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Gleason7(3+4) - treatment options recommendation

Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)
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@vancouverislandhiker

Thanks Sir . I have talked to some Operation guys that have had 0.008 ( bottom of readings and unreadable) for years and years , but most have a trace after surgery , you are right . A year ago, I elected to have the external beam radiation, 22 sessions, and I really didn't get any reaction until about the seventh month level. Then it started to go down from 0.14, 0.072, 0.056. Now, in 2 1/2 weeks I'll get another one. Battle is keeping my head straight and not getting too much anxiety. I'm going for a sauna this morning here on Vancouver Island, and talking with the boys up there at the Aquatic Center, and then some yardwork and then, I have a hike planned with my wife at 4 PM with the dogs for about 3 1/2 hours. Keeping busy helps. The exercise is great and the fresh air. While I was getting the 22 sessions of radiation, I would walk for 8 to 10 km each day. Yes I was tired, but it kept my mind active and I went through a ton of neighbourhoods and areas in Victoria area. Yes, you have time and I think because you are a 3+4 I think you said, you have plenty of options. Depending on the type of four cell, I don't think you have too much to worry about. You said you were Group 2-7 ? With a PSA of 3+4 = 7 . I understand the PSA , But the Group 2-7 we dont use too much in Canada - what is the groupings all about ? From my Prostate support group, the vast majority of patients with 3+4 Gleeson have responded very well to the operation and the radiation. I think the trick here is catching it early when your PSA velocity starts to rise. God Bless Sir . James on Vancouver Island .

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Replies to "Thanks Sir . I have talked to some Operation guys that have had 0.008 ( bottom..."
manojsmishra | @manojsmishra | Aug 27 1:22pm

Well PSA is one of the indicator for early detection like in my case. That’s how I ended up learning about the situation. It kept bouncing up and down over last 2 years but this year it was 5.14 and my pcp suggested for urology visit. As there is no symptom, I was reasonably sure that even if I do mri for this analysis I should be okay. That’s how I discovered this. Thanks you Mayo Clinic higher standards and advanced equipments.
Now I will be evaluating all options while I scheduled for surgery Oct 30

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mulberry | @mulberry | Aug 28 1:37pm

Very nice description of your life in beautiful Victoria!

Regarding: " but most have a trace after surgery , you are right . "

Last week my surgeon explained why my first post-surgery PSA of 0.009 was not "undetectable" as I thought. He said that when the surgeon separates the prostate tissue from the bladder neck, the prostate tissue is "torn away" from the bladder neck and some of the BENIGN prostate cells remain behind on the bladder neck. (In my case, the cancer was not near the bladder neck) These benign cells naturally generate a small trace of PSA. My next PSA test will be in three months and if that PSA remains at or near 0.009 that will be my unique baseline against which future bi-annual PSA tests which be compared.
But if my PSA level has risen significantly higher than the 0.009, that would indicate that prostate cancer cells remain somewhere in my body and further diagnostics and treatments would be considered.
His explanation made such perfect sense, I thought I'd share it with the brethren.
Best of luck on your journey(s).

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