It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Cancer: Prostate Message Board

  • Up-Date From Big Al

  • Post New Thread   Reply Reply
    Thread Tools Search this Thread
    Old 01-12-2021, 01:28 PM   #1
    Bigalcalbisque
    Junior Member
    (male)
     
    Join Date: Oct 2016
    Location: Trabuco Canyon CA USA
    Posts: 31
    Bigalcalbisque HB User
    Up-Date From Big Al

    My last PSA went from 0.04 to 0.11 post Prostatectomy. Consultation with Radiologist suggested Aximum Pet Scan. My insurance has denied the authorization based on their statement that it is a relatively new procedure and has not received results that show it is any better statistically compared to a bone scan and pelvic MRI, my Radiologist is trying to overturn the denial on a "peer to peer" call to my insurance provider.
    My insurance will cover a bone scan and a pelvic MRI, Not sure what to do as I feel the time is of the essence.
    Any feedback would be appreciated.
    Thanks, Al
    __________________
    7-1-2017 Biopsy. PSA 6.3 Cancer Left Apex 3+3=6 Tumor 1.5mm 5%
    Cancer Rt Base 4+3=7 Tumor 4mm(Aggregate) 25% Perineural Invasion: Not Identified.
    9-27-2017 Robotic Surgery.
    Pathology Report 10-2-2017 Gleason 7 (4-3)11 Lymph Nodes Negative/PT3A-PN0
    Positive Rt Posterior Margin Less than or = to 3mm. Urinary Bladder Neck Invasion/Not Identified. Seminal Vesicle Invasion/Not Identified. Tumor weight=48.6 Grams
    EPE Presnt Focal Right Posterior
    7 PSA tests every 3 months less than or = to .02
    PSA test 9-27-2019 .02
    PSA test 1-23-2020 .07
    PSA test 2-04 2020 .06
    PSA test 5-05-2020 .03

     
    Reply With Quote
    Sponsors Lightbulb
       
    Old 01-12-2021, 02:23 PM   #2
    DjinTonic
    Veteran
    (male)
     
    Join Date: Dec 2019
    Location: NC
    Posts: 357
    DjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB User
    Re: Up-Date From Big Al

    Hi Big Al,

    An Axumin scan is certainly better than the bone scan + MRI. However, you should do some research and ask your doc whether your PSA (0.1) is high enough for that scan. I think it may be too low for the scan to reliably locate the source(s) of any recurrence.

    Djin
    __________________
    69 yr at Dx, BPH x 20 yr, 9 (!) neg. Bx, PCA3-
    7-05-13 TURP for BPH (90→30 g) path neg. for PCa, then 6-mo. checks
    6-06-17 Nodule on R + PSA rise on finasteride: 3.6→4.3
    6-28-17 Bx #10: 2/14 cores: G10 (5+5) 50% RB, G9 (4+5) 3% RLM
    Nodule negative for PCa. Bone scan, CTs, X-rays: neg.
    8-7-17 Open RP, negative frozen sections, Duke Regional Hosp.
    SM EPE BNI LVI SVI LNI(5L, 11R): negative, PNI+, nerves spared
    pT2c pN0 pMX, G9 (4+5) 5% of prostate (4.5x5x4 cm, 64 g)
    Dry; ED OK with sildenafil
    Decipher 0.37 (Low Risk), uPSA: 0.010 (3 mo.)...0.013 (2 yr. 10 mo.)

     
    Reply With Quote
    Old 01-12-2021, 04:50 PM   #3
    Steve135
    Senior Member
    (male)
     
    Join Date: Dec 2019
    Location: NJ
    Posts: 106
    Steve135 HB UserSteve135 HB User
    Re: Up-Date From Big Al

