THERE WAS NO RESPONSE TO AN UPDATE REMINDER IN 2016 SO THERE IS NO UPDATE.
Biopsy March 2000 - 6 samples, 3 positive. CAT scan, Bone Scan & chest/back X-rays - all clear.
April 2000 - RP (Radical Prostatectomy). PC had leaked to seminal vesicles, lymph nodes were clear.
Sept 2000-PSA 0.4
Aug 2001 - PSA 2.3
Sept 2001 - Zoladex 10.8mg implant, daily Casodex 50mg.
Oct 2001 - PSA undetectable.
Nov 2001 - PSA undetectable. Zoladex 10.8mg implant.
Dec 2001 - Commenced 32 EBRT treatments, ceased Casodex. PSA remained undetectable until Oct 2004 - PSA 1.1
April 2005 - PSA 2.1. Bone and CT scans all clear.
Jan 2008 - PSA 5.1. Bone and CT scans all clear.
Jan 2009 - PSA 8.3. Bone and CT scans all clear.
Feb 2009 - Type 2 diabetes diagnosed.
Dec 2009 - PSA 27.4. Bone and CT scans all clear. MRI all clear.
April 2010 - PSA 43.9
Next appointment with Oncologist August 2010, Will commence Casodex and Zoladex.
My PSA jumped from 43.9 in April to 166.0 this month. No pain or symptoms. Commenced Zoladex and Casodex last week. I will update after first PSA test.
Chris.
First PSA test 4 weeks after commencing Hormone Therapy was 1.2. This is a spectactular result (Oncologist's words). In addition side effects are minimal, some night sweats which are only mild, and a dry mouth during the night.
Since my last update, I had 3 more Zoladex implants in November 2010, February and May 2011. PSA was 0.2 in May 2011, and was at this level in July 2011. Zoladex was ceased. The only side effects were and still are hot flushes. These are easily managed, I have a small fan next to my chair. I also throw the doona off many times during the night. I have no symptoms. My PSA has gradually crept up to 1.8 last week, 9 months after last implant expired. My next appointment with my Oncologist is in August, the PSA rise will determine when I resume Zoladex. I commenced Pomegranite extract capsules in March.
My PSA has risen from 12.1 in August to 56.7 in November. Because of this rise I am back on Zoladex 10.8mg implant.
My time off Zoladex has only been 12 months, so it looks like I may be on it permanemtly from now on.
I have been on a bit of a health kick, so the latest reading is a bit disappointing. I hope my PSA will drop as quickly as it did last year.
Jan 2013, PSA down to 12.5. Feb 2013 - PSA 21.1. Will test again in 6 weeks and if there has not been a reduction in PSA I will add Cosudex.
April 2013 - My PSA has risen to 46.9 which is a doubling time of 2 months. I have added Cosudex 50mg daily to my Zoladex 10.8mg implant. I consult my Oncologist on 23 May. I am concerned that my Testosterone has not been measured for 8 years, I will be raising this with the Oncologist.
Apart from the Incontinence which is annoying, I am feeling well with hot flushes the only other side effect.
Visited Oncologist last week, PSA 31.0 which is a drop of 30%. I have added 50mg Androcur at night to assist with hot flushes.
1 July PSA has risen dramatically from 31 to 132 in just 5 weeks. Oncologist recommends ceasing casodex and getting another PSA in a week. If PSA has come down he suggests commencing Anandron 150mg 1 per day.
I need to consider getting a second opinion from another Onchologist particurarily one specialising in Prostate cancer. I think I want to be more pro active than reactive.
Any suggestions would be appreciated.
It has been a difficult 12 months.In August, due to severe pain in the back, I consulted a radiation Onchologist who arranged 10 sessions of Radiation to the back. The pain ceased and has not returned.
My PSA had risen to 510 by November so I commenced chemotherapy, 9 sessions and my PSA came down to 35. I tolerated the Chemotherapy quite well. I was now getting pain in my left hip. I will commence Radiation to the hip at the end of August.
I have lost energy and find even small tasks very exhausting, but other than that I feel quite well.
Chris's e-mail address is: ceebee1943 AT yahoo.com.au (replace "AT" with "@")
NOTE: Chris has not updated his story for more than 15 months, so you may not receive any response from him.
