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User
Posted 02 Nov 2018 at 13:52

Hi,

So only test so far has been PSA re done and MRI of pelvis.

 

Specialist nurse just called to advise PSA has gone from 130 to 167 in a week and a half and that they're are localised lymph nodes so will have to do CT scan to see if there are any further afield.

They want to start hormone therapy when we go in for biopsy which will be in a couple of weeks.

😥

User
Posted 02 Nov 2018 at 16:32
Hi Gemma

I personally think it's a long time.

I had to wait about hat long from when I was diagnosed but that was because it was over Christmas in 2014.

In that period my psa went up from 199 to 235.

As soon as I started HT it dropped to 35 and continued dropping.

It's been .05/.06 for near4 years.

It's always a pain waiting for the first (or any) results

Paul

User
Posted 02 Nov 2018 at 15:04
Hi Gemma,

Sorry to read about the PSA increase, but I’m sure that will drop dramatically once the hormone therapy is commenced.

Might I suggest that you continue to add to your original thread, rather than start a new one for each event and occurrence?

Not trying to be bossy, but that would help everyone here to follow your progress in one place, rather than three or four.

I do hope you have some good news post-biopsy, and get to hear the magic words ‘with curative intent’ soon!

Did you ever say how old your husband is?

Best wishes, John.

User
Posted 02 Nov 2018 at 18:40
Gemma, don’t forget I also told you about my 87 year old friend who has no symptoms but had a PSA of 300+ and has been on HT for four years yet he only mentioned he had PCa when I told him that I had it.

Don’t waste your time and money thinking about any private biopsy, and as has been mentioned here many times before, most prostate cancers are slow-growing over many years, weeks here or there are most likely of no consequence in the end, which is why your man has not been fast-tracked in an ambulance to the pointy end of a ray gun!

Wait for the biopsy results please. Best of luck once again.

Cheers, John.

User
Posted 02 Nov 2018 at 19:09
Gemma, the rise in PSA is not directly indicative of what is happening inside. The cancer isn't going to move or change in the space of 2 or 3 weeks. It is really important that they get the biopsy material before the hormones are started ... it is so much more than just knowing a score.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 03 Nov 2018 at 13:10

Hi Gemma,

As I said before, “calm down dear”. If you want to really worry check out the mortality rates for lung, pancreatic and liver cancers, and PCa is not one of them.

PCa is not a walk in the park by any means, and can be fatal, as can crossing the road, but I really hope you can relax to some extent until all his test results come through.

Then you can plan the way forward with some kind of road map, whereas now you are just going round in circles.

Easy for me to say, of course, as once I was diagnosed I researched the disease intensively and realised the health implications of PCa. If I had one of the above cancers I would be s******g myself! (Possibly also a side effect of surgery and radiotherapy for PCa).

Remember these watchwords: ‘slow growing’ and ‘with curative intent’. Let’s hope that’s what you hear sometime before Christmas.

Cheers, John.

Edited by member 03 Nov 2018 at 13:34  | Reason: Not specified

User
Posted 03 Nov 2018 at 16:31
Your other half has a serious PSA and you are right to be worried. Despite what my mate Bollinge has said I think you are right to get a bit up tight. Chase the consultants secretary and find out what the hold up is and if it's worth getting some of the tests done privately if you can afford it.
User
Posted 07 Nov 2018 at 13:59
Gemma, lymph node involvement is not the greatest news, but by any means not the worst.

On biopsy, two out of fourteen lymph nodes I had removed were cancerous. I have undetectable PSA currently and no biochemical recurrence, and one oncologist told me I am cured, and another one told me it won’t kill me if even if it recurs.

So I am just carrying on as normal, and have never felt so well.

I do hope you get his results soon Gemma, and a treatment programme in train, and then hopefully you won’t need to worry so much.

Best wishes, John.

User
Posted 18 Nov 2018 at 11:14
Bone scan clear is ALWAYS a good result it means he is still on track for treatment that could give a durable remission.

I beleive high PSA producing tumours are generally better behaved than low producing ones.

The biopsy and CT / MRI scan are key results now.

This period is probably the toughest time for you it will get better when you know what is going on.

User
Posted 18 Nov 2018 at 12:07

Thanks Steve.

And to you too 

User
Posted 18 Nov 2018 at 12:23

Originally Posted by: Online Community Member

Just got back from 24 hours in hospital. My husband developed sepsis from prodtpro biopsy which was very scary as he was shaking violently. Has now had antibiotics and feeling better.

”The TRUS biopsy is as bad as we thought it was” - the number one specialist prostate cancer consultant oncologist at Britain’s number one cancer hospital, The Royal Marsden.

“The investigators found the transperineal (biopsy) approach to be protective. Compared with transperineal biopsy, transrectal biopsy was associated with nearly 3.5 times increased odds of infection” - Renal and Urology News.

Hope you get the biopsy results soon, Gemma and that they are nowhere as bad as you fear. Then you can begin to kill the bugger.

PS What is prodtpro?

