To surgery July 2015 pathology report - Gleason 9, positive margin, lymph node involvement, extra capsulary extension. Past 10 yrs psa ~2 all dre negative... Till March 2015. Psa 2.76 BUT dre was positive. Day of surgery psa only 4.76. Seeing med oncologist psa .04, .03 .02 . O5, .05, .03. Referred to rad oncologist . Due to extent of cancer....and psa not being a good indicator they want to start 6 months hormone therapy and 7 weeks of radiation. We certainly want to stay on top of this and not being able to use psa as an accurate measure of cancer we understand treating this prior to psa rise to .1 or .2. Has anyone else had any experience with this? Also looking into choline 11 pet scans but I understand they are useless with psa under 1. Comments ? Also how come with any other cancer if there is any lymph node involvement they start chemo... But not with prostate cancer?