    Djintonic, might just hit the nail on the head with Axumin! I was part of the last Trial that did 300 men between .9 - .1 back in 2015 before FDA approved. I almost PSA'd out of the study as my PSA BCR was found at .4 and every week or so it would climb by .1 my last test showed .6 but I went a few days later. The test was able to see the recurance. But my second BCR did just about the same thing and the Axumin wasn't able to see anything, as a matter of fact the pictures were so bad the test was useless! A MRI 3 months later gave so much of a better picture my team of doctors at Penn Med. said they wished MRI's were the first choice, but my MO didn't agree. As a side note the Penn. doctors asked where I got the test done. The answer was Penn Med. I knew that those techs really hadn't done alot Axumin test because the prep was nothing like the test center, one of only two in the USA at the time. They even asked me which arm I wanted the injection and it could only go in the right arm because of the Virchow Gland in the left side of your neck. If placed in left arm the serum most likely would get sucked into the gland and the test would be zero. They even had the balls to hit me with a 13k dollar bill because billing was out of state but I was in state for test? I have since refused all attempts at Axumin test because all places here in NJ either refuse me treatment because of billing or asked for 5k out of pocket before making appt. They say if I was 65 ( medicare) there would't be an issue.
    _________________
    Diag. 56 DOB 2/59 PSA Base 1.5 01/14 2.0 6/15 2.4
    Biopsy 6/15 5 Gleason Score 8
    RP 10/15 Path 54g 5x4.2x2.8cm 4+3=7 Tumor location quadrants Bilateral
    Extra-capsular extensions present,SV no invasion
    Vascular invasion none, PNI yes, Multicentricity multifocal
    Margins Not Present inked margins 5 neg.LN stage pT3a N0
    PSA 10/16 <0.1 02/7/17 1st BCR 0.4 02/15/17 0.5
    Pet Scan 2/17 Neg PSA 03/17 0.6 Axumin trial 17.4mm tumor rt.semi vessel bed
    ADT Casodex + Trelstar 04/17 SRT (42)
    08/17 PSA 0.1 Last 6 uPSA 0.006 uPSA 2/19 0.030 2nd BCR 5/19 0.235 5/30 0.32 6/19 0.34
    7/19 0.06 8/19 0.08 9/19 0.056 10/190 0.08 11/19 0.07 12/19 0.07
    7/19 Continue Trelstar, Add Xtandi, Zoledronic Acid
    12/19 (3) SBRT Iliac bone liasion post SBRT 1/20 0.06 2/20 0.04 3/20 0.02 4/20 <.02 5/20 <0.02 6/20 <.02
    7/20 <0.014 8/13 <0.014 9/24 <0.014 10/5 <0.014 Nov.No test 12/31 0.014

    Last edited by Steve135; 01-12-2021 at 04:54 PM. Reason: sp

     
    Reply With Quote
    Old 01-12-2021, 07:00 PM   #4
    Bigalcalbisque
    Junior Member
    (male)
     
    Join Date: Oct 2016
    Location: Trabuco Canyon CA USA
    Posts: 31
    Bigalcalbisque HB User
    Re: Up-Date From Big Al

    Thank's guys, Yeah, difficult decision, even researching it, is not exactly clarifying things.
    My Medicare plan has initially denied the Axium pet scan as they say that it does not have enough history to say its better than Bone Scan with Pelvic MRI, my Radiologist is going to bat with them but I am not confident it will reverse that decision. He even told me that with my numbers nothing may show up. My thought is to do the pelvic MRI and bone scan and see what comes up, if nothing then consider paying for the Aximum Pet Scan to take it to the next level. From what I have read it is about 25% more accurate?? I feel like its a crapshoot with my life on the line. The odd thing is the fluctuation in my PSA, it is going up and down more than the 0.02 possible error on the PSA test. I asked my radiologist about this considering that I had a Prostatectomy and he said he had never seen that kind of fluctuation before and could not offer an explanation. Which leaves me in more of a conflict mentally and emotionally on what to do. I am also considering waiting 1 more month to do another 3 month PSA and see th resuts but think putting off a more direct approach may be detrimental to my overall survival numbers. Difficult decision. Any more input would be appreciated.
    Extremely confusing for me.
    Thanks, Al
    __________________
    7-1-2017 Biopsy. PSA 6.3 Cancer Left Apex 3+3=6 Tumor 1.5mm 5%
    Cancer Rt Base 4+3=7 Tumor 4mm(Aggregate) 25% Perineural Invasion: Not Identified.
    9-27-2017 Robotic Surgery.
    Pathology Report 10-2-2017 Gleason 7 (4-3)11 Lymph Nodes Negative/PT3A-PN0
    Positive Rt Posterior Margin Less than or = to 3mm. Urinary Bladder Neck Invasion/Not Identified. Seminal Vesicle Invasion/Not Identified. Tumor weight=48.6 Grams
    EPE Presnt Focal Right Posterior
    7 PSA tests every 3 months less than or = to .02
    PSA test 9-27-2019 .02
    PSA test 1-23-2020 .07
    PSA test 2-04 2020 .06
    PSA test 5-05-2020 .03

