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Q: Prostate Cancer ( No Answer,   4 Comments )
Question  
Subject: Prostate Cancer
Category: Health > Medicine
Asked by: lvo-ga
List Price: $20.00
Posted: 27 Feb 2005 12:14 PST
Expires: 29 Mar 2005 12:14 PST
Question ID: 481871
I was diagnosed with prostate cancer in May of 2000.  My PSA level was
6.5 and my Gleason level was 6.  I opted for Seed Implant
(Brachytherapy) at that time.  Since then my PSA level has remained
between .1 to .2.  In 2004 my PSA level once again started to rise. 
In January of 2004 it was .6, by June it has elevated to 1.4, and
latest in February of 2005 it was 6.5.  I had a bone scan completed, 6
biopsies, and 2 ct scans with and without contrast.  All of these
tests showed no spread of the cancer anywhere in my body.  The doctor
advised me to start a treatment to block all testosterone (Lupron
Depot) to decrease the PSA levels.  2004 my medical condition changed
in that I had to start taking Allapurinal, Lipitor, and had to have
surgery for a double Hernia. My question is this: with the changes in
my health in 2004 would this in any way affect my increased PSA
levels?  All of the bone scans, CT Scans, and biopsies show no sigh of
a spread of my cancer in my body.
Answer  
There is no answer at this time.

Comments  
Subject: Re: Prostate Cancer
From: dr_bob-ga on 27 Feb 2005 21:23 PST
 
When you were diagnosed with prostate cancer, had the cancer spread
beyond the boundary of the prostate gland(e.g. metastatic)?
Subject: Re: Prostate Cancer
From: lvo-ga on 28 Feb 2005 13:10 PST
 
at the time of my seed implants 05/2000 the indications were that the
cancer was contained in the prostate.  the biopsis in december of 2004
showed that ther was no cancer in the prostate, as did the two ct's
and the bone scan.
Subject: Re: Prostate Cancer
From: dr_bob-ga on 28 Feb 2005 23:03 PST
 
Hernia and Prostatitis can cause an increase in PSA levels. 
Allopurinol is commonly prescribed for this condition.  As such, this
may be the cause of your elevated PSA levels.  However, after
treatment of these conditions, PSA levels should eventually return to
normal.

The problem with bone scans, and biopsies is that you can't check
everything.  This website will give you some good solid things to go
on and you can see where your doctor is comming from. Read through all
of this page, as it is a bit confusing and all of it is important to
the overal context.

http://www.docgottesman.com/SUA/Prostate/rising_PSA_after_SEEDING.htm


http://www.medicinenet.com/prostate_cancer/page14.htm

As I'm sure you are aware, androgen ablation therapy is not pleasant,
and is not generally considered a cure for prostate cancer.

If I was committed to hormonal therapy, I would discuss with my doctor
the side effect/benefit of Androgen Receptor antagonists along with
reducing testosterone levels using Lupron Depot.

Dr_Bob<---not a real doctor, I just play one on Google Answers.
Subject: Re: Prostate Cancer
From: dr_bob-ga on 10 Mar 2005 09:40 PST
 
>>>>>>>>>>>The current consensus is that PSA is not an accurate indication of
prostate cancer.<<<<<<<<<<

Would you stake your life on that, given a previous medical history of
prostate cancer and the general trend for the progression of HD/HR
prostate cancer??????

I don't think so.  

It's nice that you're advertising your company though.

http://www.klastv.com/Global/story.asp?S=2561102

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