Those that are following me, I have received the results, of my circulating tumor cells. To recap, I have been on my ADT-5 program, with a serious supplemental program for a year and a half. My PSA has been undetectable for 15 months, after having a post-op PSA of 7.4, going into surgery at 20.2. So it was considered I failed surgery, could not have radiation, or Chemo, and the Oncologists at the time concluded that I had micro-metastasis, and the Pca escaped probably before surgery. Because the nodes were clean, yet I had a positive margin, the perineural nerve was infected, and one seminal vesicle.
OK, so we started ADT, Lupron implant, just exchanged one out last week, Casodex, Avodart, Proscar, and DIM. Got to undetectable fast. And I was targeting, both refractive cells, and hormone sensitive cells with my 10 step supplemental program, of which I have written of. So I had been told a second time last week by my Urologist, that he expected me to be in Hospice this year, due to my Pathology and Gleason.
So, about a month ago, I contacted my Geneticist and it was suggested, if everyone thinks the Pca is circulating in my blood then lets measure what is there. So the CTC test was done.
The test is the CellSearch Method, approved by the FDA, and has a Medicare code. The purpose was to measure what was not dormant or asleep, because you cannot stain those Pca cells that even though sensitive to ADT, if sleeping, they cannot be measured. So the literature on my Pathology is that it usually breaks 70-30, with PSA Sensitive Cells at 70 % and the Refractive Cells at 30%. So if every cancer cell was in my blood, I would take the count of Circulating Cells and multiply by 1.7 to account for the Pca cells asleep, or dormant.
Well Hells Bells, the test came back ZERO Cancer Cells in my blood. My Urologist looked at me and asked, are you cured? I said I need a lot of consultation on these results. I see my Oncologist at the Levine Cancer Institute in Charlotte N.C. tomorrow.
He has only ever done one CTC test since it has been available. So I consult with him. My proposed suggestion, is to pick a very sensitive Scan, that can locate Cancer cells. Can I take a Vacation, I do not wish to experiment unless I have more facts,
So as of today I have 3 ZEROS-----PSA, C-Reactive Protein, and Circulating Tumor Cells.
Anyone have any suggestions besides doing a very sensitive scan? It could be everyone was wrong about the initial diagnosis of Micro-metastasis in the blood. Could be that the cancer never left the Prostate Bed. Feel free to comment.