Skip to content

    Announcements

    Exciting News for WebMD Members!

    We've been busy behind the scenes building new message boards for you. You'll have new and easier ways to find messages, connect with others, and share your stories.

    And, this will all be available on your smartphone or other mobile device!

    What Do You Need to Do?

    The message board you're used to will be closing in the coming weeks. While many of your boards will be making the move to our new home, your posts will not. Want to keep a discussion going? Save posts you want to continue (this includes your member profile story), so that you can re-post them in the new message boards.

    Keep an eye here and on your email inbox, we'll be back in touch soon to give you all the information you need!


    Yours in health,
    WebMD Message Boards Management

    Includes Expert Content
    Bladder/Prostate cancer
    avatar
    TomCov posted:
    I am a 70 year old Caucasian male, 5'10" and 240 pounds. Other than the cancer and weight I am in good health (blood work is all in normal range) and feel good.

    In 2006 I was diagnosed with bladder cancer. I have had 4 cystoscopys for removal of tumors. I had BCG treatments in 2007 and in 2010. I had a reaction to the BCG treatment in December of 2010 and a BAD case or reactive arthritis. I had another biopsy/removal in May and a rating of 3/4.

    In May 2010 I was diagnosed with prostate cancer (Gleason 5+3= and had a radical prostatectomy ( DaVinci). All margins and lymph nodes were clear. Until May of this year my PSA was <0.1 when it came back at 0.11. On June 1, another PSA came back 0.10.

    My Uroligist sent me to a Radiologist and we discussed irradiating both the bladder and the pelvic bed of the prostate area. The other discussion was to do a cystectomy and then radiate the pelvic area. The urologist has not had a similar situation before and seems unsure how to proceed. Right now we are intending to wait for another PSA test to be done on July 12 before settling on a treatment.

    Any thoughts/suggestions?
    Reply
     
    avatar
    Basir U Tareen, MD responded:
    a PSA of .10 is still considered "cure" by many people. Depending on the institution the cutoff for "recurrence" can range from .10 to as high as .40 in some cases.

    Cystectomy (bladder removal) is typically not done unless the pathology is high grade disease (which is recurring) or muscle invasive (always high grade) disease.

    I would not rush and radiate the prostate bed area based on a psa of .10. Wait to see if it rises and if so, how fast does it rise?

    Don't let one cancer hastily influence treatment of the other. (ie, treat the bladder first how you would normally treat it).

    In general the risk of dying from high grade bladder cancer is significantly higher than dying or prostate cancer. In most cases bladder cancer can and is treated without the need for any radiation, so don't let a PSA of .10 change how you would manage both diseases.


    Helpful Tips

    How to get the most out of your prostate cancer consultationExpert
    Here are a few tips to get the most out of your prostate cancer surgical or radiation oncology consultation: 1. Have extra copies of all ... More
    Was this Helpful?
    5 of 5 found this helpful

    Related Drug Reviews

    • Drug Name User Reviews

    Report Problems With Your Medications to the FDA

    FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

    For more information, visit the Duke Health Prostate Cancer Center