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PSA remains after treatment (surgery, Eligard and radiation)

Prostate Cancer | Last Active: Mar 5, 2023 | Replies (16)
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@hammer101

vjlvpjalways, curious what your diagnosis was prior to radical prostatectomy? I have my 90-day post prostatectomy coming up next week at Mayo-Rochester and I'm trying to prepare myself for positive or negative news. I was Gleason 7 (4/3), negative margins, no invasion of lymph nodes (based on prostatectomy pathology)

Best of luck with your current and any future treatments.

Jim

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Replies to "vjlvpjalways, curious what your diagnosis was prior to radical prostatectomy? I have my 90-day post prostatectomy..."
vjlvpjalways | @vjlvpjalways | Mar 3, 2023

PSA 5.3 at Prostatectomy
Gleason 9, clean edges, seminal vessel and lymph nodes. prostate was 50% involved..
PSA @ 8 weeks >0.1
Our urologist got removed from hospital?? Not a clue why, so new referral this Urologist wants the ultra sensitive testing, getting a 12 week returns @ PSA 0.18 and a referral to radiology oncologist 16week PSA 0.28 20week 0.331 (doubling time 2.5months) bringing on Salvage Radiation 39tx and 2 years Eligard..(3rd one Monday)
So with that your Gleason is a little nicer place to be..best wishes with your appointment

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michaelcharles | @michaelcharles | Mar 4, 2023

Hammer101: Best wishes for good PSA news next week.
My last preop PSA was taken 4 mos before surgery and was 7.5 (up from 5.9 & 5.7 prior year, so undoubtedly higher at time of surgery in August 2022).
Postop path: Bad news; Gleason 9 (and 8s) and nonfocal Extraprostatic Extension (EPE).
Better news; clear surgical margins, 4 lymph nodes and seminal vesicules.
Was really hoping for, and anticipating, good PSA at 90 days; with recurrence sometime in the "future".
Disappointing reality; 90 day PSA 0.19 (30 day retest 0.18).
Now 3 weeks into 4 mos Orgovyx and scheduled to begin 38 radiation txs Match 10.
And again, on the Gerbil wheel of hope.
I think that all of us want to know "numbers" and to take hope in other's experiences.
I have 3 friends with Geason 4+3 who have had undetectable PSA 90 days postop, and hope that is the result for you.

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