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JWPMP 05-13-2022 07:36 PM

Post Brachytherapy PSA
 
Wanted to post an update.
I'm thinking this is quite good news. Jim had HDR Brachytherapy last October. Unable to do pelvic radiation nor any lymph nodes nor his suspicious bone spot. He is considered Oligometastatic. Despite limited RT, after six months of PSA <0.04, this month he is down to <0.02. He of course still on his 3 month Lupron, 1000mg Zytiga and 5mg prednisone. Don't know if a 0.02 drop is meaningless, but it feels good mentally. Thank you again for listening.

64 years of age at DX No symptoms of any kind. Routine visit for gout meds refill with new PCP.
7/14/2020 First ever PSA 53.5
9/2020 PSA 66.3
12/2020 (no treatment started) PSA 51.3
3/2021 3.4 First post treatment test
4/2021 0.8
5/2021 0.3
7/2021. 0.1
8/2021 <0.1
10/2021 0.04
1/2022 <0.04
3/2022 <0.04
4/2022 <0.04
5/2022 <0.02
9/2020 MRI UCSF T4 Tumor. 8x8cm. Entire prostate. Two suspicious nodes. Seminal Vesicle Invasion Beginning Anterior Rectal wall invasion
10/2020. Biopsy UCSF G9 (5+4) Only 5 samples taken Dr Carroll says not a candidate for surgery.
11/2020. Bone Scan UCSF No evidence or suspicion of Bone metastases
12/2020 CT Scan Modesto Radiology "CT Scan Looks Good"
12/09/2020 Casodex (discontinued end of January 2021)
1/11/2021 4 Month Lupron Injection (Has since gone to 3 month) 3/09/2021 Abiraterone 1000mg Daily 5/2021 PSMA Scan Single suspicious spot on bone. Several extra pelvic nodes. Considered Oligometastatic. 10/2021 HDR Brachytherapy to Prostate


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