Cheers, John.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5413992/

Edited by member 18 Nov 2018 at 12:30  | Reason: Not specified

User
Posted 18 Nov 2018 at 14:32

Originally Posted by: Online Community Member

Thank you so much

I'm so scared that if it's not in the bones its in the lungs or liver. It's been such a long wait and I'm not sure if I want the results as there is at least some hope now and my husband seems blissfully unaware

I love him so much, he's always been my rock so finding it very distressing. We were so happy 

Hello,

I have some appreciation of how distressed you feel.

Husband is now 7 weeks post op and he had complications so catheter only removed two days ago! His prostate and 28 lymph nodes were removed with 1 being found as cancerous. He was T3 with a Gleason score of 3+4 changing to 4+3 after op. 

My husband is my rock too and it’s devastating to see him suffer. Some days it feels unreal and I’m not sure this is actually happening to us!

My understanding is that we have to find our new “normal”; over the next 5 years we will always be waiting for the next blood result to see if the PSA is rising and the cancer is spreading hence we will always be waiting on something and have this uncertainty.

For us it is a very slow process to find this new “normal” and it very much seems that every week we take two steps forward and one step back.

I have only posted here a couple of times and don’t visit much either but I am having a terrible day today and reading the questions on the forum helps me get some perspective.

I just wanted you to know that although it has shattered the very foundations of our life that the days do pass and over time we are slowly finding ways to get through this. For us the adjustment is taking time and it’s, as I said above, a slow process.

Best wishes to you and your husband. 

User
Posted 18 Nov 2018 at 14:36

Originally Posted by: Online Community Member

Originally Posted by: Online Community Member

Thank you so much

I'm so scared that if it's not in the bones its in the lungs or liver. It's been such a long wait and I'm not sure if I want the results as there is at least some hope now and my husband seems blissfully unaware

I love him so much, he's always been my rock so finding it very distressing. We were so happy 

Hello,

I have some appreciation of how distressed you feel.

Husband is now 7 weeks post op and he had complications so catheter only removed two days ago! His prostate and 28 lymph nodes were removed with 1 being found as cancerous. He was T3 with a Gleason score of 3+4 changing to 4+3 after op. 

My husband is my rock too and it’s devastating to see him suffer. Some days it feels unreal and I’m not sure this is actually happening to us!

My understanding is that we have to find our new “normal”; over the next 5 years we will always be waiting for the next blood result to see if the PSA is rising and the cancer is spreading hence we will always be waiting on something and have this uncertainty.

For us it is a very slow process to find this new “normal” and it very much seems that every week we take two steps forward and one step back.

I have only posted here a couple of times and don’t visit much either but I am having a terrible day today and reading the questions on the forum helps me get some perspective.

I just wanted you to know that although it has shattered the very foundations of our life that the days do pass and over time we are slowly finding ways to get through this. For us the adjustment is taking time and it’s, as I said above, a slow process. It may be the same for you too.

Best wishes to you and your husband. 

User
Posted 18 Nov 2018 at 19:41

Rooting for you, hang on in there

User
Posted 22 Nov 2018 at 19:19

Maybe not 'good' but it could be worse if it had spread to the bones or another organ.  

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User
Posted 02 Nov 2018 at 15:04
Hi Gemma,

Sorry to read about the PSA increase, but I’m sure that will drop dramatically once the hormone therapy is commenced.

Might I suggest that you continue to add to your original thread, rather than start a new one for each event and occurrence?

Not trying to be bossy, but that would help everyone here to follow your progress in one place, rather than three or four.

I do hope you have some good news post-biopsy, and get to hear the magic words ‘with curative intent’ soon!

Did you ever say how old your husband is?

Best wishes, John.

User
Posted 02 Nov 2018 at 15:06

Thanks John.

Yes I will continue on this one post. I just wasn't sure if it would be flagged.

Do you think waiting 2-3 weeks for a biopsy, bone scan and to start hormone therapy is a long wait? 

User
Posted 02 Nov 2018 at 16:32
Hi Gemma

I personally think it's a long time.

I had to wait about hat long from when I was diagnosed but that was because it was over Christmas in 2014.

In that period my psa went up from 199 to 235.

As soon as I started HT it dropped to 35 and continued dropping.

It's been .05/.06 for near4 years.

It's always a pain waiting for the first (or any) results

Paul

User
Posted 02 Nov 2018 at 16:39

Thanks Healey 

I just called the specialist nurse back who advised that they can't start HT until they have done the biopsy as that will effect the figures they might need for trials, etc

I told her I was worried about PSA going up in that time and she did go and check but first appointment is the 15th November!

Has anyone had a biopsy done privately?

Otherwise she said there are several small lymph nodes within the prostate fat so hopefully they're chilling there.

Will hopefully have bone scan and CT before biopsy

4 year's is amazing on HT, long may it continue

User
Posted 02 Nov 2018 at 18:18
Would anyone insist given the PSA rise that they start HT before biopsy?

They know it's PC and I'm sure they can tell which type it will is still. Maybe effects grading but not sure that's worth putting it off for a further two weeks

User
Posted 02 Nov 2018 at 18:40
Gemma, don’t forget I also told you about my 87 year old friend who has no symptoms but had a PSA of 300+ and has been on HT for four years yet he only mentioned he had PCa when I told him that I had it.

