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update after urologist visit

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Posted 8/28/2012 7:14 PM (GMT 0)
Husband's biopsy now scheduled for this Thursday.  Doctor said possibility of cancer is high (better than 70%).  Prostate felt 'hard'  or 'firm'.  Not enlarged as far as he could tell.  Doing some urine tests.  Will order bone scan and CT scan after getting biosyp results (insurance requires the wait). 

I found a site than calculates the doubling time and velocity for PSA scores.  I put in his score from the bloodwork on Aug. 10 (73.76) and Aug. 20 (81).  Doubling time is 2.34 months or 0.2 years.  Velocity is 22.04 ng/ml/month  or 264.44 ng/ml/year.

These see even higher than just looking at the PSA.  And see to indicate more aggressive. 

Anyone know anything more about this type of info?  Doctor didn't say alot- wants to wait on biopsy and Gleason scores and scan results. 

Thanks to all for the previous responses and comfort! 

 

Posted 8/28/2012 7:53 PM (GMT 0)
Glad to hear you've got the biopsy scheduled. That will give you all the information you need.

I can understand the doctor wanting to wait for the biopsy report. The doubling time is just one of a number of factors to consider. The scans are good to get but they don't always show anything.

It is hard to wait for info when what you really want to do is start treatment and "beat" this thing. It's the waiting part that I find the hardest to deal with. Your husband could very well have something aggressive that will need aggressive treatment but that is all speculation until all the tests are in. The scans might not show anything and not all of us get those - the insurance rules are annoying but there is always away to get around those rules.

Hang in there.

All the best,
Andrew
Posted 8/28/2012 9:41 PM (GMT 0)
Remember that right now, the indicators are telling the doctor to do a biopsy, not that cancer is present. Let the evidence present itself. You really can't do anything other than deal with things you can manage for now.
Posted 8/28/2012 10:03 PM (GMT 0)
When I got my biopsy results (GS 7 - 4 3) my urologist told me to get a copy of Prostate & Cancer by Sheldon Marks, MD, read it cover to cover and come back in three weeks to discuss the best treatment options for me. Marks does not promote any particular treatment option but rather provides clear, easy to understand explanation of each type treatment including the upside and downside to each. I came back in three weeks with two pages of questions and left with certainty about the treatment that was best for me.
Posted 8/28/2012 10:59 PM (GMT 0)
I have been through this and all you can do is say a Prayer and hope for the best. We thought things were going to be great but in hind site i think we should have done more. Just do your homework on Gleason scores and PSAs. I agree you need to know the up and down side but the doctors aren't always clear. I'm not sure if that is intentional. We need a site for women to vent! lol Hugs
Posted 8/29/2012 12:34 AM (GMT 0)
Tomdi said 'we newd a womens forum to post to"

Well, ta-da! Go here and check these ladies out:

www.ladies-prostate-forum.org/ladies/

Several of the other ladies here have used this forum.
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