When a PSA is > 20ng/ml prior to RP mets are suspected. However, after RP I am not clear on what would constitute bone mets. I know for sure that you had some residual in the prostate bed as the drop you experienced after RT would indicate. Whether they hit it all is suspect. I know you know that further increase will indicate the need to starve it by starting HT. Keep the attitude up, it will keep you up my friend. There is plenty to do still, and I know that HT will most likely induce remission for you. It might not be a bad idea to bite the bullet, and give that RT a hand.
We're with you, Mike! Hang in there, buddy!!!
Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (September 17 '08): <0.1 ~ Undetectable!
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