Jake Hannam



Personalien und Diagnosen

Personalien

Sichtbarer Name: Jake Hannam
Land: United States of America
Bundesland/Kanton: Maryland
Geburtsjahr: 1953
Alter: 70
Beruf: Retired
Hobbys: Computers, writing, television
Meine Homepage: http://www.jakehannam.com

Daten bei Erstdiagnose

Datum: 15.03.2010
Alter bei Diagnose: 56
PSA: 5.30
Biopsiert? Ja
TUR-P? Nein
Gleason Score: 4 + 4 = 8
TNM-Diagnose:
Bemerkung: My doctor never told me my stage

Maximal gemessenes Prostatavolumen

Datum:
PSA:
Volumen in ml oder cm³:

Postoperative pathologische Daten

Datum:
Gleason Score:
pTNM-Befund:
Schnittränder:
p-L-V-P-G-Befunde:
Siehe Bericht vom:

Prostatakrebs - Behandlungen

** PSA-Wert zu Beginn der Behandlung
von bis PSA** Art Klinik Ort
13.07.10 13.07.10 7.98 andere Behandlung Doctors Hospital Lanham, Maryland, USA
08.06.12 08.06.12 22.30 HB 1-fach Dr. Isabella Martire Laurel, MD
04.10.12 04.10.12 0.80 HB 1-fach Dr. Isabella Martire Laurel, MD
13.01.13 13.01.13 0.80 HB 1-fach Dr. Isabella Martire Laurel, MD
14.01.13 17.10.13 3.30 intermittierende HB Dr. Isabella Martire Laurel, MD
17.10.13 14.11.13 1.10 HB 1-fach Dr. Isabella Martire Laurel, MD
11.06.15 11.06.15 3.80 HB 1-fach Dr. Isabella Martire Laurel, MD



Medikamente

NEM = Nahrungsergänzungsmittel
von bis Medikament + NEM Menge / Zeiteinheit
08.06.12 31.01.13 Lupron (4-month) Quarterly
08.06.12 Zometa (zoledronic acid) infusion Monthly
31.01.13 17.10.13 Intermittent ADT (no Lupron between 31 Jan to 17 Oct 2013)
17.10.13 Restarted Lupron (4-month) Quarterly
05.02.15 Metformin 500 mg. Daily
Menge pro T/W/M/J etc.


PSA-Verlauf    ng/ml    logarithmisch

PSA-Verlauf    ng/ml    linear

PSA-Verdoppelungszeiten in Jahren

Verdoppelungszeit ist zur Vorperiode gestiegen.
Verdoppelungszeit ist zur Vorperiode gesunken.
* Berechnet auf 1, 2, 4 und 8 Perioden rückwärts.

Grenzwert = 3 Jahre


Berechnung der Verdoppelungszeit in Tagen

Verdoppelungszeit in Jahren:
Verdoppelungszeit in Tagen:
Datum PSA 1* 2* 4* 8*
28.03.03 0.50
08.05.06 1.00 3.11
04.10.07 2.80 0.95 1.82
08.12.08 3.38 4.35 1.47
07.12.09 5.98 1.21 1.99 1.87
05.02.10 5.30 -- 1.79 1.56
07.07.10 7.40 0.86 1.89 1.97
29.09.10 2.20 -- -- --
24.01.11 2.90 0.80 -- -- 3.09
06.05.11 4.40 0.46 0.60 -- 2.34
13.06.11 4.80 0.83 0.53 -- 4.75
25.07.11 7.20 0.20 0.31 0.48 2.41
15.03.12 22.50 0.39 0.34 0.39 1.19
20.04.12 18.00 -- 0.56 0.47 1.25
23.05.12 22.30 0.29 -- 0.43 1.18
05.07.12 4.10 -- -- -- 1.97
03.08.12 1.30 -- -- -- --
06.09.12 0.80 -- -- -- --
04.10.12 0.80 -- -- --
01.11.12 0.80 -- --
29.11.12 0.50 -- -- -- --
03.01.13 1.30 0.07 0.25 0.47 --
31.01.13 0.80 -- 0.25 --
28.02.13 0.50 -- -- -- --
25.04.13 0.60 0.58 -- 1.53 --
Datum PSA 1* 2* 4* 8*
23.05.13 0.60 0.87 -- --
20.06.13 0.70 0.34 0.69 -- --
18.07.13 0.60 -- 1.46 --
16.08.13 0.80 0.19 0.81 0.75 1.05
19.09.13 1.60 0.09 0.12 0.23 2.37
17.10.13 3.30 0.07 0.08 0.15 0.35
14.11.13 1.10 -- -- 0.37 0.62
12.12.13 0.70 -- -- -- 2.85
09.01.14 0.50 -- -- -- --
07.02.14 0.50 -- -- --
10.04.14 0.50 -- --
08.05.14 0.60 0.29 0.94 -- --
05.06.14 0.70 0.34 0.32 0.83 --
03.07.14 0.80 0.40 0.37 0.59 --
07.08.14 0.70 -- 0.67 --
04.09.14 0.60 -- -- --
09.10.14 1.00 0.13 0.34 0.67 0.75
13.11.14 1.20 0.36 0.19 0.62 0.61
11.12.14 1.60 0.18 0.25 0.29 0.40
08.01.15 2.30 0.15 0.16 0.18 0.35
12.02.15 2.90 0.29 0.20 0.22 0.34
12.03.15 3.30 0.41 0.33 0.22 0.34
16.04.15 3.00 -- 3.53 0.38 0.33
14.05.15 3.40 0.42 4.00 0.61 0.28
11.06.15 3.80 0.48 0.45 0.84 0.35

