Recurrent prostrate psa after surgery

[Channelhomec]

Biochemical recurrance has any one found salvage radiation benefits with or without hormonal treatment

[Tall_Allen]

Yes, of course - many have. Did it fail for you?

[Channelhomec in reply to Tall_Allen]

No I am going for my 4 th blood test only had salvage no hormone psa is 0.02 I will be 13 months from radiation

[Hidden in reply to Channelhomec]

You cannot undo history or the choices you made at the time. Although annoying and stressful the best we can do is take these tests (PSA) we cannot study for on a regular basis.

[Justfor_]

If blind radiation is used it is a 50-50% chance for buying you some extra years in remission. A PSMA PET/CT may reveal distant metastases and save you from the radiation toxicity and late side effects of a destined to fail "treatment". A couple of recent papers that I have come across indicate that in the early stages of BCR i.e. PSA 0.1 to 0.5, the probability of distant metastases both in lymph nodes and bones is somewhere between 20 - 25%. The remainder is almost equally devided between local bed and regional LN.

[Channelhomec in reply to Justfor_]

Are you saying it's not curable if its local recurrance

[Justfor_ in reply to Channelhomec]

Curable is a marketing term. Can be cured, right? Doesn't mean it will definitely go away and never come back. Since no one knows what caused it there can not be any future prevention even after a temporary knock out. What is known are ways to slow it down. They are more efficient in a localized case.

[Channelhomec]

Are you a doctor in this field you seem very knowledgeable in all areas

[Blueslover]

It did for 4 years

[GeorgeGlass in reply to Blueslover]

you did radiation for 4 years? Can you explain in more detail? Did it extend remission time?

[Blueslover in reply to GeorgeGlass]

No George.I had prostate bed irradiation about 4 years after surgery. My PSA had been undetectable until then.

After that, PSA remained undetectable for about 4 more years after which I started Lupron

Hugh

[j-o-h-n]

Cancer is like alimony..... it never stops.......

Please tell us your bio. Age? Location? When diagnosed? Treatment(s)? Treatment center(s)? Scores Psa/Gleason? Medications? Doctor's name(s)?

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Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 01/12/2021 5:36 PM EST

[Channelhomec in reply to j-o-h-n]

Age 68 2013 removed prostate psa of 3.6> hackensack hospital dr Esposito nj urology > gleason 3>4 one positive apical margin right side >t2 ...21% of prostate cancer nerve sparing, all else was good nodes good ,seminal, good capsule> good BCR>6YEARS LATER PSA0.14 SALVAGE RADIATION 2019 PSA NOW 0.02 ONCOLOGISTS SAID IT IS CURABLE WAIT AND HOPE

[j-o-h-n]

Thank you for your quick and detailed reply. Good idea to copy and paste it in your homepage for future reference. Hope springs eternal.... Keep posting here.....

Forget about the NJ Giants and Jets......

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 01/12/2021 7:20 PM EST

[Channelhomec in reply to j-o-h-n]

Thanks