Paddy's prostate cancer story

[Patrick W]

I'm currently 61 years old, over-weight, and with chronic pain and fatigue. In 2008 I was diagnosed with Gleason Score of 4+5=9, advanced aggressive prostate cancer with lymph node involvement. Since then I've been on LUCRIN PDS 3 monthly (intermittent ADT. In September 2012 COSUDEX was added to the treatment as Combined Androgen Blockade as my PSA had plateaued at about 0.6.

 

I'm currently 67 years old, diagnosed in 2008 with Gleason 4+5=9, advanced prostate cancer.  I had a open radical surgery (2008) chemotherapy (2014-15 and 2015), radiation (2016), stereotatic radiation (2018 - 1 x spinal lesion), and Zytiga (2016-2018).  I've been on hormone therapy since 2008.  I became castrate resistant in 2012.  Currently my Gleason is 5+5=10.  Metatases to lymph nodes and spine.  I've failed Zytiga but am still on it as there is nothing else to go on.  Initially the Zyiga did not work with prednisone so I was changed to dexamethsone, which worked.  I'm now changed back to prednisone to see if I could be effeciveness from the Zytiga.  I have applied to be on the Galahad Clinical Trial for Niraparib through Peter MacCallum Cancer Centre.

 

Month and year of diagnosis. Example: June 2009

April 2008

Age at diagnosis. Example 61 years

57 years

PSA at diagnosis. Example: 7.7

7.3

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

4+5=9

Biopsy details. Examples: Positive cores 7/12 (58%) OR (R: 4+5 75%, 4+5 75%, 4+5 95%, 4+3 20%, 3+4 15% L: -, -, -, -, -, 3+4 50%)

Not known

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

Metastases to lymph nodes and in the pelvic region.

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

1 lymph node positive

Highest PSA before treatment. Example: 10.4

7.3

Initial treatment - surgery. Examples: Robotic prostatectomy OR ope n prostatectomy

Surgery - Radical prostatectomy (open)

Initial treatment - hormone therapy. Examples: Zoladex, continuous OR Zoladex + Cosudex intermittent after initial 12 months

Androcur after radical prostatectomy for 3 months, then Lucrin PDS 3 monthly intermittent.

Lowest PSA after initial treatment. Example: 0.2

.07

Testosterone after treatment. Examples: 6 nmol/L after 6 months, 15 nmol/L after 18 months

<1 nmol

Current treatment status. Examples: Continuing ADT OR Monitoring PSA each 6 weeks

I have applied to be on the Galahad Clinical Trial for Niraparib through Peter MacCallum Cancer Centre.

Date updated. Example 23 September 2012

26th October 2012, 1st April 2018