This post is about my father. He is 60 Years old.
Date: April 2019Blood work:Total PSA: 11,88 ng/mLFree PSA: 1,73ng/mLFree/Total PSA Ratio: 15%
MRI findings:Prostate Gland size: 47x28x40 mm, Prostate Weight: 20 grams, Prostate Capsule is intact.Showed a dia. 12 mm sized PI-RADS 4 in the bottom-rightShowed a dia. 17 mm sized PI-RADS 4 in the mid-left
Biopsy MR-TRUS: 14 samplesPathology Report Findings:Gleason Score: 4+5=9 out of 10 (where Pattern 5 is consisting 10% of the samples and Pattern 4 is 80%)Periprostatic fat tissue invasion: Not presentSeminal Vesicle invasion: Not presentLympo-vascular invasion: Not presentPerineural invasion: Not present
Date: May 2019PSMA Ga-68 PET/BT Scan:PET Scan has seen a 1 mm lymph node on the backbone but It doesn't seem to be related with the cancer according to the doc, he says only a small possibility. So the report is considered "no metastasis with some suspicion" at the moment.
In the end, our doctor thinks that It is best to remove the prostate ASAP along with "the lymph area with 1 mm lymph node" to confirm with the pathology report that there is no metastasis outside the prostate.
Date: June 2019Robotic Radical Prostatectomy: RP was performed with 12 lymph node dissection
Pathology Report Findings: Gleason Score 9 (4+5), Grade 5/5, Pattern 4 Ratio : 95%,Tumor Type: Prostatic Adenocarcinoma, Tumor Volume: 4,5 cm3, Tumor Ratio: 14%Positive Surgical Margin : Not PresentCancer Spread Outside of Prostate : Not presentBladder Neck Invasion : Not presentVascular Invasion : Not PresentSeminal vesicle involvement : Not presentLymphovascular Invasion : Not presentPerineural Invasion : PresentLymph Nodes Metastasis : None out of the 12Grading: pT2, N0
PSMA Ga-68 PET/BT Scan: The scan only caught a 1 mm size lymph node (as hot spot) near prostate area without any metastasis.
Date: May 2020
Considering my dad had by-pass heart surgery with a very strong family history of coronary heart disease; they decided to start radiotherapy without hormone treatment due to potential coronary side effects.
Date: June 2020
Salvage Radiotherapy: 36 sessions completed via IMRT. Total 66 gray : 45 gray to the pelvic lymph nodes + prostate-bed and later an additional 21 gray to the tumour area.
Date: September 2020
First PSA reading after radiotherapy PSA: 0,034 ng/mL
That's excellent news WIH, a good result,, now all it has to do is stay there or go lower.
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