     
    Reply With Quote
    Old 01-13-2021, 04:22 AM   #5
    DjinTonic
    Veteran
    (male)
     
    Join Date: Dec 2019
    Location: NC
    Posts: 357
    DjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB User
    Re: Up-Date From Big Al

    Big Al,

    Have you considered having a Decipher genomic test on your RP tissue? It would give you your 5-year risk from mets (low, average, or high). Looking at your post-RP path report, it's possible that your PSA may be due to benign and/or malignant growth that is local but that doesn't involve pelvic lymph nodes. I'm also thinking that given your bouncing PSA, a couple more 30-day PSA test might show your PSA is stabilizing. If the Decipher test comes back low-risk, it may give you some breathing space to wait a bit.

    As long as recurrence remains local to the pelvis (prostate bed and/or local nodes), it will remain all zappable. Perhaps you and a RO could set a PSA trigger point for early salvage RT, for example 0.10 or 0.15.

    Djin
    __________________
    69 yr at Dx, BPH x 20 yr, 9 (!) neg. Bx, PCA3-
    7-05-13 TURP for BPH (90→30 g) path neg. for PCa, then 6-mo. checks
    6-06-17 Nodule on R + PSA rise on finasteride: 3.6→4.3
    6-28-17 Bx #10: 2/14 cores: G10 (5+5) 50% RB, G9 (4+5) 3% RLM
    Nodule negative for PCa. Bone scan, CTs, X-rays: neg.
    8-7-17 Open RP, negative frozen sections, Duke Regional Hosp.
    SM EPE BNI LVI SVI LNI(5L, 11R): negative, PNI+, nerves spared
    pT2c pN0 pMX, G9 (4+5) 5% of prostate (4.5x5x4 cm, 64 g)
    Dry; ED OK with sildenafil
    Decipher 0.37 (Low Risk), uPSA: 0.010 (3 mo.)...0.013 (2 yr. 10 mo.)

     
    Reply With Quote
    Old 01-13-2021, 04:36 AM   #6
    Steve135
    Senior Member
    (male)
     
    Join Date: Dec 2019
    Location: NJ
    Posts: 106
    Steve135 HB UserSteve135 HB User
    Re: Up-Date From Big Al

    Depending on where you get your blood work. Labcorp changed there Upsa readings from the lowest of 0.006 to lowest of 0.012 over night! My labs changed from <0.008 to ) <0.014 abruptly in a three month period. When I called Labcorp they said that there Upsa test has always been plus or minus 0.006 so you can see why they were told they needed to adjust the lowest possible reading.
    Simple math 0.006 plus or minus 0.006 could really be )0.00000 or 0.012
    So now they report anything below 0.012 as <0.012
    This was how it was explained to me from the asayer at Labcorp at my Labcorp la.
    steve d

     
    Reply With Quote
    Old 01-13-2021, 04:47 AM   #7
    DjinTonic
    Veteran
    (male)
     
    Join Date: Dec 2019
    Location: NC
    Posts: 357
    DjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB User
    Re: Up-Date From Big Al

    I've written at length about the change in the lower limits of Labcorp's ultrasensitive PSA test in another Forum. I wrote to both Labcorp and Roche and heard back from both. The directive that Labcorp change its lowest reported value from <0.006 to <0.014 came from Roche, the maker's of the assay that Labcorp uses, who, in turn, cited changes in government regulations. (<0.014 was the lower limit that Labcorp used up until about four years ago when they lowered it to <0.006.)

    When the assay is run on a blank sample (with no PSA) it doesn't return zero, as you might expect, but rather some value as high as 0.006, which is called the limit of blank. Clearly values just above 0.006 won't be reliable either for this reason. To make a test reliably accurate, you have to consider two other limits.

    Here is the written reply I received from Labcorp:

    "The ultrasensitive PSA assay has the same sensitivity as the assay we offered historically. However, because of new FDA regulations and because Roche is now offering it on new and improved analyzers, it is no longer allowed to report to limit of blank of the assay (as it was before: <0.006 ng/mL) but only to a limit of quantitation (<0.014 ng/mL). Roche is now only allowed to report to <0.014 ng/mL. "

    Here is a very good paper explaining the three limits:

    Limit of Blank, Limit of Detection and Limit of Quantitation (2008)

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2556583/

    (See the Figure there.) This discussion isn't of much importance for the purposes of monitoring one's PSA, but may of interest to some.


