Treatment decisions based on clinical staging and psa

Search  Users  Rules 
Close
Login:
Password:
Forgot your password?
Register
Login
 
Register
Pages: 1
RSS
Treatment decisions based on clinical staging and psa, clinical vs pathological staging
I was adamant about Watchful Waiting as my Clinical Stage (biopsy) T1c Gleason of 3+3 6 one core out of 13 samples taken at biopsy 18%ca My PSA went from 2.6 10/06 to 8.77 10/07 ---(the rise in PSA was an indicator that the cancer was more widespread)I was sure I had an insignificant indolent tumor and felt Robotic Radical Prostatectomy was overkill!!But decided on surgery. Dr Samadi performed my Surgery on 2/6/08 and my Pathology Stage reflects what was truly going on!!
My Gleason is now a 3+4 7
Tumor was bilateral( both sides) Stage T2c and there was cancer cells on 70% of the slides through out the prostate gland. There were clear surgical margins, ca organ confined and no seminal vesicle involvement. But the 70% ca cells on the sides is extensive and it just shows that at clinical stage (biopsy) cancer can appear to be insignificant when in actuality it is excessive. Glad I made the right decision. BCH
BCH

This is a very good point. The message is that we really dont know what kind or the volume of the cancer in your prostate until it is removed.
in 30 percent of the patient as you see in your case, the grade of the cancer is upgraded, meaning that before surgery you may have Gleason 6(3+3) and after surgery they can bump it up to Gleason 7 (3+4)
and a totally different volume.
Reason being that the biopsy is only a random sampling of your prostate and it is very much dependent on the technique of your urologist.
So it is important that if you choose watchful waiting not to loose the sight of your PSA and DRE's and if there are any changes to look into it more carefully.
The new term for this should be "active Surveillance" as opposed to watchful waiting.
Glad you are doing so well.
Pages: 1
Users browsing this topic (1 guests, 0 registered, 0 hidden)

Call to Make an Appointment With Dr. David Samadi:

1-212-365-5000

Click the contact link to learn how Dr. Samadi can help treat your prostate cancer and give you back your quality of life.

* The benefits of robotic surgery cannot be guaranteed as surgery is both patient and procedure specific. Previous surgical results do not guarantee future outcomes.
Testimonials
J. N. Fauta, MA, USA

My wife and I did extensive research and the name of Dr. David Samadi kept coming up as pioneer and leader in the field of robotic surgery. Dr. Samadi was everything that I had read and more, he was personable, compassionate and above all extremely professional.

more..
Anthony R,

The day that I discovered I had prostate cancer I thought that my life was over. I thought I'd wouldn't live to see my grandchildren grow up or grow old with my wife. Then I met Doctor David Samadi...

more..
Stephen, B

I want to take a moment to thank you and your wonderful medical team for my successful surgery. In October of 2011 I was diagnosed with prostate cancer, and I immediately did a lot of research into my plan for treatment...

more..
MvR, Netherlands

Na de schok van de kanker diagnose, was de volgende stap om de beste doctor te vinden om de prostaat te verwijderen. Ik kwam bij Dr Samadi terecht en die ving me goed op met ondersteuning van uiterst bekwame en zorgzame leden van zijn ploeg. De operatie zelf is kennelijk geheel volgens plan verlopen en de uitkomst is...

more..