There are no easy answers in fighting PCa too many unknowns, one has to realize that even the salvage radiation is basically a blind gamble, may well be worth taking, but you need to know just like surgery and other treatments, where is the guarantee???? You have not reached .2 range which is considered the threshold post surgery and such, guessing you can wait some as others seemed to have done and still had successes in treating this dragon. Thus another big decision when facing salvage therapies
and your choices. Perhaps the Combidex scan is your best tool currently available, as to where is this PCa and can it be treated in that area??? Maybe get the color doppler ultrasound
which is available in Michigan and California, to add to making your decision.
Some people opt towards hormone
and drug therapies for control on PCa and at various stages even including primary treatment (e.g. Dr. Leibowitz protocols). All of us patients at any juncture and including post surgery and radiations
, etc., needs to monitor your psa
levels for years and years. Reoccurence is possible more so than many are lead to believe is the truth, as they don't know if it is outside the gland...they can assume and use averages from like Partin tables and such, but nothing is in stone or completely definitive. The low stats 'found' patients have the best chance for cures, even that can lack precise biopsy information and pathology findings, missed biopsy areas, undefined type of variant PCa or plodity analysis which could make a difference and like perinureal invasion (path to leave the gland) and such. Grey areas like you would not believe. This is why some low stats patients do have psa
failure which is very sad, as they were lead to believe remove it and you are done with it, problem is that it is not the easy overall. In alot of cases that may be true or even majority of cases, but not all cases.
This is what my experience with PCa is telling me, perhaps it is not totally correct.... Maybe someone else has other information and experiences with this.
Post Edited (zufus) : 11/30/2009 8:10:43 AM (GMT-7)