    Djin
    __________________
    69 yr at Dx, BPH x 20 yr, 9 (!) neg. Bx, PCA3-
    7-05-13 TURP for BPH (90→30 g) path neg. for PCa, then 6-mo. checks
    6-06-17 Nodule on R + PSA rise on finasteride: 3.6→4.3
    6-28-17 Bx #10: 2/14 cores: G10 (5+5) 50% RB, G9 (4+5) 3% RLM
    Nodule negative for PCa. Bone scan, CTs, X-rays: neg.
    8-7-17 Open RP, negative frozen sections, Duke Regional Hosp.
    SM EPE BNI LVI SVI LNI(5L, 11R): negative, PNI+, nerves spared
    pT2c pN0 pMX, G9 (4+5) 5% of prostate (4.5x5x4 cm, 64 g)
    Dry; ED OK with sildenafil
    Decipher 0.37 (Low Risk), uPSA: 0.010 (3 mo.)...0.013 (2 yr. 10 mo.)

     
    Reply With Quote
    Old 01-13-2021, 09:46 AM   #8
    Bigalcalbisque
    Junior Member
    (male)
     
    Join Date: Oct 2016
    Location: Trabuco Canyon CA USA
    Posts: 31
    Bigalcalbisque HB User
    Re: Up-Date From Big Al

    Djin, "Decipher genomic test on your RP tissue" how does that work as I haven't had my Prostate for 3 years? Do they save it in a pickle jar? :-) In other words, where do they get the sample?
    Also, I would have to go back through my paperwork but I believe all of my lymph nodes in that area were removed. My last PSA is 0.11 so I have already hit the lower trigger point. If you can answer my above question then I can discuss your suggestion with my RO. I realize that the earlier I do something the better but I am thinking an additional 30 days before my final decision with another PSA test in a few weeks should not be too serious in regards to my cancer progression. What are your thoughts?
    Thanks, Al
    __________________
    7-1-2017 Biopsy. PSA 6.3 Cancer Left Apex 3+3=6 Tumor 1.5mm 5%
    Cancer Rt Base 4+3=7 Tumor 4mm(Aggregate) 25% Perineural Invasion: Not Identified.
    9-27-2017 Robotic Surgery.
    Pathology Report 10-2-2017 Gleason 7 (4-3)11 Lymph Nodes Negative/PT3A-PN0
    Positive Rt Posterior Margin Less than or = to 3mm. Urinary Bladder Neck Invasion/Not Identified. Seminal Vesicle Invasion/Not Identified. Tumor weight=48.6 Grams
    EPE Presnt Focal Right Posterior
    7 PSA tests every 3 months less than or = to .02
    PSA test 9-27-2019 .02
    PSA test 1-23-2020 .07
    PSA test 2-04 2020 .06
    PSA test 5-05-2020 .03

     
    Reply With Quote
    Old 01-13-2021, 11:18 AM   #9
    DjinTonic
    Veteran
    (male)
     
    Join Date: Dec 2019
    Location: NC
    Posts: 357
    DjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB UserDjinTonic HB User
    Re: Up-Date From Big Al

    Quote:
    Originally Posted by Bigalcalbisque View Post
    Djin, "Decipher genomic test on your RP tissue" how does that work as I haven't had my Prostate for 3 years? Do they save it in a pickle jar? :-) In other words, where do they get the sample?
    Also, I would have to go back through my paperwork but I believe all of my lymph nodes in that area were removed. My last PSA is 0.11 so I have already hit the lower trigger point. If you can answer my above question then I can discuss your suggestion with my RO. I realize that the earlier I do something the better but I am thinking an additional 30 days before my final decision with another PSA test in a few weeks should not be too serious in regards to my cancer progression. What are your thoughts?
    Thanks, Al
    The number of lymph nodes removed wil be in your path report. You signature says you were N0, which means all removed nodes were negative for tumor, which is good. Rest assure there are pelvis and iliac nodes remaining

    Yes, some of your removed prostate tissue was stored. You can discuss the Decipher test with your uro and look into insurance coverage. Your uro can request the test and have tissue sent to the company for testing if that's the plan.

    While you wait to see if your PSA is still rising, you could consult with a radiation oncologist. It's not to early to set up a plan, even if that plan changes.

