John T said...
Did you have a reoccurrance? Looking at your stats it would seem like the RP was sucessful with no rising PSA. What am I missing here?
Yes and No I suppose.
I was staged at T3A (positive margin). Initially post RP my PSA was 0 but shortly after it climbed to 0.1.
When I went for a second opinion the radiologist said to the effect that my psa had not risen enough to say for sure the cancer had reoccurred, but with my staging and PSA of 0.1, most likely there was residual cancer. He said the choice was mine, but if he were in my shoes, he would have the radiation sooner rather than later.
From my reading, my particular post op experience there is no clearcut consensus on the best course of action. So I have decided to err on the side of being overly aggressive.
53 Year Old DBA by profession; amateur pianist by passion.
June and Aug 2006: PSA 4.6. DRE prostate enlarged. Second opinion
Sep 2006: Biopsy results positive one lobe. Gleason 3+3.
Nov 2006: RPA performed at Fletcher Allen in Burlington VT.
Nov 2006: Pathology report: Stage T3a and Gleason 3+4.
Dec 2006: PSA 0.1
Feb, May 2007: PSA 0.0 (under 0.1)
Aug, Nov 2007 and Feb 2008: PSA 0.1
Mar-May 2008: IMRT Radiation..completed May 1, 2008
Sept 2008, Jan 2009: PSA still 0.1. Dang.
April 2009: PSA 0.0 (under 0.1). Yay!