My History of Prostate Cancer.
A long time ago, in a pelvis far, far away:
Age 38
8 Dec 2000
bothered by frequent urination, went to primary care phys.
PSA 4.5
PCP said prostate was boggy
referred to Urologist
Biopsy Ordered
Jan 2001
Biopsy: negative for cancer, findings consistent with prostatitis
Age 39
16 Jul 2001
PSA 4.1
20 March 2002
PSA 6.1
START Cipro 500mg daily for 3 wks, Motrin 800 mg daily
Age 40
30 May 2002
PSA 5.7
Free PSA 11.9%
CONTINUE Motrin
Urologist believes probably prostatitis
30 Sep 2002
PSA 7.3
Free PSA 11.3%
START Avodart
STOP Motrin
ORDER Biopsy
November 2002
Biopsy: negative for cancer, but PIN III found
31 Jan 2003
PSA 2.2
Stop Avodart
Age 41
03 Sep 2003
PSA 4.9
Restart Avodart
23 Jan 2004
PSA 2.2
Continue Avodart
Age 42
24 July 2004
PSA 2.5
Continue Avodart
26 Jan 2005
PSA 3.3
Continue Avodart
29 Apr 2005
PSA 2.9
Continue Avodart
Age 43
11 Jan 2006
PSA 4.8 (on Avodart)
Abnormal DRE
Biopsy ordered
7 Feb 2006
Biopsy finds cancer
PIN also found
No perineural invasion
Gleason 3+4
20% on right
5% on left
Age 44
14 April 2006
SURGERY
Robotic prostatectomy
Positive margin at apex and left lobe
No perineural invasion identified
Extension into capsule, but not through
Gleason 3+4
70% of gland involved
stage t2c NX MX
16 May 2006
PSA less than 0.1
15 Aug 2006
PSA 0.2
14 Dec 2006
PSA 0.6
REFERRED FOR RADIATION
Day before radiation commenced, PSA = 0.7
Radiation Jan-Mar 2007. PSA quickly fell to less than 0.1 and remains there as of early 2013, now age 51.
No side effects from radiation at this point.
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