    There are a number of factors a RO may consider to advise if and when RT is appropriate. It will be your final decision, of course, we here layman and each patient is different, and one plan doesn''t fit all.

    IMO the best place to seek a consult is at an institure with a prostate center of excellence; you can look up the names to find one near you. They have multidiciplinary teams, with uros, medical oncologists, and radiologists.

    Hope that helps,

    Djin
    __________________
    69 yr at Dx, BPH x 20 yr, 9 (!) neg. Bx, PCA3-
    7-05-13 TURP for BPH (90→30 g) path neg. for PCa, then 6-mo. checks
    6-06-17 Nodule on R + PSA rise on finasteride: 3.6→4.3
    6-28-17 Bx #10: 2/14 cores: G10 (5+5) 50% RB, G9 (4+5) 3% RLM
    Nodule negative for PCa. Bone scan, CTs, X-rays: neg.
    8-7-17 Open RP, negative frozen sections, Duke Regional Hosp.
    SM EPE BNI LVI SVI LNI(5L, 11R): negative, PNI+, nerves spared
    pT2c pN0 pMX, G9 (4+5) 5% of prostate (4.5x5x4 cm, 64 g)
    Dry; ED OK with sildenafil
    Decipher 0.37 (Low Risk), uPSA: 0.010 (3 mo.)...0.013 (2 yr. 10 mo.)

     
    Reply With Quote
    Old 01-13-2021, 01:46 PM   #10
    IADT3since2000
    Senior Veteran
    (male)
     
    Join Date: Nov 2007
    Location: Annandale, VA, USA
    Posts: 2,697
    IADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB User
    Re: Up-Date From Big Al

    Hi Big Al,

    You wrote in part:

    Quote:
    Originally Posted by Bigalcalbisque View Post
    My last PSA went from 0.04 to 0.11 post Prostatectomy. Consultation with Radiologist suggested Aximum Pet Scan....
    I'll echo an earlier comment that your PSA is probably still too low for the very sensitive PSMA PET/CT to detect in most cases (and it is better than Axumin at very low levels of PSA, kind of making Axumin also a doubtful call at present). I'm basing that on an answer by one of the nations leading prostate cancer MRI radiologists, Dr. Daniel Margolis, in answer to a question by Dr. Mark Moyad at the the 2020 Prostate Cancer Conference last September, sponsored by PCRI. PET/CT is not Dr. Margolis's bag, but it is in his general area of prostate cancer radiology, and I consider his answer trustworthy. Here is my own transcript:

    "MM Q: Lowest PSA to qualify for PET/CT?
    A: We are down to PSA of .2 now [meaning that's what you need to have a good shot at a meaningful result - Jim]. Part of the answer is what do you need it for. You are at risk for missing some things, say if the tumor is not highly active, that you would see at .5. But if you do see something at .2, you would probably want to treat it."

    That said, your doctor may be aware of more recent research or features of your case that would make a PSMA PET/CT scan worth a try now. On the other hand, I, as a layman, can see why an insurer would be reluctant to cover it unless the PSA is somewhat higher.

    Good luck,

    Jim
    - - - - - - - - - - - - - - - - - - - - - - - -
    21 years as a survivor. Doing well. Diagnosis Dec 1999 PSA 113.6 (first ever), age 56
    Gleason 4+3=7 (J. Epstein, JHU), all cores +, most 100%; "rock hard" prostate with ECE - stage 3, PNI, PSADT determined later 3-4 months; technetium bone scan and CT scan negative; prognosis 5 years.
    Later ProstaScint scan negative except for one suspicious small area in an unlikely location. ADT Lupron as first therapy, in Dec 1999, then + Casodex in March 2000, then + Proscar and Fosamax in Sep 2000. Rejected for surgery January 2000; offered radiation but told success odds were low; switched to ADT only vice radiation in May 2000, betting on holding the fort for improved technology; PSA gradual decline to <0.01 May 2002. Commenced intermittent ADT3 (IADT3) with first vacation from Lupron & Casodex. Negative advanced scans in 2011 (NaF18 PET/CT for bone) and 2012 (Feraheme USPIO for nodes and soft tissue). With improved technology, tried TomoTherapy RT, 39 sessions, in early 2013, plus ADT 3 in support for 18 months (fourth round of IADT3), ended April 2014. Continuing with Avodart as anti-recurrence shield. Current PSA remarkably low and stable at <0.01; apparently cured (Current PSA as of 12/2/2020). (Current T 93 12/2/2020.) Supportive diet/nutrition, exercise, supportive medications during this journey, as well as switches in antiandrogen, 5-ARI, and bone drugs. Barely noticeable side effects from radiation; continuing low T, likely do to long use of ADT, but good energy and adequate strength. I have a lot of School of Hard Knocks knowledge, and have followed research, which has made me an empowered and savvy patient, but I have had no enrolled medical education. What I experienced is not a guarantee for all but shows what is possible.

