Background/History: RP in 2011, 1st BCR (Recurrence) 06-26-2015 at 0.4. IMRT (Radiation) to Prostate Bed completed 09/2015. PSA undetectable affter IMRT. 2nd BCR 08-25-2017 at 0.2, currently at 0.5. PSADT is 7.3 months per MSKCC Calculator. I am being treated at Johns Hopkins (JHU).
Met with MedOnc at JHU yesterday and the recomendation is to wait 3 months and have a CT and a Bone Scan. Based on those results we will move forward with treatment.
I want to follow the advice given here and get on the NIH Clinical Trial for (18F) DCFPyL PSMA Pet Scan. Hoping for Oligiometastatic result and further radiation. Doc says I need the CT and Bone scan first and then an additional 6 weeks to get through the line at NIH for the Pet Scan Trial. This will be approximately 5 months after my 0.5 PSA result and I estimate I will be at 1.0 PSA at that time.
Doc gave me 6-9 years of life based on the PSA Doubling Time and told me I am early Stage 4.
I emailed another doctor at JHU and he stated confidence in my doctor (that and a quarter).
I guess I am now a little down about this news and wonder if anyone has any thoughts on the treatment plan and years to live estimate.
Thanks very much. Jim