Don’t waste your time and money thinking about any private biopsy, and as has been mentioned here many times before, most prostate cancers are slow-growing over many years, weeks here or there are most likely of no consequence in the end, which is why your man has not been fast-tracked in an ambulance to the pointy end of a ray gun!

Wait for the biopsy results please. Best of luck once again.

Cheers, John.

User
Posted 02 Nov 2018 at 19:09
Gemma, the rise in PSA is not directly indicative of what is happening inside. The cancer isn't going to move or change in the space of 2 or 3 weeks. It is really important that they get the biopsy material before the hormones are started ... it is so much more than just knowing a score.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 03 Nov 2018 at 12:14

Hi,

WeveW just an letter through the post to advise that the bone scan will be the 27th November!!!

Is this normal? Seems an extortionate amount of time being over a month since referral and then have to wait for result's. This whole thing is looking like it will be about 2 months from referral to results 

User
Posted 03 Nov 2018 at 13:10

Hi Gemma,

As I said before, “calm down dear”. If you want to really worry check out the mortality rates for lung, pancreatic and liver cancers, and PCa is not one of them.

PCa is not a walk in the park by any means, and can be fatal, as can crossing the road, but I really hope you can relax to some extent until all his test results come through.

Then you can plan the way forward with some kind of road map, whereas now you are just going round in circles.

Easy for me to say, of course, as once I was diagnosed I researched the disease intensively and realised the health implications of PCa. If I had one of the above cancers I would be s******g myself! (Possibly also a side effect of surgery and radiotherapy for PCa).

Remember these watchwords: ‘slow growing’ and ‘with curative intent’. Let’s hope that’s what you hear sometime before Christmas.

Cheers, John.

Edited by member 03 Nov 2018 at 13:34  | Reason: Not specified

User
Posted 03 Nov 2018 at 15:02
One of the frustrations being diagnosed and treated within the NHS is that in so many cases there is an inordinate wait for tests, results and diagnosis and then treatment and sometimes followups . I think it likely that because PCa is usually slow to develop, other cancers are given more priority. It's no consolation to us and there are instances where men have had excessive times compared to others - the post code lottery mainly.
Barry
User
Posted 03 Nov 2018 at 16:31
Your other half has a serious PSA and you are right to be worried. Despite what my mate Bollinge has said I think you are right to get a bit up tight. Chase the consultants secretary and find out what the hold up is and if it's worth getting some of the tests done privately if you can afford it.
User
Posted 03 Nov 2018 at 17:37

Thanks.

I just don't understand their plan, it is now well known that HT treatment is more effective when combined with chemo early on so if they start HT on the 15th November it's going to be at least another month after that before we have bone scan results so the treatments aren't running together

I'll call the specialist nurse on Monday

User
Posted 03 Nov 2018 at 21:47

Hi Gemma,  it would be helpful if you put the dates in your profile.  It looks like you have the biopsy and start hormones around 15th Nov.  Then have a bone scan on 27th.  It seems odd to have a bone scan after starting hormones as it could give a false result.  Things may be different now but my scans were within 4 days of the biopsy result.  Although they have theoretically 31 days to diagnose you which could influence dates also if they're starting hormones they can say treatment has started which removes the time limit.  Diagnosis is always a worrying time, we are almost exactly 2 years ahead of you.  Best wishes

User
Posted 03 Nov 2018 at 22:14
If the biopsy is going to be in the next couple weeks and they are starting him on hormones at that appointment, having a bone scan the week after doesn't seem a long delay. I would be more concerned that you are not kept waiting more than a couple of weeks for the biopsy and hormones!
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 04 Nov 2018 at 09:04

Yes Lyn, it's nearer 2 weeks but I was wondering whether there was any comment about whether it's good practice to have a bone scan after you've started hormones.

User
Posted 04 Nov 2018 at 12:07
Hormones reduce tumour burden so would make it harder to find on a scan.
User
Posted 04 Nov 2018 at 14:45
The main issue is that the hormones can completely kcuf up the biopsy results by changing the make up of the individual cells. Any bone tumours are unlikely to reduce in a week or even a month and even if they did, a bone scan picks up bone growth activity rather than tumours which is why a bone scan can't always detect whether the activity is mets or repair from some injury. So a few days of hormones won't affect the scan results.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 07 Nov 2018 at 08:07
Hi,

Just wondering I know the most common place for spread is the bone but I'm worried that with local lymph nodes involved it could be in distant lymph nodes and or organ's.

Is the prognosis worse for this?

User
Posted 07 Nov 2018 at 11:24

Hi Gemma,

I’m not sure of the answer about the lymph nodes, I’m sure someone will be along soon to answer your question.

I just wanted to agree with you about the length of time we spend waiting. My husband had his biopsy 21 days ago, I’ve been ringing the secretary daily to see if we can bring his appointment forward as I thought the 14/11 is a long time to wai, however the secretary keeps telling me the histology isn’t back yet! I’m now worried it won’t be back in time for the original appointment. I’m wondering if this is an acceptable time to wait, bearing in mind his MRI suggested T3aN0M0. The worry is absolutely immense as you probably know.

 

 
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