    Last edited by IADT3since2000; 01-13-2021 at 01:47 PM. Reason: Added my name right after posting.

     
    Reply With Quote
    Old 01-15-2021, 08:10 PM   #11
    Southsider170
    Senior Member
    (male)
     
    Join Date: Dec 2019
    Location: Pittsburgh PA USA
    Posts: 150
    Southsider170 HB UserSouthsider170 HB UserSouthsider170 HB User
    Re: Up-Date From Big Al

    Quote:
    Originally Posted by Bigalcalbisque View Post
    My last PSA went from 0.04 to 0.11 post Prostatectomy. Consultation with Radiologist suggested Aximum Pet Scan. My insurance has denied the authorization based on their statement that it is a relatively new procedure and has not received results that show it is any better statistically compared to a bone scan and pelvic MRI, my Radiologist is trying to overturn the denial on a "peer to peer" call to my insurance provider.
    My insurance will cover a bone scan and a pelvic MRI, Not sure what to do as I feel the time is of the essence.
    Any feedback would be appreciated.
    Thanks, Al

    These medical providers are usually pretty good at negotiating this kind of thing with new procedures with insurance companies. They can be more flexible in the amount of compensation they ask for, its a positive for the medical provider as it gives the procedure more of a record and makes it more the "standard of care".

    I think you will probably get this new pet scan.

    But the real question is what are you going to do with the results. I guess this is to determine whether salvage radiation needs to be attempted. But if the results of the pet scan are negative, are you going to be cool with it. If not, it might be a better idea to just go ahead with the radiation since your PSA is rising. The theory is that the sooner you get it, the better, and your statement "time is of the essence" shows a degree of anxiety here.

    Anxiety is no joke, but good luck on your continued struggle with this.

     
    Reply With Quote
    Old 01-16-2021, 08:03 AM   #12
    Prostatefree
    Veteran
    (male)
     
    Join Date: Dec 2019
    Posts: 316
    Prostatefree HB UserProstatefree HB UserProstatefree HB UserProstatefree HB UserProstatefree HB UserProstatefree HB User
    Re: Up-Date From Big Al

    PSA is still the number one tool we have. Ignore or manipulate it at your own peril.

     
    Reply With Quote
    Old 01-17-2021, 11:53 AM   #13
    Bigalcalbisque
    Junior Member
    (male)
     
    Join Date: Oct 2016
    Location: Trabuco Canyon CA USA
    Posts: 31
    Bigalcalbisque HB User
    Re: Up-Date From Big Al

    My plan: Have ordered another PSA.
    Wait for results.
    If it has gone up anymore then put a plan together with the Radiologist.
    Currently, the Radiologist is contacting my Insurance to overturn the Pet-Scan denial.
    I am waiting for a call from my Radiologist.
    If PSA has dropped, then not sure what to do and one way or the other will post everything back on the forum when I have further info.
    Thanks for all the great feedback!!!!!!!
    Al
    __________________
    7-1-2017 Biopsy. PSA 6.3 Cancer Left Apex 3+3=6 Tumor 1.5mm 5%
    Cancer Rt Base 4+3=7 Tumor 4mm(Aggregate) 25% Perineural Invasion: Not Identified.
    9-27-2017 Robotic Surgery.
    Pathology Report 10-2-2017 Gleason 7 (4-3)11 Lymph Nodes Negative/PT3A-PN0
    Positive Rt Posterior Margin Less than or = to 3mm. Urinary Bladder Neck Invasion/Not Identified. Seminal Vesicle Invasion/Not Identified. Tumor weight=48.6 Grams
    EPE Presnt Focal Right Posterior
    7 PSA tests every 3 months less than or = to .02
    PSA test 9-27-2019 .02
    PSA test 1-23-2020 .07
    PSA test 2-04 2020 .06
    PSA test 5-05-2020 .03

     
    Reply With Quote
    Reply Reply




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 12:22 PM.





    © 2021 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!