PSA after salvage IMRT

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Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 12/23/2009 6:14 PM (GMT -6)   
I recently completed 37 IMRT treatments.  My PSA was .18 at the time.  My first PSA 3 months after treatment the same .18.  I am confused as to whether the treatments were sucessful.  I am scheduled for another test in February.  Has anyone had salvage RT with similar results?  Did it take longer for the PSA to go down?  This is salvage treatment, not primary treatment with RT.
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C
4/16/08- Started Bi-mix injections 
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable
03/02/09- 1 yr. post-op PSA .09 Undetectable
05/13/09   PSA .18 (ouch)
Started IMRT June 13, 2009
Completed 37 treatments July 31, 2009 (66.6gy)
11/23/09 Post IMRT PSA .18


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/23/2009 7:23 PM (GMT -6)   
Boot, we are in such a similar situation, I am awaiting my first post salvage psa. According to my doctor, I wouldnt worry or be too alarmed at this first reading. My doc. said that the first one might even be slightly higher than my last ,only because x amount of time went by before the treatment started. I was told the first one is a new base, the 2nd one will be a real test to see if it starts going down.

You were at .18, me .16, though mine came back quicker than yours. You had 37 treaments and 66.6 gys, and I had 39 and 72 gys, pretty close in treatment.

I hope at your next one, you will see that downward movement that we both need. Good luck

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

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