnt mind beening on the casodex.. the zoladex different story..It is frustating.. he feels so well..is .09 really high for him after all the treatments he has had?

Thanks

Kim
 
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Fairwind replied to gibbler123's response:
Very, very few men die from Gleason 6 PC....PSA of .09 is still considered undetectable as it's below the 0.1 threshold..Treating prostate cancer or any cancer is still an imperfect science and sometimes you don't get the results you expected..You might want to seek the services of a Medical Oncologist who specializes in treating prostate cancer and get his take on your situation..Is he still being treated by his Urologist? Urologists are not Oncologists......That's a whole different skill-set...
 
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gibbler123 replied to Fairwind's response:
At this time he is beening treated by his Urologist..the same one who did the surgery..He goes back in April to check his p.s.a levels..and I guess depending on what they are if we go back to the Oncolgist..Ony reason I worry is all the males on his father's side had prostate cancer ..Grandfather died from it ..His father and 2 uncle had it..so when he got told he had PC it wasn't a complete shock..but he didnt think he would get it that young..His uncle's and father are fine..so I should think more postive..And when he had the surgery he had every rare side effect you could think of ..that took a mental toll on him..He is fine now no side effects from the surgery or horomones...but it was tough..

Thanks
Kim


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