Mel, that is generally a true statement. It all comes down to is the recurrance local or distant, or in some case, both can be going on at the same time.
I have seen stats that show as high as 40% for the secondary treatment of radiation as still being curative. There are other factors, including psa velocity both pre-surgery and post surgery that can dinimish those odds. My own radiation oncologist gives me a 30% chance for success at best for those very factors.
There was a recent study releaseddin the news that was showing a more positive spin on salvage radiation for us surgery guys, I will post the link as soon as I can find it, unless one of our other brothers don't beat me to it.
When you are in that situation, like I just was, and our brother Sonny, you usually go for it, because it will be the last curative chance you will get in fighting PC beyond your primary treatment. Whether that be 30 or 40%, it is still something you can be pro-active about, and something you can say you tried while you still had the opportunity.
David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence: 1 Month ED: Non issue at any point post surgery
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA:
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped 9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place