2005 to 2008 PSA rose from 1.39 ( Apr. 8) to 3.97 ( Sept. 4 )
2008 Diagnosed with PCa. Two cores positive, Gleason 4+3
2009 Completed PBRT at UFPTI on March 11 PSA dropped to .8. UFPTI reviewed my biopsy slide and agreed with Gleason 4+3 determination
2012 PSA rose from .8 to 2.59 from May to Oct.; Dr. Kwon of Mayo Clinic identified a small cancerous lesion in prostate by Choline Scan. Mayo Clinic reviewed my biopsy slide and determined my Gleason to be 4+4
2013 Began Hormone Lite as prescribed by Dr. Charles Myers; see below:
I. Prescription Drugs
A. Metformin 500 MG 2 daily. Anti-cancer
B. Avodart .5 MG 3 a week. Anti-cancer
C. Casodex 50 MG 3 weekly. Anti-cancer
D. Zocor 10 MG 1 daily. Anti-cancer
E. Losartan 50 MG 1 daily. Blood pressure.
A. Pomegranate 1 daily 10 MG. Anti-cancer
B. Vitamin B12 1000mcg
C. Vitamin D3 5000 IU 2 daily. Restore deficiency
D. Super Bio-Curcumin 400 MG 1 daily. Anti-inflammatory
E. Optmized Resveratol 250 MG 1 daily. Anti-inflammatory
III. Mediterranean Diet
I.PSAs rose from .077 in Jan. to .18 in Aug. Dr. Myers increased my Casodex from three times weekly to a daily dosage. PSAs returned to their former lower levels.
II. Endorectal MRI at VCU; 3x5 mm tumor identified
2016 PSAs ascend from .11 in Apr to .49 in Dec. Follow-up endorectal MRI at VCU; tumor more than doubled in size to 10x7 mm .
I have considered several options the past few weeks including Pencil beam PBRT, cyberknife, prostatectomy, brachytherapy, focal beam ablation, cryotherapy , Hi Fu, modified hormone lite, full blown hormone therapy and chemotherapy. The first seven options have been pretty much eliminated each for a different reason. More recently an advisor recommended estrogen therapy which looks promising at least for a temporary period (a year or so?)
Major changes under consideration; too early and too fluid to document.