I have always understood that you need more than one test to rise consecutively before reacting to the rise. Especially when radiation was the primary treatment. PSA bounce is a natural occurance for radiation patients. AND I was surprised that you acheived an undetectable PSA so soon after proton therapy. I agree with Jayadub, that was not an accurate reading because of the HT. I don't like a treatment plan involving HT with radiation. I know there are studies that show by shriking the cancer the radiation can be made more effective, but none of those studies talk about the fluctuations after treatment and after HT. That sets up a nerve racking time when you see fluctuation. You need a second opinion before using HT again. Loma Linda has greater experience when using this treatment plan. I believe you will be instructed to watch for a while. Get more tests to show a trend instead of a single rise. Good luck. Take is easy, this just may be part of the treatment plan and not bad news.
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09.
Years in Remission (3/23/07): 1
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