Mein Bericht

Übersetzen auf:
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Datum Δ 

letzter PSA vom

Erfahrungsberichte

       
25.07.2011 7.20 25.07.11
I had focal cryotherapy (right side only) for a Gleason 8 tumor (confirmed on biopsy and MRI) and some Gleason 6. The tests (biopsy, cystoscopy, MRI, bone scan, and nuclear stress test) were worse for me than the actual cryotherapy procedure. I WAS very happy with my treatment, albeit an experimental one, because I thought the urologist had gotten all the cancer and I would be able to preserve at least some potency. However, since my procedure on 13 July 2010, my PSA has continued to rise (from 2.2 in September 2010 to 7.2 on 25 July 2011 - less than nine months later). Several courses of antibiotics (doxycycline and ciprofloxacin) failed to bring the PSA values down. While this does not rule out a stubborn case of prostatitis, it is more likely that my cancer has returned and my PSA is rising quickly which could indicate a very aggressive cancer. I hope not!!!!!

My urologist has scheduled me for another biopsy on the 5th of August 2011. I will update the results when I get them.
       
29.11.2012 0.50 29.11.12
The biopsy in August 2011 was much better than the first one. It was painless and quick. Since the right side of my prostate had been frozen in July 2010, there was no expectation for that side. The biopsy showed no cancer but did show one 'atypical' core on the left side. Subsequent tests (Mitomics and PCA3) showed negative and 10.7 respectively which indicated a low probability of cancer in my prostate. However, my PSA continued to rise. The urologist tried several antibiotics (cipro and doxycycline) on the assumption that the PSA was due to prostatitis. However, the antibiotics had no effect and the urologist was clueless. By May of 2012, my PSA was up to 22.5. Since my pre-cryotherapy MRI and bone scan showed no metastases, the urologist never considered that it may have already metastacized but was too small to detect. Anyway, he talked about radiation to the prostate but never considered the possibility of metastasis.
At this point, I lost faith in him and made an appointment with an oncologist. I gave her all my records and test results and described the occasional pains I had been feeling in my lower abdomen. She immediately sent me for a PET/CT scan and this confirmed that I did have numerous metastases to my sacrum, right femur, ileac wings, and several spots in the thoracic and lumbar portions of my spine. She immediately started me on Lupron shots (once every four months) and monthly infusions of Zometa. So far, the Lupron has been working and has reduced my PSA from a high of 22.5 in May 2012 to 0.5 in November 2012. The side effects have not been any fun. I have almost total loss of libido, no erections, hot flashes, depression, and heart palpitations (feelings that my heart is flipping over in my chest). She does not think the Lupron is causing the palpitations although internet searches have shown that some people do have that side effect. I recently had a EKG and an echocardiogram but they did show any overly significant changes. Assuming the palpitations are due to the Lupron and not due to an underlying cardiac condition, I will just have to grin and bear it. Regardless, the Lupron is working so far. I hope to try intermittent ADT after my third shot in February 2013 with the hopes of regaining some semblance of a sex life again. This will have to be discussed with my oncologist and we will obviously have to continue with monthly PSA tests and probably with the monthly infusions of the Zometa. I also began taking Salvestrol Platinum (6,000 points per day) in July 2012. Unfortunately, it is impossible to tell whether they have had any beneficial effects on my cancer since the ADT is keeping it in check at the moment. To save money, I reduced my daily dosage last week to 3,000 points of the Salvestrol Platinum.
       
17.06.2015 3.80 11.06.15
After I fired my urologist in June 2012 for his clueless incompetence, I started being treated by a medical oncologist. She is not a genitourinary specialist but I still have faith in her. After a PET/CT showed numerous metastases in my bones, she immediately started me on monthly Zometa infusions and quarterly shots of Lupron. This brought my PSA down from a high of 22.5 to 0.5. With only minor variations, my PSA remained in this range (except for a nine-month period in 2013 when I experimented with intermittent ADT). However, my PSA has been gradually increasing since October 2015 to its current level of 3.8.

I should probably get another scan (either CT or bone) in the near future. If she doesn't suggest it soon, I will probably fire her too. My next step will probably be to add bicalutamide to the Lupron. Even with Medicare Part A and B and secondary health insurance (Blue Cross - Blue Shield), I will not be able to afford the copay for either Zytiga or Xtandi. I guess once the bicalutamide fails (and it will), I will probably need chemotherapy and possibly Provenge (if insurance will cover it). Since I have bone metastases, I will probably try Zofigo (Radium-223) once I begin to experience significant pain. Not a pleasant future ...
       

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