Posted 3/16/2010 12:32 PM (GMT -6)

Bootheel:  Whether the cancer is systemic or not, when HT is started the overwhelming number of patients have a  substantial drop in their PSA.  I do understand that you would get a much quicker decision on wheter the SRT worked or not by not using HT but because the PSA goes down after SRT with HT whether or not the cancer was systemic to begin with you would need to wait longer to see if the treatment worked.  I don't mind that at all.


 54 y.o.
 Diagnosed 4/10/08
 DRE Normal
 Biopsy- 12 cores, 4 positive highest 4+4=8
 Bone scan, CT scan and Chest X-ray clear 4/16/08
 Urologist suggested surgery 4/16/08
 MRI on 4/24/08 clear no suggestion of lymph node   involvement.
 4/24/08 -Started on Lupron and Casodex preparing for HDRT and IMRT in late July.  This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
9/12/08- PSA <0.02 
12/05/08-PSA <0.02 Six months after surgery 
3/02/09-PSA <0.02 Nine months after surgery
5/02/09-PSA .10
8/17/09-PSA .21 Begin HT and set up for SRT to begin in 2 months.

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