Small world. This is a flash back for me. My case is nearly identical. And aside from the confusion from the nurse, my first visit to oncology came with the mention of the controversy and the uncertainty ahead. My surgeon, stopped at the rectum, was certain I would be stage IV, and also removed 10 lymph nodes, but they were clean. But my seminal vesicles were bilaterally involved. You can see my stats below.
I chose a proactive approach. And after debating my research with my oncologists suggestion that radiation would not work for me, he agreed that if I chose adjuvant hormone therapy, he would agree to adjuvant radiation. I have had an undetectable PSA since. This was two and a half years ago, about
. Today, my oncologist has lightened up about
radiation in T3x cases with up to two lymph nodes incolved. He and I had a great meeting in May where he stated that the approach we took has since become accepted. I will stop hormone therapy in September. We are going to give it a shot to see if I have a durable remission. At this point, the only difference between Myers and my oncologist is on the use of finesteride with Lupron/Casodex. I can't complain because of my string of undetectable PSA's has been a blessing.
I am optimistically cautious, but we have much to be thankful for. I was 44 when all this started, and as of today, I am celebrating my 47th birthday. My best advice? Stay Positive. A positive mind set can go a long way with quality of life.
Peace to you, to go along with my prayers and good will.
Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 11, 2009): <0.1
My Journal is at Tony's Blog
My InfoLink page is at Tony's Prostate Cancer InfoLink Page