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Hi! I'm Tony Crispino and this is my story about living with a diagnosis of cancer. I was diagnosed with advanced prostate cancer at the age of 44. I am 49 now and I am doing well. You can expand this window and read about my diagnosis...I log my thoughts and progress in my journal below.
In October of 2006, the 19.8 PSA on my PSA test was indication that I have cancer. On the 19th of December, Dr. Zommick. just walked into the room where me and my wife waited. "Well there's a little cancer down there." My first thought? What the heck is a "little cancer". As it turned out my biopsy confirmed in half of the 8 tissue samples were positive as follows:
Core 1> Right side. 20% + Adenocarcinoma Gleason 3+3=6 Core 2> Left side. 70% + Adenocarcinoma Gleason 3+4=7 Core 3> Left side. 80% + Adenocarcinoma Gleason 3+4=7 Core 4> Left side. 80% + Adenocarcinoma Gleason 3+4=7
After surgery at the City of Hope, by Dr. Tim Wilson, My Gleason was 4+3=7 and the TNM was pT3b, N0, Mx. The TNM indicates that the stage was just shy of incurable stage IV, ten lymph nodes were clean, and they could not confirm distant metastasis. A silver lining perhaps. But I had to continue additional therapies in hopes this does not come back. I started attending the Nevada Cancer Institute in February of '07. Under the care or Dr.'s Nick Vogelzang and David Pomerantz, we began ADT, or Androgen Deprivation Therapy. ADT is a therapy were my body is medically deprived of testosterone. The agents used are Lupron and Casodex. Casodex is a hormone drug that blocks androgens in the prostate cancer cells and also stops the generating of testosterone. After receiving that ADT, I also hit the area were the prostate was with 38 IMRT radiation treatments. We thank you for your prayers, and we stay close to our faith!
May God Bless you all. As for me, I will gladly leave things in His hands...
PSA history: October 3, 2006 19.8 October 10, 2006 18.9 November 27, 2006 13.9 Surgery February 16, 2007 February 28, 2007 0.9 March 12, 2007 0.1 March 23, 2007 <0.1 May 16, 2007 <0.1 Begin Adjuvant ADT and Radiation July 18, 2007 <0.1 September 19, 2007 <0.1 January 29, 2008 <0.1 May 9, 2008 <0.1 September 17, 2008 <0.1 January 13, 2009 <0.1 May 11, 2009 <0.1 T=50 October 7, 2009 <0.1 T=21 PAP=0.3 January 4, 2010 <0.1 T=128 PAP=0.4 May 18, 2010 <0.1 T=230 PAP Untested November 3, 2010 <0.1 T=263 May 18, 2011 <0.1 T=325 November 6, 2011 <0.1 May 2012, <0.1 T=332 Next Tests January 2013
Well it's a new year and while Lance Armstrong is out of cycling forever I'm not so sure I am. What I mean is because of my diagnosis I will continue to be tested for cancer the remainder of my days. And while these tests have been less stressful over the years, it always happens that it's in the back of my mind when testing gets near. We have a term for that in the survivorship community. It's called prostate specific anxiety. It's a play on the words for the key blood test ~ the prostate specific antigen test ~ we have to have drawn. So it is that the cycle continues this week. Thursday we do the blood draws, Monday I see the oncologist. And we'll do it again. and again, and again, and well you get the picture...
Funny how a blood draw for Lance Armstrong ended his cycling, but it causes mine.
For some reason I feel a bit more distress on this go. Not reasonable from the standpoint I have strung many great results together over 6+ years. But not unreasonable either when you consider that the average remission for a prostate cancer that was determined to have spread outside the prostate in the way mine did is about 6 years.
The anxiety continues. I'll repost on Monday.
I am getting close to meeting a goal I have set. I have just four more ministry classes to attend and I will have a commissioning ceremony in the middle of May and it's a blessing I believe that the Lord has saw me through it.