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Greg's story (our first to use the new 'My story' form)

Greg Bilson

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Month and year of diagnosis. Example: June 2009
August 2010

Age at diagnosis. Example 61 years
59 years

PSA at diagnosis. Example: 7.7

Gleason score at diagnosis. (from biopsy) Examples: 7 OR 3+4

Bone scan result at diagnosis. Examples: Clear OR Meta stases in pelvis and lower spine

Lymph nodes at diagnosis. Examples: Clear OR CT scan shows 2 lymph nodes positive

Capsular penetration (growth through prostate wall). Examples: None OR MRI shows probable extra capsular extension at left base in midline surrounding seminal vesicles and ejaculatory ducts
None shown on MRI

Highest PSA before treatment. Example: 10.4

Initial treatment - surgery. Examples: Robotic prostatectomy OR open prostatectomy
Robotic prostatectomy. Cancer outside prostate seminal vesicles etc removed

Lowest PSA after initial treatment. Example: 0.2

Bone scan result at recurrence. Examples: Clear OR Metastases in pelvis and lower spine

Other scan result at recurrence. Examples: CT scan clear OR Pelvic MRI with IV contrast shows recurrence in prostate bed

Recurrence treatment - radiation. Example: External beam to prostate bed OR External beam to 2 bone metastases
External beam radiation to prostate bed from Dec 2010 to Jan 2011.
34 treatments. PSA after treatment remained at 0.04

Current treatment status. Example: PSA under control OR PSA growing slowly
PSA growing slowly. Latest PSA in July 2012 was 0.11. Next PSA 8 Oct 2012. PSA on 8 Oct 0.19. PSA on 14 Jan 2013 was 0.29. Not having any treatment at this stage. PSA on 15 May13 was0.67. Have started hormone treatment. Zoladex injection 3 monthly for 6 months then none for 6 months PSA on Feb 2014 was .05. PSA in June 2014 .1 and PSA 1n Oct 2014 was .17. Have not had Zoladex since Aug 2013, doc says next PSA will start to rise more quickly. Oct 2016 PSA 1.3 on Eligard for 6 months. PSA Jan 2018 .55 back on Zoladex next visit 1Aug.

Final paragraphs - anything else you wish to say
Doctors last report was micrometastatic disease with the probability of commencing hormone treatment in the next 6 to 12 months.

Date updated. Example 23 September 2012
16 May 2013

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  • 2 weeks later...


Your operation showed your cancer was out of your prostate - our definition of advanced prostate cancer.

As a high risk man before your operation looking for information you would also have been welcome.

Just as there are several accepted definitions of "advanced prostate cancer", there are several definitions of "recurrent prostate cancer".

Two common ones are:

Following radical prostatectomy, PSA values > 0.4 ng/mL represent recurrent cancer.

Following RP, PSA values > 0.2 ng/mL confirmed by two consecutive measures represent recurrent cancer.

It seems to me (Remember: I am not a doctor.) you cannot be said to have recurrent prostate cancer.

You reported your PSA scores as:

PSA 0.04 Jul 2011

PSA 0.05 Sep 2011

PSA 0.07 Feb 2012

PSA 0.11 Jul 2012

The PSA figures you give seem to suggest a doubling time of around 10 months, so I suppose your doctor will monitor you closely.


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