Rick
Ferrell and Sheila live in Texas, USA. He was 58 when he was diagnosed on July
30, 2009. His initial PSA was 7.3 ng/ml, his Gleason Score was 2+3=5 and although
he does not know his staging, it seems likely he was staged T1c. His choice of
treatment was Da Vinci Robotic surgery. Here is his story.
Needle biopsy
July 30, 2009. Right Prostate Biopsy: Benign tissue showing Adenomatous Hypertrophy.
Left Prostate Biopsy: Prostatic Adenocarcinoma, Gleason score 5, involving 25%.
Also numerous areas of high grade PIN and a focus of perineural invasion.
September
30, 2009 Da Vinci Procedure, Austin, Texas.
October 2, 2009. Post Biopsy
Report: Histologic Type: Prostatic adenocarcinoma. Histologic Grade: Gleason grade
3+4=7.
Laterality: Bilateral, involving 35% of left and less than 5% of right.
Margins:
Focal involvement of peripheral surgical margin measuring 3mm in greatest dimension.
Extraprostatic
Extension: Focally present
Seminal Vesicle Invasion: Not identified
Perineural
Invasion: Present
Angiolymphatic Invasion: Not identified
Lymph Nodes:
Not identified Stage
(AJCC, 2002): pT3a, NX, MX
December 1, 2009 Follow
up PSA 0.15
December 15, 2009 PSA 0.12 Doctor suggested radiation
December
28, 2009 Met with radiation oncologist, did ultra sensitive PSA 0.13. Suggested
PET/CT scan. Results, clear.
February 11, 2010 To be in Loma Linda for
consult followed by Proton salvage treatment.
Rick's e-mail address is:
orickster@centex.net
