Recurrence rates for RP with salvage radiation? Data?

[SooHwa99]

Hello,

I am just curious if anyone has run across evidence based data on the recurrence rate after RP with follow up salvage radiation? Even with lower grade cancers?

[Tall_Allen]

Sure. here it is:

riskcalc.org/ProstateCancer...

[SooHwa99 in reply to Tall_Allen]

Thank you so very much. I had not seen this particular calculator before. That was very helpful! Much obliged.

[Concernedwife24 in reply to Tall_Allen]

Is there a calculator for post surgery PSA still there but lupron and zytiga made it undetectable. Looking at radiation soon but my husband really doesn't want it.

[Tall_Allen in reply to Concernedwife24]

None include Zytiga that I know of.

[GeorgesCalvez]

You should try and remember that you are a sample size of one, the statistics predict the likely outcomes for a group of men with similar pathology, some of them will do a lot better and some a lot worst.

It is not possible to predict who will remain disease free and who will see early recurrence.

I am in a similar position and I have heard a variety of opinions from several doctors, I keep my own council and my fingers crossed, so far my PSA remains below the limit of detection.

[Jmr11820]

Didn’t you have a DECIPHER? Did your GRID show a PORTOS? Possibly that’s helpful in likelihood of a good outcome. I’m asking somewhat for my own information as I too had RT. My PORTOS was low.

[SooHwa99 in reply to Jmr11820]

I did have a DECIPHER done. I never had a grid done. My DECIPHER was 0.71 putting me at high risk for recurrence and metastasis. My RO felt that since we started radiation at a relatively low PSA of 0.13 that that would mitigate the relatively high DECIPHER. I also did 6 months of Lupron and Casodex.

[Jmr11820]

I didn’t order the GRID, but as a DECIPHER patient, you become part of the GRID, ever evolving. Your urologist, or the physician who ordered the DECIPHER test, has a copy. It’s way too technical for me but the PORTOS portion is fairly cut and dry. At this point, it’s somewhat moot, for both of us.