You just raised the most logical question in the jungle of PCa? Where is the PCa so they can zap it, defeat it or such. This is the real skinny, salvage radiation is a crapshoot at best, they do not know where the cancer is and so you get a generalized pelvic area that is considered safe to radiate and in some cases does the magic the patient is looking for, but in plenty of other cases it does not lead to overall cure. I believe salvage radiation cure rates are less than 50/50, if someone wishes to post a referrence it might be worth looking at, although alot stats are skewed or only measuring 5, 8, 10 yr. periods and other variables.
They cannot detect very small amounts of PCa with current technology. Alot of good hot air spent on ct and bone scans, which is nice to hear you have a clear scan, but it is not a guarantee. They cannot detect micro mets or small clusters of PCa cells that are say 1-billion or less, they don't show up on machines we currently have. This is not what anybody with PCa wants to hear, however it is the truth of the situation and even though many docs will elaborate on how wonderful there machines are at detecting(very costly tests too)....they are not wonderful enough and you don't have to take my word on it. But, do research this area before you decide what course of action you are taking. Not saying don't do or consider such, just analyze is this want you want to persue and know it is not guaranteed at all. There still is hormone therapies, drugs of a variety of types, more than many uro-docs ever mention or even know about (see onco-docs), as further ways to fight this and have some reasonable success at living a longer span.
You are prudent in not rushing into anything, rational judgements are a process and not at a whim. If your psa was to rise seemingly fast you can take drugs like casodex, zoladex, lupron, eligard, flutimide and others that will keep the PCa at bay while you make a decision on a modality. Don't be shy about
challenging your docs statements or getting second opinions, patients are at a huge disadvantage when placed into this arena.
(Dx-2002 with literally terminal scenario type stats, total urinary blockage etc., I have managed to do well thus far, fired a few docs along the way too..best thing I ever did)
Post Edited (zufus) : 11/1/2009 7:55:56 PM (GMT-7)